Open AccessHealth‐related quality of life in patients undergoing cholecystectomy
Author(s) -
Hsueh LiNa,
Shi HonYi,
Wang TsaiFan,
Chang ChiungYing,
Lee KingTeh
Publication year - 2011
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/j.kjms.2011.03.002
Subject(s) - medicine , cholecystectomy , quality of life (healthcare) , laparoscopic cholecystectomy , prospective cohort study , cohort , frailty index , health related quality of life , general surgery , disease , nursing
This large‐scale prospective cohort study of a Taiwan population applied generalized estimating equations to evaluate predictors of health‐related quality of life (HRQOL) after open cholecystectomy (OC) and laparoscopic cholecystectomy (LC) procedures performed between February 2007 and November 2008. The Gastrointestinal Quality of Life Index and Short Form‐36 were used in a preoperative assessment and in 3 rd month and 6 th month postoperative assessments of 38 OC and 259 LC patients. The HRQOL of the cholecystectomy patients were significantly improved at 3 months and 6 months postsurgery ( p < 0.05). At 3 months postsurgery, HRQOL improvement was significantly larger in LC patients than in OC patients. Patient characteristics, clinical characteristics, and health care quality were also significantly related to HRQOL improvement ( p < 0.05). Additionally, after controlling for related variables, preoperative health status was significantly and positively associated with each subscale of the Gastrointestinal Quality of Life Index and Short Form‐36 throughout the 6 months ( p < 0.05). Patients should be advised that their postoperative HRQOL may depend not only on their postoperative health care but also on their preoperative functional status.