Mid- and long-term quality of life assessments after laparoscopic fundoplication and refundoplication: a single unit review of more than 500 antireflux procedures
Background. For the evaluation of surgical interventions, quality of life data are being increasingly used as an efficacy endpoint. Aims. To evaluate impact of laparoscopic fundoplication and laparoscopic refundoplication on quality of life as well as on patient satisfaction with the procedure for a...
Gespeichert in:
| Veröffentlicht in: | Digestive and liver disease 2002-07, Vol.34 (7), p.470-476 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 476 |
|---|---|
| container_issue | 7 |
| container_start_page | 470 |
| container_title | Digestive and liver disease |
| container_volume | 34 |
| creator | Kamolz, T. Granderath, F.A. Bammer, T. Pasiut, M. Wykypiel, H. Herrmann, R. Pointner, R. |
| description | Background. For the evaluation of surgical interventions, quality of life data are being increasingly used as an efficacy endpoint.
Aims. To evaluate impact of laparoscopic fundoplication and laparoscopic refundoplication on quality of life as well as on patient satisfaction with the procedure for at least 5 years after surgical intervention.
Patients. After more than 500 laparoscopic antireflux procedures, quality of life data have been prospectively reviewed and data compared with healthy individuals, untreated gastro-oesophageal reflux disease patients (n=150) and successfully treated patients (n=84) under adequate omeprazole therapy.
Methods. Gastrointestinal Quality of Life Index has been used in all patients and evaluated the day before surgery and 5 times after surgery. Moreover, the SF-36 questionnaire has been used up to 2 years after surgical intervention, but only in patients who underwent laparoscopic redo-surgery (n=49).
Results. In both surgical groups, mean preoperative Gastrointestinal Quality of Life Index showed a significant (p |
| doi_str_mv | 10.1016/S1590-8658(02)80104-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72096651</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1590865802801049</els_id><sourcerecordid>72096651</sourcerecordid><originalsourceid>FETCH-LOGICAL-c361t-27ed90cdf0eaa843afe535d44d2fd6664dacd77de2441c2408107ed51591c50a3</originalsourceid><addsrcrecordid>eNqFkc1uFyEUxYnR2Fp9BA0ro4vRCwPMjJvGNH4lNS7UNUG4UzEMTIFR-zo-qfw_jHHlCgK_cw-cQ8hDBs8YMPX8I5MTdKOS4xPgT0dgILrpFjll4zB2vVT8dtv_QU7IvVK-AXCmJNwlJ4zzXolhOiW_3nvXURMdDSledRXzQq83E3y9oWmmwc9ITSlYyoKxFmrmhtBgVpNTsWn1ls5bdGkN3prqU9zPyvjv4QtqaPHxKiDdoq_t_rvHHzuDJWWk9auJVAI0bfVNG7afdM3JotsylvvkzmxCwQfH9Yx8fv3q08Xb7vLDm3cXLy872ytWOz6gm8C6GdCYUfRmRtlLJ4Tjs1NKCWesGwaHXAhmuYCRQZPIFhKzEkx_Rh4f5jbr6w1L1YsvFkMwEdNW9MBhUkqyBsoDaFsGpb1Xr9kvJt9oBnpXjt6Xo3fJa-B6X46emu7R0WD7sqD7qzq20YDzA4Dtmy2hrIv1GFsOLRVbtUv-Pxa_AYBToqU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>72096651</pqid></control><display><type>article</type><title>Mid- and long-term quality of life assessments after laparoscopic fundoplication and refundoplication: a single unit review of more than 500 antireflux procedures</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Kamolz, T. ; Granderath, F.A. ; Bammer, T. ; Pasiut, M. ; Wykypiel, H. ; Herrmann, R. ; Pointner, R.</creator><creatorcontrib>Kamolz, T. ; Granderath, F.A. ; Bammer, T. ; Pasiut, M. ; Wykypiel, H. ; Herrmann, R. ; Pointner, R.</creatorcontrib><description>Background. For the evaluation of surgical interventions, quality of life data are being increasingly used as an efficacy endpoint.
Aims. To evaluate impact of laparoscopic fundoplication and laparoscopic refundoplication on quality of life as well as on patient satisfaction with the procedure for at least 5 years after surgical intervention.
Patients. After more than 500 laparoscopic antireflux procedures, quality of life data have been prospectively reviewed and data compared with healthy individuals, untreated gastro-oesophageal reflux disease patients (n=150) and successfully treated patients (n=84) under adequate omeprazole therapy.
