An examination of rectal prolapse surgery patients' quality of life and symptoms using patient-reported outcome instruments: A prospective cohort study.

Bola, Rajan; Guo, Michael; Karimuddin, Ahmer; Liu, Guiping; Phang, P Terry; Crump, Trafford; Sutherland, Jason M

Bola, Rajan; Guo, Michael; Karimuddin, Ahmer; Liu, Guiping; Phang, P Terry; Crump, Trafford; Sutherland, Jason M.

Afiliación

Bola R; Faculty of Medicine, University of British Columbia, Vancouver, Canada; Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, Canada.
Guo M; Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, Canada; Department of Surgery, University of British Columbia, Vancouver, Canada.
Karimuddin A; Department of Surgery, Faculty of Medicine, St. Paul's Hospital, University of British Columbia, Vancouver, Canada.
Liu G; Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, Canada.
Phang PT; Department of Surgery, Faculty of Medicine, St. Paul's Hospital, University of British Columbia, Vancouver, Canada.
Crump T; Department of Surgery, McGill University, Montreal, Canada.
Sutherland JM; Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, Canada. Electronic address: jason.sutherland@ubc.ca.

Am J Surg ; 231: 113-119, 2024 May.

Article en En | MEDLINE | ID: mdl-38355344

ABSTRACT

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 â< â0.01), pain interference (PEG; p â< â0.01), depressive symptoms (PHQ-9; p â= â0.01), fecal incontinence severity (FISI; p â< â0.01), gastrointestinal quality of life (GIQLI; p â< â0.01), and fecal incontinence quality of life (FIQL) related to lifestyle (p â= â0.02), coping and behaviour (p â= â0.02) and depression and self-perception (p â= â0.01).

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.

Asunto(s)

Incontinencia Fecal; Prolapso Rectal; Humanos; Prolapso Rectal/cirugía; Incontinencia Fecal/etiología; Calidad de Vida; Estudios Prospectivos; Resultado del Tratamiento; Medición de Resultados Informados por el Paciente; Dolor

Palabras clave

Minimally important difference; Patient-reported outcomes; Rectal prolapse; Surgical wait-time

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prolapso Rectal / Incontinencia Fecal Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Am J Surg Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos

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