Utility outcome assessment of the aging neck following massive weight loss

Otolaryngol Head Neck Surg. 2012 Jul;147(1):26-32. doi: 10.1177/0194599812439028. Epub 2012 Feb 28.


Objective: The authors set out to quantify the health state utility assessment of living with the physical appearance of the aging neck following massive weight loss. Described utility scores may help to establish the health burden of the aging neck in the growing bariatric patient population.

Study design: Prospective cohort observational study.

Setting: Tertiary referral medical center.

Subjects and methods: Three validated tools were used to determine utility scores for living with an aging neck: visual analog scale (VAS), time trade-off (TTO), and standard gamble (SG). A 5-point Likert scale was used to evaluate the subjects' ease of understanding. A prospective sample of volunteers from the general population and medical students was used for this assessment.

Results: In total, 118 prospective volunteers were included in the survey. All measures (VAS, TTO, SG); (0.89 ± 0.07, 0.94 ± 0.08, and 0.95 ± 0.10, respectively) varied (P < .0001) from the corresponding ones for monocular blindness (0.62 ± 0.18, 0.87 ± 0.15, and 0.85 ± 0.20, respectively) and binocular blindness (0.32 ± 0.18, 0.66 ± 0.25, and 0.64 ± 0.28, respectively).

Conclusion: The authors objectified the health state of living with an aging neck in the massive weight loss patient with utility scores (TTO, 0.94) comparable with those living with obstructive sleep apnea. This sample population, if faced with an aging neck following massive weight loss, would undertake a neck rejuvenation procedure with a theoretical 5% chance of mortality and would be willing to trade 2.1 years of remaining life-years to attain this procedure.

MeSH terms

  • Aging*
  • Cohort Studies
  • Female
  • Health Status
  • Humans
  • Male
  • Neck*
  • Outcome Assessment, Health Care*
  • Prospective Studies
  • Quality of Life
  • Surveys and Questionnaires
  • Weight Loss*
  • Young Adult