View : 20 Download: 0

Long-term patient-reported outcomes following laparoscopic cholecystectomy A prospective multicenter observational study

Title
Long-term patient-reported outcomes following laparoscopic cholecystectomy A prospective multicenter observational study
Authors
Han, In WoongLee, Hyeon KookPark, Dae JoonChoi, Yoo ShinLee, Seung EunKim, HongbeomKwon, WooilJang, Jin-YoungLee, HuisongHeo, Jin Seok
Ewha Authors
이현국이희성
SCOPUS Author ID
이현국scopus; 이희성scopus
Issue Date
2020
Journal Title
MEDICINE
ISSN
0025-7974JCR Link

1536-5964JCR Link
Citation
MEDICINE vol. 99, no. 35
Keywords
laparoscopic cholecystectomypatient-reported outcomequality of life
Publisher
LIPPINCOTT WILLIAMS &

WILKINS
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article
Abstract
Several studies have reported short-term results for post-cholecystectomy symptoms and quality of life (QoL). However, reports on long-term results are still limited. This study aimed to identify risk factors affecting short- and long-term patient-reported outcome (PRO) following laparoscopic cholecystectomy. From 2016 to 2017, a total of 476 patients from 5 institutions were enrolled. PRO was examined using the Numeric Rating Scale (NRS) pain score and the Gastrointestinal (GI) QoL Index questionnaire at postoperative 1 month and 1 year. Most of patients recovered well at postoperative 1 year compared to postoperative 1 month for the NRS pain score, QoL score, and GI symptoms. A high operative difficulty score (HR 1.740,P= .031) and pathology of acute or complicated cholecystitis (HR 1.524,P= .048) were identified as independent risk factors for high NRS pain scores at postoperative 1 month. Similarly, female sex (HR 1.571,P = .003) at postoperative 1 month and postoperative complications (HR 5.567,P = .001) at postoperative 1 year were independent risk factors for a low QoL. Also, age above 50 (HR 1.842,P = .001), female sex (HR 1.531,P = .006), and preoperative gallbladder drainage (HR 3.086,P = .001) were identified as independent risk factors for GI symptoms at postoperative 1 month. Most patients showed improved long-term PRO measurement in terms of pain, QoL, and GI symptoms. There were no independent risk factors for long-term postoperative pain and GI symptoms. However, postoperative complications were identified to affect QoL adversely at postoperative 1 year. Careful and long-term follow up is thus necessary for patients who experienced postoperative complications.
Show the fulltext
DOI
10.1097/MD.0000000000021683
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE