The long-term health-related quality of life in patients operated for choledochal cyst

被引：13

作者：

Baba, Tokuro ^{[1
]}

Mukai, Motoi ^{[1
]}

Masuya, Ryuta ^{[1
]}

Kawano, Masato ^{[1
]}

Yano, Keisuke ^{[1
]}

Murakami, Masakazu ^{[1
]}

Onishi, Shun ^{[1
]}

Yamada, Koji ^{[1
]}

Yamada, Waka ^{[1
]}

Kawano, Takafumi ^{[1
]}

Machigashira, Seiro ^{[1
]}

Nakame, Kazuhiko ^{[1
]}

Kaji, Tatsuru ^{[1
]}

Ieiri, Satoshi ^{[1
]}

机构：

[1] Kagoshima Univ, Res & Educ Assembly, Res Field Med & Hlth Sci, Dept Pediat Surg,Med & Dent Sci Area, 8-35-1 Sakuragaoka, Kagoshima 8908520, Japan

来源：

PEDIATRIC SURGERY INTERNATIONAL | 2019年 / 35卷 / 05期

基金：

日本学术振兴会;

关键词：

Choledochal cyst; Postoperative complication; Health-related quality of life; General health; Mental health; FOLLOW-UP; OUTCOMES; EXCISION; COMPLICATIONS; MORTALITY; CHILDREN;

D O I：

10.1007/s00383-019-04456-7

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

PurposeLate postoperative complications in choledochal cyst (CC) patients are severe problems that affect the quality of life (QOL). We evaluated the postoperative complications and health-related QOL (HRQOL) of CC patients 18years of age.MethodsFrom April 1984 to January 2018, 114 CC patients underwent definitive surgery at our institution. Seventy-nine patients reached 18years of age. The HRQOL was assessed using the Japanese version of the SF-36v2. Eight health domain (physical functioning, role-physical, body pain, general health, role-emotional, vitality, mental health, and social functioning) scores and three component summary [physical component summary, mental component summary (MCS), and role-social component summary] scores were compared between the patients with and without complications (C [+] vs. C [-]).ResultsThirty-five patients answered the questionnaires. Twelve patients had postoperative complications. Among the eight domains, the score of general health was significantly lower in C [+] patients than in C [-] patients (p=0.0488). Among the three component scores, the MCS score in C [+] patients was lower than in C [-] patients without significance (p=0.0953).ConclusionsThe HRQOL of CC patients 18years of age was mostly acceptable. However, postoperative complications can impair the sense of well-being and affect the mental health.

引用

页码：539 / 546

页数：8

共 20 条

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