Factors affecting the postoperative quality of life and psychological well-being in pediatric urology patients.

Autor: Hazır B; Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey. Electronic address: berkhazir@gmail.com., Çak HT; Department of Child and Adolescent Psychiatry, Hacettepe University School of Medicine, Ankara, Turkey., Saruhan K; Department of Child and Adolescent Psychiatry, Hacettepe University School of Medicine, Ankara, Turkey., Tekgül S; Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey., Doğan HS; Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey.
Jazyk: angličtina
Zdroj: Journal of pediatric urology [J Pediatr Urol] 2023 Aug; Vol. 19 (4), pp. 435.e1-435.e8. Date of Electronic Publication: 2023 Apr 26.
DOI: 10.1016/j.jpurol.2023.04.029
Abstrakt: Background: While most studies in pediatric urology investigate the clinical results, very few explore the relationship between surgery and quality of life and psychosocial well-being in pediatric urology practice. The determination of the effects of the surgical method on the quality of life (QoL) is of increasing importance.
Introduction: This study investigated the effect of surgery type on the postoperative QoL and psychological well-being of pediatric urological surgery patients.
Methods: A total of 151 children and adolescents (4-18 years old) undergoing elective urological surgery between September 2020 and July 2021 were evaluated preoperatively; those who currently had psychiatric disorders were excluded. Of the 98 patients undergoing subsequent detailed preoperative assessment using standardized instruments to evaluate QoL and depression and anxiety symptom levels, only 63 could be re-evaluated postoperatively at a 6-month follow-up. Additionally, preoperative parental psychiatric symptom load was assessed using standardized self-report forms.
Results: The patients were classified into two categories for analysis-open versus endourological surgery and major versus minor surgery. In the latter category, there was a significant increase in the postoperative QoL in children undergoing minor urological surgery (p = 0.037). Furthermore, the table depicted the regression analysis indicating the predictors for lower postoperative QoL. Those predictors were higher parental preoperative psychiatric symptom load, a greater number of previous surgeries, and female gender (p < 0.001, adjusted R 2  = 0.304).
Conclusion: Postoperative QoL of children/adolescents undergoing pediatric urology surgery is affected more by the patient's preoperative medical condition and the psychological status of the patient's parents, rather than the surgical method opted for.
(Copyright © 2023 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE