Quality of life in patients with benign anorectal disorders

Sailer, M.; Bussen, D.; Debus, Eike Sebastian; Fuchs, K. H.; Thiede, A.

doi:10.1046/j.1365-2168.1998.00958.x

Cited by 188 publications

(119 citation statements)

References 20 publications

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“…There has been some previous research examining QOL in anal fistula; one study indicated that people with anal fistula did not have reduced QOL compared to agematched healthy individuals. 20 In this work, a variety of benign anorectal disorders, including anal fistula, were assessed using the Gastrointestinal Quality of Life Index (GIQLI). The GIQLI was developed from patients with pathologies higher in the gastrointestinal tract, such as peptic ulceration and biliary disease, and is thus not an accurate assessment for anal fistula.…”

Section: Discussionmentioning

confidence: 99%

Quality of life with anal fistula

Owen

Buchanan

Schizas

et al. 2016

annals

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INTRODUCTION Anal fistula affects people of working age. Symptoms include abscess, pain, discharge of pus and blood. Treatment of this benign disease can affect faecal continence, which may, in turn, impair quality of life (QOL). We assessed the QOL of patients with cryptoglandular anal fistula. METHODS Newly referred patients with anal fistula completed the St Mark's Incontinence Score, which ranges from 0 (perfect continence) to 24 (totally incontinent), and Short form 36 (SF-36) questionnaire at two institutions with an interest in anal fistula. The data were examined to identify factors affecting QOL. RESULTS Data were available for 146 patients (47 women), with a median age of 44 years (range 18-82 years) and a median continence score of 0 (range 0-23). Versus population norms, patients had an overall reduction in QOL. While those with recurrent disease had no difference on continence scores, QOL was worse on two of eight SF-36 domains (p<0.05). Patients with secondary extensions had reduced QOL in two domains (p<0.05), while urgency was associated with reduced QOL on five domains (p<0.05). Patients with loose seton had the same QOL as those without seton. No difference in urgency was found between patients with and without loose seton. In primary fistula patients, 19.4% of patients experienced urgency versus 36.3% of those with recurrent fistulas. CONCLUSIONS Patients with anal fistula had a reduced QOL, which was worse in those with recurrent disease, secondary extensions and urgency. Loose seton had no impact on QOL.

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Section: Discussionmentioning

confidence: 99%

Quality of life with anal fistula

Owen

Buchanan

Schizas

et al. 2016

annals

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“…Total GIQLI is calculated by adding the scores for each item (0-4 points), resulting in a maximum score of 144 (best quality of life). Mean GIQLI of anal carcinoma patients was compared to published results obtained in healthy volunteers or patients with benign anorectal diseases [5,13]. Ten patients underwent anorectal manometry under routine conditions, using a fluid-perfused system as described in detail elsewhere [7].…”

Section: Quality Of Life Sphincter Function and Continencementioning

confidence: 99%

“…Comparison of Gastrointestinal Quality of Life (GIQLI) scores for colostomy-free survivors of anal canal carcinoma treated with intracavitary afterloading boost with values published for healthy volunteers and patients with benign anorectal diseases[13]. The maximum GIQLI score (optimum quality of life) is 144.…”

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confidence: 99%

Intracavitary Afterloading Boost in Anal Canal Carcinoma Results, Function and Quality of Life

et al. 2001

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“…Short Form-36 (SF-36) is distinguished from other scales (Nottingham Health Profile) by being a selfassessment scale that is easily filled by the patient in a short time, evaluating the positive sides of the health status as well as the negative sides and detecting minor changes in disability (9).…”

Section: Introductionmentioning

confidence: 99%

Quality of life after stapler haemorrhoidectomy evaluated by SF-36 questionnaire

Erdoğdu

Sipahioğlu

Erginöz

et al. 2013

UCD

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Objective: Hemorrhoids are normal elements of the anal canal anatomy and they become symptomatic with potential factors such as gravity or strain. When symptomatic, hemorrhoidal disease can be costly measured in time away from productive activities. The aim of the study was to assess changes in the quality of life of patients after hemorrhoidectomy using Short Form-36. Material and Methods:Thirty patients, 24 male and 6 female (age 28 to 65), who were diagnosed with grade III and IV internal hemorrhoidal disease at the general surgery outpatient clinic and treated with stapled hemorrhoidectomy were enrolled in the study. They filled out Short Form-36 a week before surgery and four weeks after surgery. Post-Hoc tests were evaluated with Bonferroni correction after Kruskal Wallis analysis. Wilcoxon test, Student-t-test and Mann-Whitney U test were used for statistical analysis using SPSS 15.Results: Physical health (Physical functioning, Physical role restriction, Bodily pain) scores were significantly improved after surgery. Conclusion:Success of hemorrhoidectomy operations can be evaluated by postoperative recovery, incidence of complications or relapses. Quality of life questionnaires are another method to evaluate the success of the treatment from the patient's perspective.Key Words: Hemorrhoidectomy, quality of life, Short Form-36 INTRODUCTIONHemorrhoidal disease is a frequent disease of the anal canal.Hemorrhoids are important vascular cushions located in the anal canal as part of the normal anatomy. These cushions are composed of arteries, veins, smooth muscle fibers and connective tissue embedded in thickened submucosa (1).They are located in three main positions; left lateral, right anterior and right posterior. Internal hemorrhoids are located above the dentate line and external hemorrhoids are located in the distal part of the dentate line. The etiology is not clear, within some factors are gravity, straining, irregular bowel habits. Other causes are pregnancy, birth, spicy food, chronic cough, obesity, alcohol, benign prostate hyperplasia, cirrhosis, intra-abdominal tumors and some activities that require long periods of immobility (2, 3).Many surgical techniques are applied for the treatment of hemorrhoidal disease. It is widely accepted to treat grade 1 and 2 patients medically (diet and medication) and minor procedures (band ligation, sclerotherapy) and grade 3 and 4 patients with surgery (2, 4, 5).Currently stapled hemorrhoidopexy is the preferred technique by patients, due to decreased postoperative pain and other complications, and shorter length of hospital stay (6-8). The success and efficacy of hemorrhoidectomy procedures can be evaluated based on postoperative healing duration, complications and recurrence as well as questionnaires that reveal patient's perspective.Short Form-36 (SF-36) is distinguished from other scales (Nottingham Health Profile) by being a selfassessment scale that is easily filled by the patient in a short time, evaluating the positive sides of the health status as well a...

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Quality of life in patients with benign anorectal disorders

Cited by 188 publications

References 20 publications

Quality of life with anal fistula

Quality of life with anal fistula

Intracavitary Afterloading Boost in Anal Canal Carcinoma Results, Function and Quality of Life

Quality of life after stapler haemorrhoidectomy evaluated by SF-36 questionnaire

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