Methods. Gastrointestinal Quality of Life Index has been used in all patients and evaluated the day before surgery and 5 times after surgery. Moreover, the SF-36 questionnaire has been used up to 2 years after surgical intervention, but only in patients who underwent laparoscopic redo-surgery (n=49).
Results. In both surgical groups, mean preoperative Gastrointestinal Quality of Life Index showed a significant (p<O.01) impairment (before laparoscopic antireflux surgery: 90.4±10.3 points; before redosurgery: 84.3±8.1 points) when compared with healthy individuals (mean: 122.6±8. 5 points) and successfully treated patients with acid-suppressive therapy (mean: 121.4±9.2 points). After surgery, the mean Gastrointestinal Quality of Life Index increased significantly and remained stable for at least 5 years after laparoscopic antireflux surgery (120.8±8.6 points) or for at least 2 years after redoprocedure (120.9±7.2 points). Before laparoscopic refundoplication, 6 out of 8 SF-36 scores were significantly (p<0.05) decreased. Redosurgery influenced these 6 scores significantly (p<0.05-0.01), resulting in values comparable to those of general population. Patients' satisfaction with surgery was excellent or good in 95%.
Conclusion. Both, laparoscopic fundoplication as well as laparoscopic refundoplication are able to improve patients' quality of life significantly for at least 5 years. Therefore, quality of life data provide useful information to discuss different treatment options with patients.</description><identifier>ISSN: 1590-8658</identifier><identifier>EISSN: 1878-3562</identifier><identifier>DOI: 10.1016/S1590-8658(02)80104-9</identifier><identifier>PMID: 12236479</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adult ; Aged ; Austria ; Female ; Follow-Up Studies ; Fundoplication ; gastro-oesophageal reflux disease ; Gastroesophageal Reflux - surgery ; Humans ; laparoscopic antireflux surgery ; laparoscopic refundoplication ; Laparoscopy ; Male ; Middle Aged ; Patient Satisfaction ; Postoperative Care - psychology ; Preoperative Care - psychology ; Quality Assurance, Health Care ; Quality of Life ; Reoperation ; Surveys and Questionnaires ; Time ; Treatment Outcome</subject><ispartof>Digestive and liver disease, 2002-07, Vol.34 (7), p.470-476</ispartof><rights>2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c361t-27ed90cdf0eaa843afe535d44d2fd6664dacd77de2441c2408107ed51591c50a3</citedby><cites>FETCH-LOGICAL-c361t-27ed90cdf0eaa843afe535d44d2fd6664dacd77de2441c2408107ed51591c50a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S1590-8658(02)80104-9$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12236479$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kamolz, T.</creatorcontrib><creatorcontrib>Granderath, F.A.</creatorcontrib><creatorcontrib>Bammer, T.</creatorcontrib><creatorcontrib>Pasiut, M.</creatorcontrib><creatorcontrib>Wykypiel, H.</creatorcontrib><creatorcontrib>Herrmann, R.</creatorcontrib><creatorcontrib>Pointner, R.</creatorcontrib><title>Mid- and long-term quality of life assessments after laparoscopic fundoplication and refundoplication: a single unit review of more than 500 antireflux procedures</title><title>Digestive and liver disease</title><addtitle>Dig Liver Dis</addtitle><description>Background. For the evaluation of surgical interventions, quality of life data are being increasingly used as an efficacy endpoint.
Aims. To evaluate impact of laparoscopic fundoplication and laparoscopic refundoplication on quality of life as well as on patient satisfaction with the procedure for at least 5 years after surgical intervention.
Patients. After more than 500 laparoscopic antireflux procedures, quality of life data have been prospectively reviewed and data compared with healthy individuals, untreated gastro-oesophageal reflux disease patients (n=150) and successfully treated patients (n=84) under adequate omeprazole therapy.
Methods. Gastrointestinal Quality of Life Index has been used in all patients and evaluated the day before surgery and 5 times after surgery. Moreover, the SF-36 questionnaire has been used up to 2 years after surgical intervention, but only in patients who underwent laparoscopic redo-surgery (n=49).
