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Improving the Impact of BODY-Q Scores Through Minimal Important Differences in Body Contouring Surgery : An International Prospective Cohort Study

Dalaei, Farima ; Dijkhorst, Phillip J. ; Möller, Sören ; Klassen, Anne F. ; de Vries, Claire E.E. ; Poulsen, Lotte ; Kaur, Manraj N. ; Thomsen, Jørn Bo ; Hoogbergen, Maarten and Voineskos, Sophocles H. , et al. (2024) In Aesthetic Surgery Journal 44(12). p.1317-1329
Abstract

Background: The BODY-Q is a widely used patient-reported outcome measure for comprehensive assessment of treatment outcomes specific to patients undergoing body contouring surgery (BCS). However, for the BODY-Q to be meaningfully interpreted and used in clinical practice, minimal important difference (MID) scores are needed. A MID is defined as the smallest change in outcome measure score that patients perceive as important. Objectives: The aim of this study was to determine BODY-Q MID estimates for patients undergoing BCS to enhance the interpretability of the BODY-Q. Methods: Data from an international, prospective cohort from Denmark, Finland, Germany, Italy, the Netherlands, and Poland were included. Two distribution-based methods... (More)

Background: The BODY-Q is a widely used patient-reported outcome measure for comprehensive assessment of treatment outcomes specific to patients undergoing body contouring surgery (BCS). However, for the BODY-Q to be meaningfully interpreted and used in clinical practice, minimal important difference (MID) scores are needed. A MID is defined as the smallest change in outcome measure score that patients perceive as important. Objectives: The aim of this study was to determine BODY-Q MID estimates for patients undergoing BCS to enhance the interpretability of the BODY-Q. Methods: Data from an international, prospective cohort from Denmark, Finland, Germany, Italy, the Netherlands, and Poland were included. Two distribution-based methods were used to estimate MID: 0.2 standard deviations of mean baseline scores and the mean standardized response change of BODY-Q scores from baseline to 3 years postoperatively. Results: A total of 12,554 assessments from 3237 participants (mean age 42.5 ± 9.3 years; BMI 28.9 ± 4.9 kg/m2) were included. Baseline MID scores ranged from 1 to 5 on the health-related quality of life (HRQL) scales and 3 to 6 on the appearance scales. The estimated MID scores from baseline to 3-year follow-up ranged from 4 to 5 for HRQL and from 4 to 8 on the appearance scales. Conclusions: The BODY-Q MID estimates from before BCS to 3 years postoperatively ranged from 4 to 8 and are recommended for interpretation of patients’ BODY-Q scores, evaluation of treatment effects of different BCS procedures, and calculation of sample size for future studies.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Aesthetic Surgery Journal
volume
44
issue
12
pages
13 pages
publisher
Oxford University Press
external identifiers
  • pmid:39041862
  • scopus:85209699970
ISSN
1090-820X
DOI
10.1093/asj/sjae162
language
English
LU publication?
yes
additional info
Publisher Copyright: © The Author(s) 2024.
id
385fdd5e-acec-40ac-ac08-17c590ad050c
date added to LUP
2025-01-09 08:59:40
date last changed
2025-07-11 13:42:52
@article{385fdd5e-acec-40ac-ac08-17c590ad050c,
  abstract     = {{<p>Background: The BODY-Q is a widely used patient-reported outcome measure for comprehensive assessment of treatment outcomes specific to patients undergoing body contouring surgery (BCS). However, for the BODY-Q to be meaningfully interpreted and used in clinical practice, minimal important difference (MID) scores are needed. A MID is defined as the smallest change in outcome measure score that patients perceive as important. Objectives: The aim of this study was to determine BODY-Q MID estimates for patients undergoing BCS to enhance the interpretability of the BODY-Q. Methods: Data from an international, prospective cohort from Denmark, Finland, Germany, Italy, the Netherlands, and Poland were included. Two distribution-based methods were used to estimate MID: 0.2 standard deviations of mean baseline scores and the mean standardized response change of BODY-Q scores from baseline to 3 years postoperatively. Results: A total of 12,554 assessments from 3237 participants (mean age 42.5 ± 9.3 years; BMI 28.9 ± 4.9 kg/m<sup>2</sup>) were included. Baseline MID scores ranged from 1 to 5 on the health-related quality of life (HRQL) scales and 3 to 6 on the appearance scales. The estimated MID scores from baseline to 3-year follow-up ranged from 4 to 5 for HRQL and from 4 to 8 on the appearance scales. Conclusions: The BODY-Q MID estimates from before BCS to 3 years postoperatively ranged from 4 to 8 and are recommended for interpretation of patients’ BODY-Q scores, evaluation of treatment effects of different BCS procedures, and calculation of sample size for future studies.</p>}},
  author       = {{Dalaei, Farima and Dijkhorst, Phillip J. and Möller, Sören and Klassen, Anne F. and de Vries, Claire E.E. and Poulsen, Lotte and Kaur, Manraj N. and Thomsen, Jørn Bo and Hoogbergen, Maarten and Voineskos, Sophocles H. and Repo, Jussi P. and Opyrchal, Jakub and Paul, Marek Adam and Busch, Kay Hendrik and Cogliandro, Annalisa and Rose, Michael and Cano, Stefan J. and Pusic, Andrea L. and Sørensen, Jens A.}},
  issn         = {{1090-820X}},
  language     = {{eng}},
  month        = {{12}},
  number       = {{12}},
  pages        = {{1317--1329}},
  publisher    = {{Oxford University Press}},
  series       = {{Aesthetic Surgery Journal}},
  title        = {{Improving the Impact of BODY-Q Scores Through Minimal Important Differences in Body Contouring Surgery : An International Prospective Cohort Study}},
  url          = {{http://dx.doi.org/10.1093/asj/sjae162}},
  doi          = {{10.1093/asj/sjae162}},
  volume       = {{44}},
  year         = {{2024}},
}