Comorbidities play a larger role in predicting health-related quality of life compared to having an ostomy - 21/08/11
, Marcia L. McGory, M.D. a, Clifford Y. Ko, M.D. a, b, Alla Sverdlik, M.P.H. a, James S. Tomlinson, M.D. a, b, Christopher S. Wendel, M.S. c, Stephen Joel Coons, Ph.D. d, e, Susan M. Rawl, Ph.D. f, C. Max. Schmidt, M.D. g, Marcia Grant, D.N.Sc. h, Ruth McCorkle, Ph.D. i, M. Jane Mohler, Ph.D. c, d, e, j, Carol M. Baldwin, Ph.D. k, Robert S. Krouse, M.D. c, j
Corresponding author. David Geffen School of Medicine at UCLA, Department of Surgery, 72-215 CHS, 10833 Le Conte Ave., Los Angeles, CA 90095. Tel.: +1-310-478-3711 ext. 42830; fax: +1-310-268-4601.Abstract |
Background |
Previous research suggests an ostomy worsens health-related quality of life (HR-QOL), but comorbidities also can affect HR-QOL.
Methods |
Eligible patients had abdominal operation with ostomy (cases) or similar procedure without ostomy (controls). Patients were recruited for this case-control study from 3 Veterans Affairs hospital medical and pharmacy records. Comorbidities were assessed with Charlson-Deyo Comorbidity Index. Multinomial logistic regression evaluated the impact of comorbidities and having an ostomy on HR-QOL, measured using the Medical Outcomes Study Short Form 36 for Veterans.
Results |
A total of 237 ostomates (cases) and 268 controls were studied. Average age was 69 years; 64% of cases had colostomy, 36% ileostomy. Twenty-nine percent of patients had a high level of comorbidities. Cases and controls were similar except for reasons for undergoing surgery. High comorbidity was a significant predictor of low HR-QOL in 6 domains of the Short Form 36 for Veterans; having an ostomy was a significant predictor in 4.
Conclusions |
High comorbidity significantly influences low HR-QOL and impacted more domains than having an ostomy.
Le texte complet de cet article est disponible en PDF.Keywords : Comorbidites, Ostomy, Health-related quality of life
Plan
Vol 194 - N° 6
P. 774-779 - décembre 2007 Retour au numéro
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