SurgiCal Obesity Treatment Study (SCOTS): a prospective, observational cohort study on health and socioeconomic burden in treatment-seeking individuals with severe obesity in Scotland, UK

Objectives There is a lack of evidence to inform the delivery and follow-up bariatric surgery for people with severe obesity. The SurgiCal Obesity Treatment Study (SCOTS) national longitudinal cohort undergoing surgery. Here, we describe characteristics recruited SCOTS cohort, relationship between health socioeconomic status body mass index (BMI) age. Participants/Methods 445 participants scheduled at any 14 centres in Scotland, UK, were 2013 2016 this study (1 withdrawal); 249 completed health-related preoperative patient-reported outcome measures. Regression models used estimate effect 10-unit increase age or BMI, adjusting sex, smoking status. Results Mean was 46 years median BMI 47 kg/m 2 . For each 10 higher there change −5.2 (95% CI −6.9 –3.5; p<0.0001) Rand 12-item Short Form Survey Physical Component Summary (SF-12 PCS), −0.1 −0.2 –0.1; EuroQoL 5-level EQ-5D version score 14.2 10.7 17.7; Impact Weight on Quality Life-Lite Function Score. We observed 3.1 times use specialist aids equipment home (OR: 3.1, 95% 1.9 5.0; p<0.0001). Broadly, similar results seen 10-year age, including −2.1 −3.7 –0.5; p<0.01) SF-12 PCS. Conclusions A combined older associated poor physical functioning quality life seeking treatment. Policy-makers must consider care needs these individuals invest provide increased access effective weight management. Trial registration number ISRCTN47072588