Scholl Lisa, Schneider-Burrus Sylke, Fritz Björn, Sabat Robert, Bechara Falk G
Department of Dermatology, Venerology, and Allergology - St. Josef-Hospital, Ruhr-University Bochum, Bochum, Germany.
Centre for Dermatosurgery, Havelklinik, Berlin, Germany.
J Dtsch Dermatol Ges. 2023 Feb;21(2):131-139. doi: 10.1111/ddg.14934. Epub 2023 Feb 7.
Hidradenitis suppurativa is a chronic inflammatory skin disease. Depending on disease severity, a combination of conservative and surgical treatments is necessary. This analysis aimed to determine the impact of surgical interventions on patient psychosocial well-being.
This is a prospective, noninterventional, multicenter study. The medical history, medical examination, and patient-reported outcomes, including the Hospital Anxiety and Depression Scale, Dermatology Life Quality Index, and the Short Form-12 Health Survey, were collected from 481 patients with hidradenitis suppurativa.
Among all patients with hidradenitis suppurativa included in this study, 74.2% reported surgery before study inclusion, of whom 92.4% could identify surgery type and location. Although adjusted for confounding factors, such as disease severity and activity, the aforementioned patient reported outcomes, did not vary significantly between groups of patients with different techniques and number of prior surgical intervention. However, patients without any prior surgical intervention yielded significantly better scores.
In patients with hidradenitis suppurativa, previous surgery was associated with worse outcomes in anxiety, depression, and quality of life, showing the apparent need of psychological support. It remains unclear whether the morbidity of surgical procedures or a possible higher severity score in patients undergoing surgery is responsible.
化脓性汗腺炎是一种慢性炎症性皮肤病。根据疾病严重程度，保守治疗与手术治疗相结合是必要的。本分析旨在确定手术干预对患者心理社会幸福感的影响。
这是一项前瞻性、非干预性、多中心研究。收集了481例化脓性汗腺炎患者的病史、体格检查以及患者报告的结局，包括医院焦虑抑郁量表、皮肤病生活质量指数和简明健康调查12项量表。
在本研究纳入的所有化脓性汗腺炎患者中，74.2%报告在纳入研究前接受过手术，其中92.4%能够确定手术类型和部位。尽管对疾病严重程度和活动等混杂因素进行了调整，但上述患者报告的结局在不同手术技术和既往手术干预次数的患者组之间没有显著差异。然而，没有任何既往手术干预的患者得分明显更高。
在化脓性汗腺炎患者中，既往手术与焦虑、抑郁和生活质量较差的结局相关，表明明显需要心理支持。手术操作的发病率或接受手术患者可能更高的严重程度评分是否是原因尚不清楚。
