Assessing patient-reported outcomes of cholecystectomy in short-stay surgery.

Surgical Endoscopy
Eva Maria BitzerAlf Trojan

Abstract

The project aimed at testing the feasibility of a quality improvement system based on patient-reported outcomes in short-stay surgery for cholecystectomy. In two centers for short-stay surgery, patients referred for laparoscopic cholecystectomy were surveyed between Aug 1999 and Jan 2002. Patients reported on health-related quality of life (SF-36), symptoms (gallstone symptom checklist, GSCL) and other indicators preoperatively (T0), 14 days (T1) and 6 months postoperatively (T2). The SF-36 subscales physical functioning, bodily pain, and role physical as well as the GSCL and treatment satisfaction at T2 were considered as main outcomes. The main outcomes were analyzed by generalized linear models with regard to predictors. At T0 a total of 205 patients were included. The response rate at T2 was 63.4% (74.6% females, 53.6 years of age). The GSCL score at T0 (29.4% preoperatively) fell slightly to 27.9% at T1 and decreased to 14.8% at T2 (T0-T2: p < 0.001). The SF-36 subscales showed a different course over time (decrease of health-related quality of life at T1 and large increase at T2). The level of satisfaction with the outcome of cholecystectomy was 82.3%. The patient-reported outcomes were mainly influenced by the preoperati...Continue Reading

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Citations

May 22, 2010·Surgical Endoscopy·Chiu-E HsuHon-Yi Shi
Jun 22, 2012·Surgical Endoscopy·Dietmar BorchertKlaus Gellert
Aug 15, 2013·Surgical Endoscopy·Matthew ZapfMichael Ujiki
Jul 8, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Hon-Yi ShiChong-Chi Chiu
Dec 17, 2011·World Journal of Gastroenterology : WJG·Amedeo CarraroFlorian Bihl
Oct 13, 2011·ISRN Gastroenterology·Simon Henry PålssonGabriel Sandblom
Oct 12, 2012·Surgical Endoscopy·Mark P LambertsCornelis J H M van Laarhoven
Jan 7, 2014·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Sara E AndrewsKate Sweeny
Apr 13, 2011·Health and Quality of Life Outcomes·Eva M BitzerStefan Nickel
Aug 30, 2017·Scandinavian Journal of Gastroenterology·Maria Teresa HowieJohanna Österberg
Sep 19, 2019·American Journal of Surgery·Alexandra Z AgathisCelia M Divino

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