Affordable Access

Publisher Website

Quality of life improves within 30 days of surgery for Crohn’s disease

Authors
Journal
Journal of the American College of Surgeons
1072-7515
Publisher
Elsevier
Publication Date
Volume
196
Issue
5
Identifiers
DOI: 10.1016/s1072-7515(03)00131-5
Keywords
  • Original Scientific Article
Disciplines
  • Design
  • Medicine

Abstract

Abstract Background The effect of surgery on quality of life (QOL) in the early postoperative period is important in Crohn’s disease because of the multiple surgical procedures that patients undergo and the acute QOL benefits that might occur as a result of modifications of medical treatment. Earlier studies of the effect of surgery on QOL have been retrospective and assessed changes 3 to 24 months after surgery. This study prospectively assesses the effect of surgery on QOL in the early postoperative period. Study design Patients requiring surgical management of sequelae of Crohn’s disease were obtained from a prospectively entered database including data on QOL. Preoperative and 30-day postoperative QOL were determined in 82 patients using Cleveland Global Quality of Life (CGQL) scores (range from 0 [worst] to 10 [best possible] QOL). Preoperative and postoperative scores were compared using a paired t-test to determine the significance of any change in QOL after surgery. The effect of other variables on change in QOL after surgery was assessed using the t-test or analysis of variance. Multifactor analysis of variance was used to assess the effect of several independent variables. Results Eighty-two patients (41 women) of 142 patients who had had surgery (58%) had complete preoperative and 30-day postoperative scores. The incidence of complications was 23% (11% were major). There was a significant improvement in QOL 30 days after surgery as measured by CGQL (0.6 ± 0.2 preoperative to 0.7 ± 0.2 postoperative; mean ± SD; p < 0.001). The mean preoperative CGQL was 0.56 ± 0.24 and the mean improvement was 0.11 ± 0.20 toward a better QOL. Female patients (p < 0.05) and those who did not develop complications within 30 days of surgery (p < 0.05) had a significantly greater improvement in CGQL after surgery than other groups. No other factor was predictive of improved outcomes. Conclusions QOL as measured by CGQL improves early after surgery (30 days postoperatively). Improvement in CGQL is greater in female patients and patients who do not develop complications in the postoperative period. It is not affected by other patient characteristics, nature of disease, indication, or procedure performed. Most patients who undergo surgery for Crohn’s disease feel that surgery has helped them and would undergo surgery again.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Quality of life improves within 30 days of surgery...

on Journal of the American Colleg... May 2003

Impact of surgery on quality of life in Crohn's di...

on The American Journal of Gastro... October 1997

Quality of life after surgery for Crohn's disease.

on Journal of the Royal College o... January 1982

Impact of surgery for Crohn's disease on health-re...

on The American Journal of Gastro... January 2000
More articles like this..