Health-Related Quality of Life and Appropriateness of Cholecystectomy

Quintana, JM; Cabriada, José Luis; Aróstegui, Inmaculada; Oribe, Victor; Perdigo, Luis; Varona, Mercedes; Bilbao, Amaia

doi:10.1097/01.sla.0000149302.32675.22

Cited by 32 publications

(22 citation statements)

References 32 publications

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“…Moreover, overall improvement in postoperative QoL is attributable to the preoperative functional status of the patient [ 14 ]. The QoL score was 96 ± 20.2 pretreatment and 108 ± 16.8 post-LC in one study [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life After Laparoscopic Cholecystectomy

Atif¹,

Khan²,

Nadeem

et al. 2022

Cureus

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BackgroundThis study aimed to determine the mean improvement in the quality of life (QoL) after laparoscopic cholecystectomy (LC) in patients with symptomatic cholelithiasis. MethodologyAfter obtaining approval from the hospital's ethical committee, the Gastrointestinal Quality of Life Index (GIQLI) proforma was filled on admission (T0) and at week six (T1) postoperatively. All data were collected, and GIQLI scores were calculated for individual patients. ResultsIn our study, among the 70 patients undergoing LC, 20% (n = 14) were aged 18-30 years and 80% (n = 56) were aged 31-60 years, with the mean ± standard deviation calculated as 41.56 ± 10.13 years. Overall, 44.29% (n = 31) of patients were men and 55.71% (n = 39) were women. GIQLI scores were 94.64 ± 2.24 for pretreatment and 106.09 ± 2.40 for post-treatment, with a mean change of 11.44 ± 3.29, and a p-value of 0.001, showing a significant difference. ConclusionsThe mean improvement in QoL after LC in patients with symptomatic cholelithiasis is significantly higher when compared with pretreatment.

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Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life After Laparoscopic Cholecystectomy

Atif¹,

Khan²,

Nadeem

et al. 2022

Cureus

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“…In the majority of patients, a reduction in symptoms is seen, and two‐thirds reported resolution of pain 1–12 months following LC (3). Despite this, the patients perceptions of health are only marginally improved (4). Patients with asymptomatic cholelithiasis or high surgical risk experience least health improvement following LC (5).…”

Section: Introductionmentioning

confidence: 99%

Sense of coherence and other predictors of pain and health following laparoscopic cholecystectomy

Barthelsson

Nordström

Norberg

2011

Scandinavian Caring Sciences

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SOC was found to be a significant but weak predictor of pain intensity the first week after LC. Furthermore, patients scoring low SOC values experienced a delay in their health improvement. SOC was more unstable over time than previously suggested. Further, interventional studies are needed to clarify if SOC might be a clinically useful measure to identify vulnerable patients undergoing LC surgery.

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“…Compared with open cholecystectomy (OC), LC is highly preferred as it is associated with less blood loss, less pain, and confer better cosmetic outcomes (3)(4)(5)(6). Of note, reports from many studies have indicated a reduction of mortality and wound infection rates as well as improved quality of life after LC (7)(8)(9)(10). The postanesthesia care unit (PACU) is an integral component of the perioperative workflow.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of a nomogram for determining patients requiring prolonged postanesthesia care unit length of stay after laparoscopic cholecystectomy

Cao¹,

Li²,

Su³

et al. 2021

Ann Palliat Med

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Background: Laparoscopic cholecystectomy (LC) is a common surgical procedure for managing gallbladder disease. Prolonged length of stay (LOS) in the postanesthesia care unit (PACU) may lead to overcrowding and a decline in medical resource utilization. In this work, we aimed to develop and validate a predictive nomogram for identifying patients who require prolonged PACU LOS.Methods: Data from 913 patients undergoing LC at a single institution in China between 2018 and 2019 were collected, and grouped into a training set (456, cases during 2018) and a test set (457, cases during 2019). The definition of PACU LOS is the duration between admission to discharge from PACU, which we can derive from the electronic medical record system. Using the least absolute shrinkage and selection operator regression model, the optimal feature was selected, and multivariable logistic regression analysis was used to build the prolonged PACU LOS risk model. The C-index, calibration plot, and decision curve analysis (DCA) were used in assessing the model calibration, discrimination, and clinical application value, respectively. For external validation, the test set data was evaluated. Results:The predictive nomogram had 8 predictor variables for prolonged PACU LOS, including age, American Society of Anesthesiologists (ASA) grade, active smoker, gastrointestinal disease, liver disease, and cardiovascular disease. This model displayed efficient calibration and moderate discrimination with a C-index of 0.662 (95% confidence interval, 0.603 to 0.721) for the training set, and 0.609 (95% confidence interval, 0.549 to 0.669) for the test set. DCA demonstrated that the prolonged PACU LOS nomogram was reliable for clinical application when an intervention was decided at the possible threshold of 7%. Conclusions:We developed and validated a predictive nomogram with efficient calibration and moderate discrimination, and can be applied to identify patients most likely to be subjected to prolonged PACU LOS. This novel tool may shun overcrowding in PACU and optimize medical resource utilization.

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Health-Related Quality of Life and Appropriateness of Cholecystectomy

Cited by 32 publications

References 32 publications

Health-Related Quality of Life After Laparoscopic Cholecystectomy

Health-Related Quality of Life After Laparoscopic Cholecystectomy

Sense of coherence and other predictors of pain and health following laparoscopic cholecystectomy

Development and validation of a nomogram for determining patients requiring prolonged postanesthesia care unit length of stay after laparoscopic cholecystectomy

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