Quality of life as an efficiency index of surgical treatment of chronic pancreatitis

OBJECTIVE: To evaluate quality of life in long-term postoperative period in patients with chronic pancreatitis.

MATERIAL AND METHODS: There were 31 (21 males and 10 females) patients with complicated forms of chronic pancreatitis who underwent surgery in 2015-2017. Mean age was 49 (44; 53) years, body mass index - 22.4 (20.4; 24) kg/m2. HR-QOL was determined using the questionnaires SF-36, QLQ EORTS C30, VAS. Postoperative control was made no earlier than 6 months after surgery. Median follow-up 11.5 months. The data were analyzed using non-parametric methods. Quantitative data are shown as median with interquartile range. Differences between quantitative values were determined using the Mann-Whitney test.

RESULTS: Physical status value (SF-36) before surgery was 30.5 (24.8; 37.5), after surgery - 50.8 (46.7; 56.5). Mental status value was 30.2 (26.7; 36.4) prior to surgery and 53.8 (48.7; 57.3) after operation. Improvement of QoL (QLQ C30) from 29.17 (0; 50.0) before surgery to 75.0 (54.2; 83.3) after operation was observed. VAS-score of pain severity was 8 (8; 10) prior to surgery and 3 (2; 5) after surgery. Differences were significant (p<0.05).

CONCLUSION: Surgical treatment of complicated chronic pancreatitis significantly reduces pain and improves HR-QoL. However, recurrent symptoms of chronic pancreatitis in long-term period cannot be excluded due to short follow-up period (median less than one year). The further investigation is needed.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - year:2019

Enthalten in:

Khirurgiia - (2019), 11 vom: 11., Seite 42-51

Sprache:

Russisch

Weiterer Titel:

Kachestvo zhizni kak pokazatel' éffektivnosti khirurgicheskogo lecheniia khronicheskogo pankreatita

Beteiligte Personen:

Zakharova, M A [VerfasserIn]
Smirnov, A V [VerfasserIn]
Gorin, D S [VerfasserIn]
Vorobyeva, E A [VerfasserIn]
Kriger, A G [VerfasserIn]

Links:

Volltext

Themen:

Chronic pancreatitis
Duodenum-sparing pancreatic head resection
Frey procedure
Journal Article
Pancreas
Quality of life

Anmerkungen:

Date Completed 06.12.2019

Date Revised 08.01.2020

published: Print

Citation Status MEDLINE

doi:

10.17116/hirurgia201911142

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM30318180X