Results. In both surgical groups, mean preoperative Gastrointestinal Quality of Life Index showed a significant (p<O.01) impairment (before laparoscopic antireflux surgery: 90.4±10.3 points; before redosurgery: 84.3±8.1 points) when compared with healthy individuals (mean: 122.6±8. 5 points) and successfully treated patients with acid-suppressive therapy (mean: 121.4±9.2 points). After surgery, the mean Gastrointestinal Quality of Life Index increased significantly and remained stable for at least 5 years after laparoscopic antireflux surgery (120.8±8.6 points) or for at least 2 years after redoprocedure (120.9±7.2 points). Before laparoscopic refundoplication, 6 out of 8 SF-36 scores were significantly (p<0.05) decreased. Redosurgery influenced these 6 scores significantly (p<0.05-0.01), resulting in values comparable to those of general population. Patients' satisfaction with surgery was excellent or good in 95%.
Conclusion. Both, laparoscopic fundoplication as well as laparoscopic refundoplication are able to improve patients' quality of life significantly for at least 5 years. Therefore, quality of life data provide useful information to discuss different treatment options with patients.</description><subject>Adult</subject><subject>Aged</subject><subject>Austria</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fundoplication</subject><subject>gastro-oesophageal reflux disease</subject><subject>Gastroesophageal Reflux - surgery</subject><subject>Humans</subject><subject>laparoscopic antireflux surgery</subject><subject>laparoscopic refundoplication</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Satisfaction</subject><subject>Postoperative Care - psychology</subject><subject>Preoperative Care - psychology</subject><subject>Quality Assurance, Health Care</subject><subject>Quality of Life</subject><subject>Reoperation</subject><subject>Surveys and Questionnaires</subject><subject>Time</subject><subject>Treatment Outcome</subject><issn>1590-8658</issn><issn>1878-3562</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1uFyEUxYnR2Fp9BA0ro4vRCwPMjJvGNH4lNS7UNUG4UzEMTIFR-zo-qfw_jHHlCgK_cw-cQ8hDBs8YMPX8I5MTdKOS4xPgT0dgILrpFjll4zB2vVT8dtv_QU7IvVK-AXCmJNwlJ4zzXolhOiW_3nvXURMdDSledRXzQq83E3y9oWmmwc9ITSlYyoKxFmrmhtBgVpNTsWn1ls5bdGkN3prqU9zPyvjv4QtqaPHxKiDdoq_t_rvHHzuDJWWk9auJVAI0bfVNG7afdM3JotsylvvkzmxCwQfH9Yx8fv3q08Xb7vLDm3cXLy872ytWOz6gm8C6GdCYUfRmRtlLJ4Tjs1NKCWesGwaHXAhmuYCRQZPIFhKzEkx_Rh4f5jbr6w1L1YsvFkMwEdNW9MBhUkqyBsoDaFsGpb1Xr9kvJt9oBnpXjt6Xo3fJa-B6X46emu7R0WD7sqD7qzq20YDzA4Dtmy2hrIv1GFsOLRVbtUv-Pxa_AYBToqU</recordid><startdate>20020701</startdate><enddate>20020701</enddate><creator>Kamolz, T.</creator><creator>Granderath, F.A.</creator><creator>Bammer, T.</creator><creator>Pasiut, M.</creator><creator>Wykypiel, H.</creator><creator>Herrmann, R.</creator><creator>Pointner, R.</creator><general>Elsevier Ltd</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>7X8</scope></search><sort><creationdate>20020701</creationdate><title>Mid- and long-term quality of life assessments after laparoscopic fundoplication and refundoplication: a single unit review of more than 500 antireflux procedures</title><author>Kamolz, T. ; Granderath, F.A. ; Bammer, T. ; Pasiut, M. ; Wykypiel, H. ; Herrmann, R. ; Pointner, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-27ed90cdf0eaa843afe535d44d2fd6664dacd77de2441c2408107ed51591c50a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Austria</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fundoplication</topic><topic>gastro-oesophageal reflux disease</topic><topic>Gastroesophageal Reflux - surgery</topic><topic>Humans</topic><topic>laparoscopic antireflux surgery</topic><topic>laparoscopic refundoplication</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Satisfaction</topic><topic>Postoperative Care - psychology</topic><topic>Preoperative Care - psychology</topic><topic>Quality Assurance, Health Care</topic><topic>Quality of Life</topic><topic>Reoperation</topic><topic>Surveys and Questionnaires</topic><topic>Time</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kamolz, T.</creatorcontrib><creatorcontrib>Granderath, F.A.</creatorcontrib><creatorcontrib>Bammer, T.</creatorcontrib><creatorcontrib>Pasiut, M.</creatorcontrib><creatorcontrib>Wykypiel, H.</creatorcontrib><creatorcontrib>Herrmann, R.</creatorcontrib><creatorcontrib>Pointner, R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive and liver disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kamolz, T.</au><au>Granderath, F.A.</au><au>Bammer, T.</au><au>Pasiut, M.</au><au>Wykypiel, H.</au><au>Herrmann, R.</au><au>Pointner, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mid- and long-term quality of life assessments after laparoscopic fundoplication and refundoplication: a single unit review of more than 500 antireflux procedures</atitle><jtitle>Digestive and liver disease</jtitle><addtitle>Dig Liver Dis</addtitle><date>2002-07-01</date><risdate>2002</risdate><volume>34</volume><issue>7</issue><spage>470</spage><epage>476</epage><pages>470-476</pages><issn>1590-8658</issn><eissn>1878-3562</eissn><abstract>Background. For the evaluation of surgical interventions, quality of life data are being increasingly used as an efficacy endpoint.
