The Bariatric Analysis and Reporting Outcome System (BAROS) can describe the outcome following bariatric surgery.
Patient selection: status/post bariatric surgery
Parameters:
(1) weight loss as percent of excess
(2) medical conditions
(3) quality of life questionnaire
(3a) usually I feel
(3b) I enjoy physical activities
(3c) I have satisfactory social contacts
(3d) I am able to work
(3e) the pleasure that I get out of sex is
(3f) the way I approach food
(4) complications
(5) reoperation
|
Parameter |
Finding |
Points |
|
weight loss |
weight gain |
-1 |
|
|
< 25% excess weight loss |
0 |
|
|
25 to 49% |
1 |
|
|
50 to 74% |
2 |
|
|
>= 75% |
3 |
|
medical conditions |
aggravated |
-1 |
|
|
unchanged |
0 |
|
|
improved |
1 |
|
|
1 major resolved; others improved |
2 |
|
|
all major resolved; others improved |
3 |
|
complications |
none |
0 |
|
|
minor |
-0.2 |
|
|
major |
-1 |
|
reoperation |
no |
0 |
|
|
yes |
-1 |
The 6 quality of life questions are graded from -0.50 to +0.50 with 10 stages, with-0.50 very poor and +0.50 very good.
subscore for QOL =
= SUM(points for all of the questions)
total score =
= SUM(points for the 4 parameters) + (subscore for QOL)
Interpretation:
• minimum subscore for QOL: -3
• maximum subscore for QOL: +3
• minimum score: -7
• maximum score: 9
|
Total Score |
Outcome |
|
<= 1 |
failure |
|
1.1 to 3 |
fair |
|
3.1 to 5 |
good |
|
5.1 to 7 |
very good |
|
> 7 |
excellent |
|
Subscore for QOL |
Quality of Life |
|
< -2 |
very poot |
|
-2 to -1.1 |
poor |
|
-1 to 1 |
fair |
|
1.1 to 2 |
good |
|
> 2 |
very good |
Specialty: Nutrition
