QOL, other outcomes up with laparoscopic sx in diverticulitis

QOL, other outcomes up with laparoscopic sx in diverticulitis
(HealthDay)—For patients with uncomplicated diverticulitis, quality of life (QOL) and other patient-reported outcomes (PROs) are improved following laparoscopic surgery versus conservative treatment, according to a review published in the February issue of Clinical Gastroenterology and Hepatology.

Caroline S. Andeweg, M.D., Ph.D., from St. Jansdal in Harderwijk, Netherlands, and colleagues conducted a systematic review and meta-analysis of QOL and PROs after conservative versus surgical treatment for uncomplicated diverticulitis. They defined eight PROs, which were graded according to clinical relevance. Data were included from 21 studies with 1,858 patients; all studies had a high risk of bias.

The researchers found that for gastrointestinal symptoms or general QOL, there were no head-to-head comparisons between elective surgical versus conservative treatment of recurrent diverticulitis. Patients had higher QOL scores after elective laparoscopic resection than conservative treatment based on Short-Form 36 scores (73.4 versus 58.1, respectively). In all cohorts and in one trial comparing treatments, the proportion of patients with was lower after than conservative treatment (9 versus 36 percent; odds ratio, 0.35). The proportion of patients with chronic abdominal pain was 11 and 38 percent after elective laparoscopy and conservative treatment, respectively.

"On the basis of a and meta-analysis, patients have better QOL and fewer symptoms after laparoscopic surgery versus ," the authors write.


Explore further

High rate of symptoms, hospitalization following gastric bypass surgery for obesity

More information: Abstract
Full Text

Copyright © 2016 HealthDay. All rights reserved.

Citation: QOL, other outcomes up with laparoscopic sx in diverticulitis (2016, February 4) retrieved 19 June 2019 from https://medicalxpress.com/news/2016-02-qol-outcomes-laparoscopic-sx-diverticulitis.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
0 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more