Division of General and Emergency Surgery, ASST Nord Milano, Sesto San Giovanni Hospital, Viale Matteotti, 83 - 20099 Sesto San Giovanni (MI) - Italy.
Rev Recent Clin Trials. 2022;17(4):227-239. doi: 10.2174/1574887117666220811143426.
Inflammatory Bowel Diseases (IBDs) are chronic, relapsing and disabling diseases that affect the gastrointestinal tract. This relapsing course is often unpredictable with severe flares and the need for intensive medical treatment, hospitalization, or emergent/urgent surgery, all of which significantly impact patients' quality of life (QoL). QoL in IBD patients is significantly lower than in the general population, and depression and anxiety have been shown to have a higher prevalence than in healthy individuals, especially during disease flares. Complications requiring hospitalization and repeated surgeries are not uncommon during the disease course and significantly affect QoL in IBD patients. Patient-reported outcome measures (PROMs) can be used to measure the impact of chronic disease on QoL from the patient's perspective. The use of PROMs in IBD patients undergoing surgery could help to investigate the impact of the surgical procedure on QoL and determine whether there is any improvement or worsening. This review summarizes the use of PROMs to assess QoL after various surgical procedures required for IBD treatment.
炎症性肠病(IBD)是一种慢性、反复发作且使人丧失能力的疾病,会影响胃肠道。这种反复发作的病程通常难以预测,会出现严重的发作,需要强化医疗治疗、住院治疗或紧急/紧急手术,所有这些都会严重影响患者的生活质量(QoL)。IBD 患者的生活质量明显低于一般人群,而且抑郁和焦虑的患病率高于健康人群,尤其是在疾病发作期间。在疾病过程中,需要住院治疗和反复手术的并发症并不少见,这会严重影响 IBD 患者的生活质量。患者报告的结果测量(PROMs)可用于从患者的角度衡量慢性疾病对生活质量的影响。在接受手术的 IBD 患者中使用 PROMs 可以帮助调查手术对生活质量的影响,并确定是否有任何改善或恶化。这篇综述总结了使用 PROMs 来评估 IBD 治疗所需的各种手术后的生活质量。