The Use of Standardized Measures to Predict and Assess Quality of Life after Laparoscopic Hiatal Hernia Repair
| Autor: | Benjamin Lee, Mark Shapiro, John R. Rutledge, Robert J. Korst |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Retrospective review
medicine.medical_specialty Multivariate analysis business.industry Patient demographics Outcome measures General Medicine 030230 surgery medicine.disease digestive system diseases Surgery 03 medical and health sciences Laparoscopic hiatal hernia repair 0302 clinical medicine Quality of life Medicine 030211 gastroenterology & hepatology Hernia business |
| Zdroj: | The American Surgeon. 84:789-795 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/000313481808400620 |
| Popis: | The literature regarding laparoscopic hiatal hernia repair is difficult to interpret because of inconsistencies in describing hernia characteristics and outcome measures. This study was performed to evaluate risk factors for an unsatisfactory outcome after repair using objective definitions of hernia size and a clinically relevant outcome instrument. A retrospective review of a prospectively maintained database was conducted over a seven-year period. Data collected included patient demographics and hernia-related variables. Outcomes were defined using a validated quality of life (QOL) instrument. Postoperatively, the mean total QOL score decreased from 22.9 to 5.8 (P < 0.001). In all, 13.8 per cent of patients had unsatisfactory QOL scores postoperatively. Multivariate analysis showed that high gastroesophageal (GE) junction position (P = 0.03) and female gender (P = 0.02) were the only significant factors associated with an unsatisfactory postoperative QOL. Laparoscopic hiatal hernia repair significantly improves QOL. With respect to predicting clinically relevant outcomes, hernias are best characterized by the position of the GE junction. Females with high GE junction position are at the highest risk for an unsatisfactory outcome. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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