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A prospective evaluation of health-related quality of life after ileal pouch anal anastomosis for ulcerative colitis.

Authors :
Muir AJ
Edwards LJ
Sanders LL
Bollinger RR
Koruda MJ
Bachwich DR
Provenzale D
Source :
The American journal of gastroenterology [Am J Gastroenterol] 2001 May; Vol. 96 (5), pp. 1480-5.
Publication Year :
2001

Abstract

Objectives: The ileal pouch anal anastomosis is a safe and effective procedure but is also associated with pouchitis, small bowel obstruction, and incontinence. We prospectively evaluated the health-related quality of life using generic and disease-specific measures in a cohort of patients with ulcerative colitis undergoing ileal pouch anal anastomosis.<br />Methods: Health-related quality of life measures included the Time Trade-off, Rating Form of IBD Patient Concerns, and the Short-Form 36. Assessments occurred preoperatively and 1, 6, and 12 months postoperatively.<br />Results: Time Trade-off scores had significantly improved at the 1-month postoperative assessment and approached perfect health at the 12-month postoperative assessment. The Rating Form of IBD Patient Concerns revealed a significant reduction in patient concerns at 1 month, and this difference persisted at 6 and 12 months. Seven of the eight subscales of the Short-Form 36 revealed improved health-related quality of life postoperatively.<br />Conclusions: Health-related quality of life improved after ileal pouch anal anastomosis when assessed with both generic and disease-specific measures. Improvements were observed as early as 1 month postoperatively. These results may guide patients and physicians as they consider and prepare for the impact of ileal pouch anal anastomosis.

Details

Language :
English
ISSN :
0002-9270
Volume :
96
Issue :
5
Database :
MEDLINE
Journal :
The American journal of gastroenterology
Publication Type :
Academic Journal
Accession number :
11374686
Full Text :
https://doi.org/10.1111/j.1572-0241.2001.03801.x