Aims. To evaluate impact of laparoscopic fundoplication and laparoscopic refundoplication on quality of life as well as on patient satisfaction with the procedure for at least 5 years after surgical intervention.
Patients. After more than 500 laparoscopic antireflux procedures, quality of life data have been prospectively reviewed and data compared with healthy individuals, untreated gastro-oesophageal reflux disease patients (n=150) and successfully treated patients (n=84) under adequate omeprazole therapy.
Methods. Gastrointestinal Quality of Life Index has been used in all patients and evaluated the day before surgery and 5 times after surgery. Moreover, the SF-36 questionnaire has been used up to 2 years after surgical intervention, but only in patients who underwent laparoscopic redo-surgery (n=49).
Results. In both surgical groups, mean preoperative Gastrointestinal Quality of Life Index showed a significant (p<O.01) impairment (before laparoscopic antireflux surgery: 90.4±10.3 points; before redosurgery: 84.3±8.1 points) when compared with healthy individuals (mean: 122.6±8. 5 points) and successfully treated patients with acid-suppressive therapy (mean: 121.4±9.2 points). After surgery, the mean Gastrointestinal Quality of Life Index increased significantly and remained stable for at least 5 years after laparoscopic antireflux surgery (120.8±8.6 points) or for at least 2 years after redoprocedure (120.9±7.2 points). Before laparoscopic refundoplication, 6 out of 8 SF-36 scores were significantly (p<0.05) decreased. Redosurgery influenced these 6 scores significantly (p<0.05-0.01), resulting in values comparable to those of general population. Patients' satisfaction with surgery was excellent or good in 95%.
Conclusion. Both, laparoscopic fundoplication as well as laparoscopic refundoplication are able to improve patients' quality of life significantly for at least 5 years. Therefore, quality of life data provide useful information to discuss different treatment options with patients.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>12236479</pmid><doi>10.1016/S1590-8658(02)80104-9</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1590-8658 |
| ispartof | Digestive and liver disease, 2002-07, Vol.34 (7), p.470-476 |
| issn | 1590-8658 1878-3562 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_72096651 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Aged Austria Female Follow-Up Studies Fundoplication gastro-oesophageal reflux disease Gastroesophageal Reflux - surgery Humans laparoscopic antireflux surgery laparoscopic refundoplication Laparoscopy Male Middle Aged Patient Satisfaction Postoperative Care - psychology Preoperative Care - psychology Quality Assurance, Health Care Quality of Life Reoperation Surveys and Questionnaires Time Treatment Outcome |
| title | Mid- and long-term quality of life assessments after laparoscopic fundoplication and refundoplication: a single unit review of more than 500 antireflux procedures |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T06%3A01%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Mid-%20and%20long-term%20quality%20of%20life%20assessments%20after%20laparoscopic%20fundoplication%20and%20refundoplication:%20a%20single%20unit%20review%20of%20more%20than%20500%20antireflux%20procedures&rft.jtitle=Digestive%20and%20liver%20disease&rft.au=Kamolz,%20T.&rft.date=2002-07-01&rft.volume=34&rft.issue=7&rft.spage=470&rft.epage=476&rft.pages=470-476&rft.issn=1590-8658&rft.eissn=1878-3562&rft_id=info:doi/10.1016/S1590-8658(02)80104-9&rft_dat=%3Cproquest_cross%3E72096651%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=72096651&rft_id=info:pmid/12236479&rft_els_id=S1590865802801049&rfr_iscdi=true |