A prospective evaluation of health-related quality of life after ileal pouch anal anastomosis for ulcerative colitis.

Published

Journal Article

OBJECTIVES: The ileal pouch anal anastomosis is a safe and effective procedure but is also associated with pouchitis, small bowel obstruction, and incontinence. We prospectively evaluated the health-related quality of life using generic and disease-specific measures in a cohort of patients with ulcerative colitis undergoing ileal pouch anal anastomosis. METHODS: Health-related quality of life measures included the Time Trade-off, Rating Form of IBD Patient Concerns, and the Short-Form 36. Assessments occurred preoperatively and 1, 6, and 12 months postoperatively. RESULTS: Time Trade-off scores had significantly improved at the 1-month postoperative assessment and approached perfect health at the 12-month postoperative assessment. The Rating Form of IBD Patient Concerns revealed a significant reduction in patient concerns at 1 month, and this difference persisted at 6 and 12 months. Seven of the eight subscales of the Short-Form 36 revealed improved health-related quality of life postoperatively. CONCLUSIONS: Health-related quality of life improved after ileal pouch anal anastomosis when assessed with both generic and disease-specific measures. Improvements were observed as early as 1 month postoperatively. These results may guide patients and physicians as they consider and prepare for the impact of ileal pouch anal anastomosis.

Full Text

Duke Authors

Cited Authors

  • Muir, AJ; Edwards, LJ; Sanders, LL; Bollinger, RR; Koruda, MJ; Bachwich, DR; Provenzale, D

Published Date

  • May 2001

Published In

Volume / Issue

  • 96 / 5

Start / End Page

  • 1480 - 1485

PubMed ID

  • 11374686

Pubmed Central ID

  • 11374686

Electronic International Standard Serial Number (EISSN)

  • 1572-0241

International Standard Serial Number (ISSN)

  • 0002-9270

Digital Object Identifier (DOI)

  • 10.1111/j.1572-0241.2001.03801.x

Language

  • eng