Quality of life after iatrogenic bile duct injury: a case control study.

Hdl Handle:
http://hdl.handle.net/10147/207655
Title:
Quality of life after iatrogenic bile duct injury: a case control study.
Authors:
Hogan, Aisling M; Hoti, Emir; Winter, Desmond C; Ridgway, Paul F; Maguire, Donal; Geoghegan, Justin G; Traynor, Oscar
Affiliation:
St. Vincent's University Hospital, Dublin, Ireland.
Citation:
Ann Surg. 2009 Feb;249(2):292-5.
Journal:
Annals of surgery
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207655
DOI:
10.1097/SLA.0b013e318195c50c
PubMed ID:
19212184
Abstract:
OBJECTIVE: To compare quality of life (QOL) of patients following iatrogenic bile duct injuries (BDI) to matched controls. SUMMARY BACKGROUND DATA: BDI complicate approximately 0.3% of all cholecystectomy procedures. The literature regarding impact on quality of life is conflicted as assessment using clinical determinants alone is insufficient. METHODS: The medical outcomes study short form 36 (SF-36), a sensitive tool for quantification of life quality outcome, was used. The study group of iatrogenic BDI was compared with an age- and sex-matched group who underwent uncomplicated cholecystectomy. Telephone questionnaire using the SF-36 quality of life tool was administered to both groups at a median postoperative time of 12 years 8 months (range, 2 months -20 years). RESULTS: Seventy-eight patients were referred with BDI but due to mortality (n = 10) and unavailability (n = 6) 62 participated. The age- and sex-matched control cohort had undergone uncomplicated cholecystectomy (n = 62). Comparison between groups revealed that 7 of 8 variables examined were statistically similar to those of the control group (physical functioning, role physical, bodily pain, general health perceptions, vitality and social functioning, and mental health index). Mean role emotional scores were slightly worse in the BDI group (46 vs. 50) but the significance was borderline (P = 0.045). Subgroup analysis by method of intervention for BDI did not demonstrate significant differences. CONCLUSION: Quality of life of surviving patients following BDI compares favorably to that after uncomplicated laparoscopic cholecystectomy.
Language:
eng
MeSH:
Adult; Aged; Bile Duct Diseases/*etiology; Bile Ducts/*injuries; Case-Control Studies; Cholecystectomy/adverse effects; Cholecystectomy, Laparoscopic/*adverse effects; Female; Health Status Indicators; Humans; Iatrogenic Disease; Male; Middle Aged; *Quality of Life; Questionnaires
ISSN:
1528-1140 (Electronic); 0003-4932 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorHogan, Aisling Men_GB
dc.contributor.authorHoti, Emiren_GB
dc.contributor.authorWinter, Desmond Cen_GB
dc.contributor.authorRidgway, Paul Fen_GB
dc.contributor.authorMaguire, Donalen_GB
dc.contributor.authorGeoghegan, Justin Gen_GB
dc.contributor.authorTraynor, Oscaren_GB
dc.date.accessioned2012-02-01T10:34:06Z-
dc.date.available2012-02-01T10:34:06Z-
dc.date.issued2012-02-01T10:34:06Z-
dc.identifier.citationAnn Surg. 2009 Feb;249(2):292-5.en_GB
dc.identifier.issn1528-1140 (Electronic)en_GB
dc.identifier.issn0003-4932 (Linking)en_GB
dc.identifier.pmid19212184en_GB
dc.identifier.doi10.1097/SLA.0b013e318195c50cen_GB
dc.identifier.urihttp://hdl.handle.net/10147/207655-
dc.description.abstractOBJECTIVE: To compare quality of life (QOL) of patients following iatrogenic bile duct injuries (BDI) to matched controls. SUMMARY BACKGROUND DATA: BDI complicate approximately 0.3% of all cholecystectomy procedures. The literature regarding impact on quality of life is conflicted as assessment using clinical determinants alone is insufficient. METHODS: The medical outcomes study short form 36 (SF-36), a sensitive tool for quantification of life quality outcome, was used. The study group of iatrogenic BDI was compared with an age- and sex-matched group who underwent uncomplicated cholecystectomy. Telephone questionnaire using the SF-36 quality of life tool was administered to both groups at a median postoperative time of 12 years 8 months (range, 2 months -20 years). RESULTS: Seventy-eight patients were referred with BDI but due to mortality (n = 10) and unavailability (n = 6) 62 participated. The age- and sex-matched control cohort had undergone uncomplicated cholecystectomy (n = 62). Comparison between groups revealed that 7 of 8 variables examined were statistically similar to those of the control group (physical functioning, role physical, bodily pain, general health perceptions, vitality and social functioning, and mental health index). Mean role emotional scores were slightly worse in the BDI group (46 vs. 50) but the significance was borderline (P = 0.045). Subgroup analysis by method of intervention for BDI did not demonstrate significant differences. CONCLUSION: Quality of life of surviving patients following BDI compares favorably to that after uncomplicated laparoscopic cholecystectomy.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshBile Duct Diseases/*etiologyen_GB
dc.subject.meshBile Ducts/*injuriesen_GB
dc.subject.meshCase-Control Studiesen_GB
dc.subject.meshCholecystectomy/adverse effectsen_GB
dc.subject.meshCholecystectomy, Laparoscopic/*adverse effectsen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHealth Status Indicatorsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIatrogenic Diseaseen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.mesh*Quality of Lifeen_GB
dc.subject.meshQuestionnairesen_GB
dc.titleQuality of life after iatrogenic bile duct injury: a case control study.en_GB
dc.contributor.departmentSt. Vincent's University Hospital, Dublin, Ireland.en_GB
dc.identifier.journalAnnals of surgeryen_GB
dc.description.provinceLeinster-

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