- This event has passed.
Webinar: DrPH student seminar – “Needs Assessment to Evaluate Prevalence and Severity of Dermatological Concerns Post-Bariatric Surgery”
October 9, 12:00 pm to 1:00 pm
“Needs Assessment to Evaluate Prevalence and Severity of Dermatological Concerns Post-Bariatric Surgery” will be presented by Eiman Khesroh, MBBS, DrPH candidate (Health Systems Organization and Policy), Department of Public Health Sciences. Mentor is Andrea Rigby, PsyD.
Participants may also join by calling 929-205-6099, meeting ID 930 0157 8370. If prompted, enter passcode 492862.
The research was performed by Dr. Khesroh as well as Melissa Butt, MPH, from Public Health Sciences, and Andrea Rigby, PsyD, from the Department of Surgery (Division of Minimally Invasive Surgery).
Bariatric surgery is increasing in tandem with reported increase of obesity in the United States. Post-bariatric patients lose almost one third of their excess weight within the first year. The sudden loss of weight leads to redundancy in skin and increased susceptibility to dermatological and psychological issues. These issues lack decent coverage in the literature. The purpose of this study is to evaluate the prevalence and severity of dermatological concerns among post-bariatric surgery patients and assess its impact on patients’ quality of life.
The cross-sectional survey-based recruited patients who have been treated at the Penn State Health Surgical Weight Loss Clinic, both electronically as well as in clinic. For those who volunteered, a shorter version of the survey was sent to them in order to establish test-retest reliability of the instruments of interest. Needs assessment items were evaluated using descriptive statistics. Global quality of life items were validated against the Dermatology Quality of Life Index. Correlations between survey instruments were evaluated. Linear and logistic regression models were used to identify predictors of skin bias internalization. Psychometric properties of the skin bias internalization scale were evaluated to identify item-total correlations and internal consistency of the instrument. All analyses were conducted using SAS Version 9.4.
The research showed that the 57 participants who had bariatric surgery were generally concerned about their excess and irritated skin after significant weight loss. They expressed their desirability to undergo excess skin removal surgery even though majority did not seek dermatologist consult. Beck’s Depression Index II (8.04), Burns Anxiety Inventory (13.22) and Weight Bias Internalization Score (3.78) showed minimal to moderate psychopathological impact. While, Dermatology Life Quality Index (7.93) and Skin Bias internalization Score (3.63) showed moderate yet varying results.
The findings highlight the prevalence of dermatological concerns in a post-bariatric patient population. Next steps include continuing to collect data and evaluate the associations between impaired quality of life and adverse psychopathology.