Changes in Back Pain Scores after Bariatric Surgery in Obese Patients: A Systematic Review and Meta-Analysis
Bariatric surgery produces significant and quantifiable reductions in back pain. However, there is a lack of information on the association of weight changes after bariatric surgery with changes in pain score. We aim to evaluate the impact of bariatric surgery on back pain in obese patients and to a...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-04-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/10/7/1443 |
| _version_ | 1797539138909503488 |
|---|---|
| author | Froukje W. Koremans Xiaolong Chen Abhirup Das Ashish D. Diwan |
| author_facet | Froukje W. Koremans Xiaolong Chen Abhirup Das Ashish D. Diwan |
| author_sort | Froukje W. Koremans |
| collection | DOAJ |
| description | Bariatric surgery produces significant and quantifiable reductions in back pain. However, there is a lack of information on the association of weight changes after bariatric surgery with changes in pain score. We aim to evaluate the impact of bariatric surgery on back pain in obese patients and to address the association between changes in body mass index (BMI) and pain score. In obese patients eligible for bariatric surgery, the changes in pre- and post-operative pain scores, assessed by the Numeric Rating Pain Scale (NPS) or Visual Analogue Scale (VAS), were considered as primary outcomes. Mean difference (MD) and their 95% confidence intervals (CI) were evaluated. Eight cohort studies were included in the analysis of 298 obese patients undergoing bariatric surgery. All studies showed a reduction in back pain, with a mean change of −2.9 points in NPS and of −3.8 cm in VAS. There was a significant reduction in back pain (NPS: (MD = −3.49) (95% CI = −3.86, −3.12); VAS: MD = −3.75, (95% CI = −4.13, −3.37)) and BMI (MD = −12.93, (95% CI = −13.61, −12.24)) following bariatric surgery. No significant relationship between BMI change and decrease in clinical scores could be established. However, it was evident that bariatric surgery had a significant effect on back pain scores in severely obese patients. Ideally, a prospective study including spinal imaging, inflammatory markers, a longer follow-up period, and larger study groups with a randomized control group needs to be performed. |
| first_indexed | 2024-03-10T12:41:00Z |
| format | Article |
| id | doaj.art-d9bb12c63dee44d1a425b4f76a04d8b5 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T12:41:00Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-d9bb12c63dee44d1a425b4f76a04d8b52023-11-21T13:53:15ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01107144310.3390/jcm10071443Changes in Back Pain Scores after Bariatric Surgery in Obese Patients: A Systematic Review and Meta-AnalysisFroukje W. Koremans0Xiaolong Chen1Abhirup Das2Ashish D. Diwan3Amsterdam UMC, Vrije Universiteit Amsterdam, Surgery, Amsterdam Trauma Surgery, De Boelelaan, 1117 Amsterdam, The NetherlandsSpine Labs, St. George and Sutherland Clinical School, University of New South Wales, Kogarah, NSW 2217, AustraliaSpine Labs, St. George and Sutherland Clinical School, University of New South Wales, Kogarah, NSW 2217, AustraliaSpine Labs, St. George and Sutherland Clinical School, University of New South Wales, Kogarah, NSW 2217, AustraliaBariatric surgery produces significant and quantifiable reductions in back pain. However, there is a lack of information on the association of weight changes after bariatric surgery with changes in pain score. We aim to evaluate the impact of bariatric surgery on back pain in obese patients and to address the association between changes in body mass index (BMI) and pain score. In obese patients eligible for bariatric surgery, the changes in pre- and post-operative pain scores, assessed by the Numeric Rating Pain Scale (NPS) or Visual Analogue Scale (VAS), were considered as primary outcomes. Mean difference (MD) and their 95% confidence intervals (CI) were evaluated. Eight cohort studies were included in the analysis of 298 obese patients undergoing bariatric surgery. All studies showed a reduction in back pain, with a mean change of −2.9 points in NPS and of −3.8 cm in VAS. There was a significant reduction in back pain (NPS: (MD = −3.49) (95% CI = −3.86, −3.12); VAS: MD = −3.75, (95% CI = −4.13, −3.37)) and BMI (MD = −12.93, (95% CI = −13.61, −12.24)) following bariatric surgery. No significant relationship between BMI change and decrease in clinical scores could be established. However, it was evident that bariatric surgery had a significant effect on back pain scores in severely obese patients. Ideally, a prospective study including spinal imaging, inflammatory markers, a longer follow-up period, and larger study groups with a randomized control group needs to be performed.https://www.mdpi.com/2077-0383/10/7/1443low back painbariatric surgeryobesitymeta-analysismeta-regression |
| spellingShingle | Froukje W. Koremans Xiaolong Chen Abhirup Das Ashish D. Diwan Changes in Back Pain Scores after Bariatric Surgery in Obese Patients: A Systematic Review and Meta-Analysis Journal of Clinical Medicine low back pain bariatric surgery obesity meta-analysis meta-regression |
| title | Changes in Back Pain Scores after Bariatric Surgery in Obese Patients: A Systematic Review and Meta-Analysis |
| title_full | Changes in Back Pain Scores after Bariatric Surgery in Obese Patients: A Systematic Review and Meta-Analysis |
| title_fullStr | Changes in Back Pain Scores after Bariatric Surgery in Obese Patients: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Changes in Back Pain Scores after Bariatric Surgery in Obese Patients: A Systematic Review and Meta-Analysis |
| title_short | Changes in Back Pain Scores after Bariatric Surgery in Obese Patients: A Systematic Review and Meta-Analysis |
| title_sort | changes in back pain scores after bariatric surgery in obese patients a systematic review and meta analysis |
| topic | low back pain bariatric surgery obesity meta-analysis meta-regression |
| url | https://www.mdpi.com/2077-0383/10/7/1443 |
| work_keys_str_mv | AT froukjewkoremans changesinbackpainscoresafterbariatricsurgeryinobesepatientsasystematicreviewandmetaanalysis AT xiaolongchen changesinbackpainscoresafterbariatricsurgeryinobesepatientsasystematicreviewandmetaanalysis AT abhirupdas changesinbackpainscoresafterbariatricsurgeryinobesepatientsasystematicreviewandmetaanalysis AT ashishddiwan changesinbackpainscoresafterbariatricsurgeryinobesepatientsasystematicreviewandmetaanalysis |