Boer KR, van Ruler O, Reitsma JB, Mahler CW, Opmeer BC, Reuland EA, Gooszen HG, de Graaf PW, Hesselink EJ, Gerhards MF, Steller EP, Sprangers MA, Boermeester MA, De Borgie CA. Health related quality of life six months following surgical treatment for secondary peritonitis--using the EQ-5D questionnaire.
Health Qual Life Outcomes 2007;
5:35. [PMID:
17601343 PMCID:
PMC1950493 DOI:
10.1186/1477-7525-5-35]
[Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2007] [Accepted: 07/02/2007] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND
To compare health related quality of life (HR-QoL) in patients surgically treated for secondary peritonitis to that of a healthy population. And to prospectively identify factors associated with poorer (lower) HR-QoL.
DESIGN
A prospective cohort of secondary peritonitis patients was mailed the EQ-5D and EQ-VAS 6-months following initial laparotomy.
SETTING
Multicenter study in two academic and seven regional teaching hospitals.
PATIENTS
130 of the 155 eligible patients (84%) responded to the HR-QoL questionnaires.
RESULTS
HR-QoL was significantly worse on all dimensions in peritonitis patients than in a healthy reference population. Peritonitis characteristics at initial presentation were not associated with HR-QoL at six months. A more complicated course of the disease leading to longer hospitalization times and patients with an enterostomy had a negative impact on the mobility (p = 0.02), self-care (p < 0.001) and daily activities: (p = 0.01). In a multivariate analysis for the EQ-VAS every doubling of hospital stay decreases the EQ-VAS by 3.8 points (p = 0.015). Morbidity during the six-month follow-up was not found to be predictive for the EQ-5D or EQ-VAS.
CONCLUSION
Six months following initial surgery, patients with secondary peritonitis report more problems in HR-QoL than a healthy reference population. Unfavorable disease characteristics at initial presentation were not predictive for poorer HR-QoL, but a more complicated course of the disease was most predictive of HR-QoL at 6 months.
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