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Quality of Life Research
Gepubliceerd in: Quality of Life Research 11/2015

24-05-2015

Short-term quality of life in patients undergoing colonic surgery using enhanced recovery after surgery program versus conventional perioperative management

Auteurs: Hao Wang, Dexiang Zhu, Li Liang, Lechi Ye, Qi Lin, Yunshi Zhong, Ye Wei, Li Ren, Jianmin Xu, Xinyu Qin

Gepubliceerd in: Quality of Life Research | Uitgave 11/2015

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Abstract

Objective

Enhanced recovery after surgery (ERAS) integrates evidence-based interventions to reduce surgical stress and accelerate rehabilitation. Our study was to compare the short-term quality of life (QOL) in patients undergoing open colonic surgery using ERAS program or conventional management.

Methods

A prospective study of 57 patients using ERAS program and 60 patients using conventional management was conducted. The clinical characteristics of all patients were recorded. QOL was evaluated longitudinally using the questionnaires (EORTC QLQ-C30 and QLQ-CR29) pre- and postoperatively. Generalized estimating equation was used to do the analysis in order to determine the effective impact of correlative factors on the postoperative QOL, including age, sex, BMI, ASA grade, tumor location, tumor size, pTNM stage, recovery program and length of time after surgery.

Results

The morbidity in ERAS and control group was 17.5 versus 26.7 % (p = 0.235). The patients in ERAS group had much faster rehabilitation and less hospital stay. In the primary statistical analysis, the scores of global QOL (on POD3, POD6, POD10, POD14, POD21), physical functioning (on POD3, POD6, POD10, POD14, POD21), role functioning (on POD6, POD10, POD14, POD21), emotional functioning (on POD3, POD6, POD10, POD14, POD21), cognitive functioning (on POD3, POD6) and social functioning (on POD3, POD6, POD10, POD14, POD21, POD28) were higher in ERAS group than in control group, which suggested that the patients in ERAS group had a better life status. However, the scores of pain (on POD10, POD14, POD21), appetite loss (on POD3, POD6), constipation (on POD3, POD6, POD10), diarrhea (on POD3, POD10), financial difficulties (on POD10, POD14, POD21), perspective of future health (on POD6, POD10, POD14), gastrointestinal tract problems (on POD3, POD6, POD10) and defecation problems (on POD6, POD10, POD14) were lower in ERAS group than in control group, which revealed that the patients in ERAS group suffered less symptoms. In the further generalized estimating equation analysis, the result showed that recovery program and length of time after surgery had independently positive impact on the patient’s postoperative QOL.

Conclusion

Short-term QOL in patients undergoing colonic cancer using ERAS program was better than that using conventional management.
vorige artikel The development of summary components for the Disablement in the Physically Active scale in collegiate athletes
volgende artikel Fatigue trajectories during the first 8 months after breast cancer diagnosis
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Metagegevens
Titel
Short-term quality of life in patients undergoing colonic surgery using enhanced recovery after surgery program versus conventional perioperative management
Auteurs
Hao Wang
Dexiang Zhu
Li Liang
Lechi Ye
Qi Lin
Yunshi Zhong
Ye Wei
Li Ren
Jianmin Xu
Xinyu Qin
Publicatiedatum
24-05-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 11/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-0996-5

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