SF-36 preoperative interest of predicting improvement of quality of life after laparoscopic management of minimal endometriosis - 21/03/17
, M. Canis b, d , J.-L. Pouly b, d, C. Lasnier b, P. Jaffeux c , B. Aublet-Cuvelier c , N. Bourdel b, d Bienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
The purpose of the study |
To study preoperative thresholds of the SF-36 components above which we can predict a high risk of failure in order to improve the quality of life after surgery for patients with minimal endometriosis.
Material and methods |
Design: prospective and multicenter observational study between February 2004 and 2011. Patients: 167 patients with operated minimal endometriosis. Setting: for the Physical Component Summary (PCS) or the Mental Component Summary (MCS) subscales of the SF-36 questionnaire, an improvement defined by an increase of 5 points. Intervention: evaluation by the SF-36 questionnaire the week before and one year after surgery.
Measurement and main results |
Success of surgery measured by an improvement in both components. We found significantly different initial variables between patients with improvement and those without: initial MCS score (P=0.0003), initial PCS score (P<0.0001) and dyspareunia (P=0.004). Multivariate analysis revealed only two significant variables. Initial MCS higher than 40 (OR=4.6) and initial PCS higher than 50 (OR=10.6) are risk factors for failure of improvement after surgery.
Conclusion |
Surgery is seldom a good treatment for improving QOL in minimal endometriosis. We set two thresholds for SF-36, 50 for PCS and 40 for MCS: above there is a very high risk of failure (86% of failure in our population). Under, the risk of failure remains high (54.3%).
Canadian task force classification of study design |
Evidence obtained from well-designed cohort or case-control studies, preferably from more than one center or research group.
Le texte complet de cet article est disponible en PDF.Keywords : Endometriosis, SF-36, Quality of life
Plan
| ☆ | Over 50 for PCS and 40 for MCS preoperatively, we found a high risk of failure of surgery of minimal endometriosis in terms of improvement of quality of life. |
Vol 46 - N° 2
P. 137-142 - février 2017 Retour au numéro
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