Comorbidities play a larger role in predicting health-related quality of life compared to having an ostomy - 21/08/11
Abstract |
Background |
Previous research suggests an ostomy worsens health-related quality of life (HR-QOL), but comorbidities also can affect HR-QOL.
Methods |
Eligible patients had abdominal operation with ostomy (cases) or similar procedure without ostomy (controls). Patients were recruited for this case-control study from 3 Veterans Affairs hospital medical and pharmacy records. Comorbidities were assessed with Charlson-Deyo Comorbidity Index. Multinomial logistic regression evaluated the impact of comorbidities and having an ostomy on HR-QOL, measured using the Medical Outcomes Study Short Form 36 for Veterans.
Results |
A total of 237 ostomates (cases) and 268 controls were studied. Average age was 69 years; 64% of cases had colostomy, 36% ileostomy. Twenty-nine percent of patients had a high level of comorbidities. Cases and controls were similar except for reasons for undergoing surgery. High comorbidity was a significant predictor of low HR-QOL in 6 domains of the Short Form 36 for Veterans; having an ostomy was a significant predictor in 4.
Conclusions |
High comorbidity significantly influences low HR-QOL and impacted more domains than having an ostomy.
El texto completo de este artículo está disponible en PDF.Keywords : Comorbidites, Ostomy, Health-related quality of life
Esquema
Vol 194 - N° 6
P. 774-779 - décembre 2007 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.
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