Measuring Outcomes of Laparoscopic Anti-reflux Surgery: Quality of Life Versus Symptom Scores?
Introduction Outcome following fundoplication for gastroesophageal reflux can be measured using objective tests, symptom scores and quality of life (QoL) measures. Which is best and how these assessments correlate is uncertain. To determine the utility of assessment measures we compared a general Qo...
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| Veröffentlicht in: | World journal of surgery 2016-05, Vol.40 (5), p.1137-1144 |
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| creator | Koetje, Jan H. Nieuwenhuijs, Vincent B. Irvine, Tanya Mayne, George C. Watson, David I. |
| description | Introduction
Outcome following fundoplication for gastroesophageal reflux can be measured using objective tests, symptom scores and quality of life (QoL) measures. Which is best and how these assessments correlate is uncertain. To determine the utility of assessment measures we compared a general QoL measure (SF-36) and a disease-specific measure (GERD-hr-QoL) with symptom and satisfaction scores in individuals following fundoplication.
Methods
329 individuals underwent fundoplication between 2000 and 2015 in 2 centres in Australia and the Netherlands. Patients were assessed before and 3, 12 and 24 months after surgery using 10-point Likert scales to assess heartburn and satisfaction, the SF-36 questionnaire and the GERD-hr-QoL questionnaire. SF-36 scores were converted into component scores: Physical Component Scale (PCS) score and Mental Component Scale (MCS) score. Correlations between QoL measures and clinical outcomes were determined.
Results
Surgery relieved heartburn (7.0 vs. 0.0 median,
P
|
| doi_str_mv | 10.1007/s00268-015-3394-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1779020456</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1779020456</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4221-31cd95b1685fd06a891e6d6027430c01bc248b1ddf28b3f048f0062644eee8233</originalsourceid><addsrcrecordid>eNqFkctu1TAURS1ERW8LH8AEWWLCJPT4EcdhgkpFgeqiCl0eM6zEOalSJdepHYvm73FIQRUSYmQP1t7aXibkKYOXDKA4CQBc6QxYnglRyqx8QDZMCp5xwcVDsgGhZLozcUiOQrgGYIUC9YgcclXkRcHUhnz_iFWIvttf0cs4WTdgoK6l22qsvAvWjZ2lp_upyzy2fbylu-iv0M-v6KdY9d00_4K7FulX9CEGupuHcXID3VnnMbx-TA7aqg_45O48Jl_O334-e59tL999ODvdZlZyzjLBbFPmNVM6bxtQlS4ZqkYBL6QAC6y2XOqaNU3LdS1akLoFUFxJiYiaC3FMXqy9o3c3EcNkhi5Y7Ptqjy4Gw4qiBA4yVwl9_hd67aLfp3ULpYXSUi-FbKVs0hDS483ou6Hys2FgFvlmlW-SfLPIN2XKPLtrjvWAzZ_Eb9sJKFfgR9fj_P9G8-1i9-Yc0iqWsnzNhnH5LfT3Zv9z0U_Ezp7G</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1778368483</pqid></control><display><type>article</type><title>Measuring Outcomes of Laparoscopic Anti-reflux Surgery: Quality of Life Versus Symptom Scores?</title><source>Wiley-Blackwell Journals</source><source>MEDLINE</source><source>SpringerLink (Online service)</source><creator>Koetje, Jan H. ; Nieuwenhuijs, Vincent B. ; Irvine, Tanya ; Mayne, George C. ; Watson, David I.</creator><creatorcontrib>Koetje, Jan H. ; Nieuwenhuijs, Vincent B. ; Irvine, Tanya ; Mayne, George C. ; Watson, David I.</creatorcontrib><description>Introduction
Outcome following fundoplication for gastroesophageal reflux can be measured using objective tests, symptom scores and quality of life (QoL) measures. Which is best and how these assessments correlate is uncertain. To determine the utility of assessment measures we compared a general QoL measure (SF-36) and a disease-specific measure (GERD-hr-QoL) with symptom and satisfaction scores in individuals following fundoplication.
Methods
329 individuals underwent fundoplication between 2000 and 2015 in 2 centres in Australia and the Netherlands. Patients were assessed before and 3, 12 and 24 months after surgery using 10-point Likert scales to assess heartburn and satisfaction, the SF-36 questionnaire and the GERD-hr-QoL questionnaire. SF-36 scores were converted into component scores: Physical Component Scale (PCS) score and Mental Component Scale (MCS) score. Correlations between QoL measures and clinical outcomes were determined.
Results
Surgery relieved heartburn (7.0 vs. 0.0 median,
P
< 0.001) and patients were highly satisfied with the outcome (median 9.0). PCS and MCS scores improved after surgery (PCS 40.9 vs. 46.0,
P
< 0.001; MCS 47.6 vs. 50.3,
P
= 0.027). GERD-hr-QoL scores also improved after surgery (15.7 vs. 3.7,
P
< 0.001). Correlations between PCS and MCS scores versus heartburn and satisfaction scores were generally weak or absent. However, correlations between GERD-hr-QoL versus heartburn and satisfaction scores were moderate to strong.
