Health related quality of life six months following surgical treatment for secondary peritonitis - Using the EQ-5D questionnaire

Kimberly R. Boer*, Oddeke van Ruler, Johannes B. Reitsma, Cecilia W. Mahler, Brent C. Opmeer, E. Ascelijn Reuland, Hein G. Gooszen, Peter W. de Graaf, Eric J. Hesselink, Michael F. Gerhards, E. P.H. Steller, Mirjam A. Sprangers, Marja A. Boermeester, Corianne A. De Borgie, J. W.O. Van Till, P. M.M. Bossuyt, M. J. Schultz, H. Obertop, D. J. Gouma, E. P.H. StellerP. Tanis, H. Hart, M. Guijt, H. M. Oudemans, K. Bosscha, E. Ritchie, M. Vermeer, B. Van Etten, C. Haazer, E. Salm, H. Rommes, R. J. Oostenbroek, L. te Velde, G. Govaert, H. H. Ponssen, M. K. Dinkelman, L. P.H. Leenen, E. G.J.M. Pierik, K. W.W. Lansink, K. Bakker

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Background: 

To compare health related quality of life (HR-QoL) in patients surgically treated for secondary peritonitis to that of a healthy population. And to prospectively identify factors associated with poorer (lower) HR-QoL. 

Design: 

A prospective cohort of secondary peritonitis patients was mailed the EQ-5D and EQ-VAS 6-months following initial laparotomy. 

Setting: 

Multicenter study in two academic and seven regional teaching hospitals. 

Patients: 

130 of the 155 eligible patients (84%) responded to the HR-QoL questionnaires. 

Results: 

HR-QoL was significantly worse on all dimensions in peritonitis patients than in a healthy reference population. Peritonitis characteristics at initial presentation were not associated with HR-QoL at six months. A more complicated course of the disease leading to longer hospitalization times and patients with an enterostomy had a negative impact on the mobility (p = 0.02), self-care (p < 0.001) and daily activities: (p = 0.01). In a multivariate analysis for the EQ-VAS every doubling of hospital stay decreases the EQ-VAS by 3.8 points (p = 0.015). Morbidity during the six-month follow-up was not found to be predictive for the EQ-5D or EQ-VAS. 

Conclusion: 

Six months following initial surgery, patients with secondary peritonitis report more problems in HR-QoL than a healthy reference population. Unfavorable disease characteristics at initial presentation were not predictive for poorer HR-QoL, but a more complicated course of the disease was most predictive of HR-QoL at 6 months.

Original languageEnglish
Article number35
JournalHealth and Quality of Life Outcomes
Volume5
DOIs
Publication statusPublished - 2 Jul 2007

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