An examination of rectal prolapse surgery patients’ quality of life and symptoms using patient-reported outcome instruments: A prospective cohort study - 17/04/24
Abstract |
Background |
We measured changes in self-reported health and symptoms attributable to rectal prolapse surgery using patient-reported outcome (PRO) measures.
Methods |
A prospectively recruited cohort of patients scheduled for rectal prolapse repair in Vancouver, Canada between 2013 and 2021 were surveyed before and 6-months after surgery using seven PROs: the EuroQol Five-Dimension Instrument (EQ-5D-5L), Generalized Anxiety Disorder Scale (GAD-7), Pain Intensity, Interference with Enjoyment of Life and General Activity (PEG), Patient Health Questionnaire (PHQ-9), Fecal Incontinence Severity Index (FISI), Gastrointestinal Quality of Life Index (GIQLI), and the Fecal Incontinence Quality of Life Scale (FIQL).
Results |
We included 46 participants who reported improvements in health status (EQ-5D-5L; p < 0.01), pain interference (PEG; p < 0.01), depressive symptoms (PHQ-9; p = 0.01), fecal incontinence severity (FISI; p < 0.01), gastrointestinal quality of life (GIQLI; p < 0.01), and fecal incontinence quality of life (FIQL) related to lifestyle (p = 0.02), coping and behaviour (p = 0.02) and depression and self-perception (p = 0.01).
Conclusion |
Surgical repair of rectal prolapse improved patients’ quality of life with meaningful improvements in fecal incontinence severity and pain, and symptom interference with daily activities.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Rectal prolapse surgery significantly improves patients' quality of life and symptoms. |
• | Fecal incontinence and pain severity were most consistently improved postoperatively. |
• | Patients waiting longer for surgery reported worse pain interference symptoms. |
• | Fecal incontinence and anxiety were least improved for patients from diverse neighbourhoods. |
Keywords : Minimally important difference, Patient-reported outcomes, Rectal prolapse, Surgical wait-time
Plan
Vol 231
P. 113-119 - mai 2024 Retour au numéro
Article précédent
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