Conclusion
Despite improvements in scores, the SF-36 correlated poorly with clinical outcome measures, and its use to measure outcome following fundoplication is questioned. However, the GERD-hr-QoL correlated well with the symptom scores, suggesting this disease-specific QoL measure is a better tool for assessing anti-reflux surgery outcome.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-015-3394-9</identifier><identifier>PMID: 26757716</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Australia ; Cardiac Surgery ; Female ; Fundoplication ; Gastroesophageal Reflux - surgery ; General Surgery ; Heartburn - etiology ; Heartburn - therapy ; Humans ; Laparoscopic Fundoplication ; Laparoscopy ; Male ; Medicine ; Medicine & Public Health ; Mental Component Scale ; Middle Aged ; Netherlands ; Original Scientific Report ; Partial Fundoplication ; Patient Satisfaction ; Physical Component Scale ; Quality of Life ; Satisfaction Score ; Surgery ; Thoracic Surgery ; Vascular Surgery</subject><ispartof>World journal of surgery, 2016-05, Vol.40 (5), p.1137-1144</ispartof><rights>Société Internationale de Chirurgie 2016</rights><rights>2016 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4221-31cd95b1685fd06a891e6d6027430c01bc248b1ddf28b3f048f0062644eee8233</citedby><cites>FETCH-LOGICAL-c4221-31cd95b1685fd06a891e6d6027430c01bc248b1ddf28b3f048f0062644eee8233</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-015-3394-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-015-3394-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,41488,42557,45574,45575,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26757716$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koetje, Jan H.</creatorcontrib><creatorcontrib>Nieuwenhuijs, Vincent B.</creatorcontrib><creatorcontrib>Irvine, Tanya</creatorcontrib><creatorcontrib>Mayne, George C.</creatorcontrib><creatorcontrib>Watson, David I.</creatorcontrib><title>Measuring Outcomes of Laparoscopic Anti-reflux Surgery: Quality of Life Versus Symptom Scores?</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Introduction
Outcome following fundoplication for gastroesophageal reflux can be measured using objective tests, symptom scores and quality of life (QoL) measures. Which is best and how these assessments correlate is uncertain. To determine the utility of assessment measures we compared a general QoL measure (SF-36) and a disease-specific measure (GERD-hr-QoL) with symptom and satisfaction scores in individuals following fundoplication.
Methods
329 individuals underwent fundoplication between 2000 and 2015 in 2 centres in Australia and the Netherlands. Patients were assessed before and 3, 12 and 24 months after surgery using 10-point Likert scales to assess heartburn and satisfaction, the SF-36 questionnaire and the GERD-hr-QoL questionnaire. SF-36 scores were converted into component scores: Physical Component Scale (PCS) score and Mental Component Scale (MCS) score. Correlations between QoL measures and clinical outcomes were determined.
Results
Surgery relieved heartburn (7.0 vs. 0.0 median,
P
< 0.001) and patients were highly satisfied with the outcome (median 9.0). PCS and MCS scores improved after surgery (PCS 40.9 vs. 46.0,
P
< 0.001; MCS 47.6 vs. 50.3,
P
= 0.027). GERD-hr-QoL scores also improved after surgery (15.7 vs. 3.7,
P
< 0.001). Correlations between PCS and MCS scores versus heartburn and satisfaction scores were generally weak or absent. However, correlations between GERD-hr-QoL versus heartburn and satisfaction scores were moderate to strong.
Conclusion
Despite improvements in scores, the SF-36 correlated poorly with clinical outcome measures, and its use to measure outcome following fundoplication is questioned. However, the GERD-hr-QoL correlated well with the symptom scores, suggesting this disease-specific QoL measure is a better tool for assessing anti-reflux surgery outcome.</description><subject>Abdominal Surgery</subject><subject>Australia</subject><subject>Cardiac Surgery</subject><subject>Female</subject><subject>Fundoplication</subject><subject>Gastroesophageal Reflux - surgery</subject><subject>General Surgery</subject><subject>Heartburn - etiology</subject><subject>Heartburn - therapy</subject><subject>Humans</subject><subject>Laparoscopic Fundoplication</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental Component Scale</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Original Scientific Report</subject><subject>Partial Fundoplication</subject><subject>Patient Satisfaction</subject><subject>Physical Component Scale</subject><subject>Quality of Life</subject><subject>Satisfaction Score</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkctu1TAURS1ERW8LH8AEWWLCJPT4EcdhgkpFgeqiCl0eM6zEOalSJdepHYvm73FIQRUSYmQP1t7aXibkKYOXDKA4CQBc6QxYnglRyqx8QDZMCp5xwcVDsgGhZLozcUiOQrgGYIUC9YgcclXkRcHUhnz_iFWIvttf0cs4WTdgoK6l22qsvAvWjZ2lp_upyzy2fbylu-iv0M-v6KdY9d00_4K7FulX9CEGupuHcXID3VnnMbx-TA7aqg_45O48Jl_O334-e59tL999ODvdZlZyzjLBbFPmNVM6bxtQlS4ZqkYBL6QAC6y2XOqaNU3LdS1akLoFUFxJiYiaC3FMXqy9o3c3EcNkhi5Y7Ptqjy4Gw4qiBA4yVwl9_hd67aLfp3ULpYXSUi-FbKVs0hDS483ou6Hys2FgFvlmlW-SfLPIN2XKPLtrjvWAzZ_Eb9sJKFfgR9fj_P9G8-1i9-Yc0iqWsnzNhnH5LfT3Zv9z0U_Ezp7G</recordid><startdate>201605</startdate><enddate>201605</enddate><creator>Koetje, Jan H.