Assessment of Patients’ Future Outlook after Bowel Resection in Crohn’s Disease
Background. Many patients with Crohn’s disease (CD) require surgery in their life. Their future outlook is crucial to psychological and mental health after surgery. This study is aimed at assessing CD patient’s outlook after experiencing bowel resection and determining factors associated with patien...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2019/7674946 |
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| author | Shasha Tang Xiaolong Ge Weilin Qi Wei Liu Qian Cao Wei Zhou |
| author_facet | Shasha Tang Xiaolong Ge Weilin Qi Wei Liu Qian Cao Wei Zhou |
| author_sort | Shasha Tang |
| collection | DOAJ |
| description | Background. Many patients with Crohn’s disease (CD) require surgery in their life. Their future outlook is crucial to psychological and mental health after surgery. This study is aimed at assessing CD patient’s outlook after experiencing bowel resection and determining factors associated with patient’s outlook. Methods. We used an ad hoc questionnaire (modified WHOQOL-BREF) to assess patients’ outlook for the future after bowel resection in CD. All patients who experienced bowel resection for CD from 2015 to 2017 were included in this study. Patients were divided into two groups according to the questionnaire. Patients who had a positive outlook were compared with those who had a negative outlook. The patients’ view on timing of surgery was also recorded. Results. Of 114 eligible patients surveyed, 103 (90.4%) responded. 65 (63.1%) reported that the timing of surgery was appropriate, and 26 patients felt it should have been performed earlier, while remaining 12 preferred a later surgery. 61 (59.2%) patients had a positive outlook of their future lives, while 42 patients had a negative outlook. Factors as the financial burden, employment status, patients’ view on timing of surgery, and clinical recurrence were associated with patients’ outlook. In the multivariate analysis, only clinical recurrence was an independent risk factor for patient’s future outlook. Conclusion. From this survey, it is clear that most patients who underwent an elective bowel resection for CD are satisfied with their timing of surgery. Patients who have clinical recurrence carry a significant negative outlook for their future life. Postoperative management which focuses on preventing clinical recurrence may enhance patients’ outlook for the future. |
| format | Article |
| id | doaj-art-693f934d9658439096f492a71341421b |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-693f934d9658439096f492a71341421b2025-02-03T05:44:41ZengWileyGastroenterology Research and Practice1687-61211687-630X2019-01-01201910.1155/2019/76749467674946Assessment of Patients’ Future Outlook after Bowel Resection in Crohn’s DiseaseShasha Tang0Xiaolong Ge1Weilin Qi2Wei Liu3Qian Cao4Wei Zhou5Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Gastroenterology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Gastroenterology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaBackground. Many patients with Crohn’s disease (CD) require surgery in their life. Their future outlook is crucial to psychological and mental health after surgery. This study is aimed at assessing CD patient’s outlook after experiencing bowel resection and determining factors associated with patient’s outlook. Methods. We used an ad hoc questionnaire (modified WHOQOL-BREF) to assess patients’ outlook for the future after bowel resection in CD. All patients who experienced bowel resection for CD from 2015 to 2017 were included in this study. Patients were divided into two groups according to the questionnaire. Patients who had a positive outlook were compared with those who had a negative outlook. The patients’ view on timing of surgery was also recorded. Results. Of 114 eligible patients surveyed, 103 (90.4%) responded. 65 (63.1%) reported that the timing of surgery was appropriate, and 26 patients felt it should have been performed earlier, while remaining 12 preferred a later surgery. 61 (59.2%) patients had a positive outlook of their future lives, while 42 patients had a negative outlook. Factors as the financial burden, employment status, patients’ view on timing of surgery, and clinical recurrence were associated with patients’ outlook. In the multivariate analysis, only clinical recurrence was an independent risk factor for patient’s future outlook. Conclusion. From this survey, it is clear that most patients who underwent an elective bowel resection for CD are satisfied with their timing of surgery. Patients who have clinical recurrence carry a significant negative outlook for their future life. Postoperative management which focuses on preventing clinical recurrence may enhance patients’ outlook for the future.http://dx.doi.org/10.1155/2019/7674946 |
| spellingShingle | Shasha Tang Xiaolong Ge Weilin Qi Wei Liu Qian Cao Wei Zhou Assessment of Patients’ Future Outlook after Bowel Resection in Crohn’s Disease Gastroenterology Research and Practice |
| title | Assessment of Patients’ Future Outlook after Bowel Resection in Crohn’s Disease |
| title_full | Assessment of Patients’ Future Outlook after Bowel Resection in Crohn’s Disease |
| title_fullStr | Assessment of Patients’ Future Outlook after Bowel Resection in Crohn’s Disease |
| title_full_unstemmed | Assessment of Patients’ Future Outlook after Bowel Resection in Crohn’s Disease |
| title_short | Assessment of Patients’ Future Outlook after Bowel Resection in Crohn’s Disease |
| title_sort | assessment of patients future outlook after bowel resection in crohn s disease |
| url | http://dx.doi.org/10.1155/2019/7674946 |
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