Impact of Hidradenitis Suppurativa Surgical Treatment on Health-Related Life Quality

Abstract

(1) Background: Hidradenitis suppurativa is a disease that affects the intimacy of patients. This disease reduces the quality of life and functioning of patients in everyday life. The surgical treatment of HS is one of the treatments for HS that can improve the quality of life. (2) Methods: The main goal of this study was to assess quality of life before the surgical treatment and after the surgical treatment of HS at Center for Burn Treatment in Siemianowice Śląskie, Poland, using the EQ-5D-5L survey before the operation and at follow-up (6 months after). (3) Results: The average quality of life measured with the EQ-5D-5L survey before therapy was 39.3 ± 20.1 (min., 0; max., 60; most frequent value, 50), whereas after surgical treatment, the mean quality of life was 89.5 ± 12.5 (min., 50; max., 100; most frequent value, 100). The average increase in the quality of life was 50.2 ± 19.5 (min., 30; max., 100; most frequent value, 30), and it was statistically significant (p < 0.001).

Co-Graft of Acellular Dermal Matrix and Split Thickness Skin Graft—A New Reconstructive Surgical Method in the Treatment of Hidradenitis Suppurativa

“…HS has mental and physical effects. Pain, discharge, smell and pruritus are the most common symptoms, which entirely change patients’ lives [ 4 ]. HS has been documented to have a negative influence on patients’ health-related quality of life [ 4 ].…”

“…Pain, discharge, smell and pruritus are the most common symptoms, which entirely change patients’ lives [ 4 ]. HS has been documented to have a negative influence on patients’ health-related quality of life [ 4 ]. Moreover, the disease is often correlated with severe consequences, such as a higher incidence of depression, the fear of stigmatization and suicidal tendencies [ 4 ].…”

“…HS often has a delayed diagnosis. An average delay of 7–10 years has been reported between disease onset and diagnosis [ 4 ].…”

“…In chronic (Hurley II/III) cases, surgical methods should be considered [ 10 , 11 ]. Health-related quality of life significantly improves after surgical treatment [ 4 ]. The most important aspect of surgical treatment of HS is wide excision.…”

Sexual Dysfunction and Quality of Life in Patients with Hidradenitis Suppurativa and Their Partners

“…It is therefore to be expected that the disease will affect patients, but also their partners, as occurs in other dermatoses [15]. The profound impact of HS on patients' quality of life (QoL) has been well documented [16][17][18][19], being greater than that of other dermatoses and comparable to diseases such as chronic obstructive pulmonary disease, cardiovascular disease, cancer or diabetes [20,21]. The interference of the disease with sexual functioning of HS patients has also been investigated, with a prevalence of sexual dysfunction in women ranging from 51% to 62% and of erectile dysfunction in men ranging from 52% to 60% [22].…”