</creator><creator>Nieuwenhuijs, Vincent B.</creator><creator>Irvine, Tanya</creator><creator>Mayne, George C.</creator><creator>Watson, David I.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201605</creationdate><title>Measuring Outcomes of Laparoscopic Anti-reflux Surgery: Quality of Life Versus Symptom Scores?</title><author>Koetje, Jan H. ; Nieuwenhuijs, Vincent B. ; Irvine, Tanya ; Mayne, George C. ; Watson, David I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4221-31cd95b1685fd06a891e6d6027430c01bc248b1ddf28b3f048f0062644eee8233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdominal Surgery</topic><topic>Australia</topic><topic>Cardiac Surgery</topic><topic>Female</topic><topic>Fundoplication</topic><topic>Gastroesophageal Reflux - surgery</topic><topic>General Surgery</topic><topic>Heartburn - etiology</topic><topic>Heartburn - therapy</topic><topic>Humans</topic><topic>Laparoscopic Fundoplication</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental Component Scale</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Original Scientific Report</topic><topic>Partial Fundoplication</topic><topic>Patient Satisfaction</topic><topic>Physical Component Scale</topic><topic>Quality of Life</topic><topic>Satisfaction Score</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koetje, Jan H.</creatorcontrib><creatorcontrib>Nieuwenhuijs, Vincent B.</creatorcontrib><creatorcontrib>Irvine, Tanya</creatorcontrib><creatorcontrib>Mayne, George C.</creatorcontrib><creatorcontrib>Watson, David I.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koetje, Jan H.</au><au>Nieuwenhuijs, Vincent B.</au><au>Irvine, Tanya</au><au>Mayne, George C.</au><au>Watson, David I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Measuring Outcomes of Laparoscopic Anti-reflux Surgery: Quality of Life Versus Symptom Scores?</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2016-05</date><risdate>2016</risdate><volume>40</volume><issue>5</issue><spage>1137</spage><epage>1144</epage><pages>1137-1144</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Introduction
Outcome following fundoplication for gastroesophageal reflux can be measured using objective tests, symptom scores and quality of life (QoL) measures. Which is best and how these assessments correlate is uncertain. To determine the utility of assessment measures we compared a general QoL measure (SF-36) and a disease-specific measure (GERD-hr-QoL) with symptom and satisfaction scores in individuals following fundoplication.
Methods
329 individuals underwent fundoplication between 2000 and 2015 in 2 centres in Australia and the Netherlands. Patients were assessed before and 3, 12 and 24 months after surgery using 10-point Likert scales to assess heartburn and satisfaction, the SF-36 questionnaire and the GERD-hr-QoL questionnaire. SF-36 scores were converted into component scores: Physical Component Scale (PCS) score and Mental Component Scale (MCS) score. Correlations between QoL measures and clinical outcomes were determined.
Results
Surgery relieved heartburn (7.0 vs. 0.0 median,
P
< 0.001) and patients were highly satisfied with the outcome (median 9.0). PCS and MCS scores improved after surgery (PCS 40.9 vs. 46.0,
P
< 0.001; MCS 47.6 vs. 50.3,
P
= 0.027). GERD-hr-QoL scores also improved after surgery (15.7 vs. 3.7,
P
< 0.001). Correlations between PCS and MCS scores versus heartburn and satisfaction scores were generally weak or absent. However, correlations between GERD-hr-QoL versus heartburn and satisfaction scores were moderate to strong.
Conclusion
Despite improvements in scores, the SF-36 correlated poorly with clinical outcome measures, and its use to measure outcome following fundoplication is questioned. However, the GERD-hr-QoL correlated well with the symptom scores, suggesting this disease-specific QoL measure is a better tool for assessing anti-reflux surgery outcome.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>26757716</pmid><doi>10.1007/s00268-015-3394-9</doi><tpages>8</tpages></addata></record> |
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| source | Wiley-Blackwell Journals; MEDLINE; SpringerLink (Online service) |
| subjects | Abdominal Surgery Australia Cardiac Surgery Female Fundoplication Gastroesophageal Reflux - surgery General Surgery Heartburn - etiology Heartburn - therapy Humans Laparoscopic Fundoplication Laparoscopy Male Medicine Medicine & Public Health Mental Component Scale Middle Aged Netherlands Original Scientific Report Partial Fundoplication Patient Satisfaction Physical Component Scale Quality of Life Satisfaction Score Surgery Thoracic Surgery Vascular Surgery |
| title | Measuring Outcomes of Laparoscopic Anti-reflux Surgery: Quality of Life Versus Symptom Scores? |
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