Table of Contents
ISRN Gastroenterology
Volume 2011, Article ID 507389, 5 pages
http://dx.doi.org/10.5402/2011/507389
Clinical Study

Registration of Health-Related Quality of Life in a Cohort of Patients Undergoing Cholecystectomy

1Department of Surgery, Lund University Hospital, 22242 Lund, Sweden
2Department of Surgery, Uppsala University Hospital (Akademiska), 75185 Uppsala, Sweden
3Department of Surgery, Mora Hospital, 79285 Mora, Sweden
4CLINTEC, Karolinska Institutet, 14186 Stockholm, Sweden

Received 16 March 2011; Accepted 28 April 2011

Academic Editors: A. Amedei and A. J. Karayiannakis

Copyright © 2011 Simon Henry Pålsson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Assessment of gallstone surgery’s impact on quality of life (QoL) requires a reliable instrument with sufficient responsiveness. The instrument should also enable estimation of each individual’s expected condition in an unaffected state. Materials and Methods. The Swedish Register for Gallstone Surgery and ERCP (GallRiks) registers indications, complications, results, and QoL-outcome of gallstone surgery. In 2008, 68 hospitals were registered in GallRiks. Between 2007 and 2008, SF-36 (a short form health survey) was filled in 1-2 weeks pre- and 6–9 months postoperatively at five of the units. Expected scores were determined from an age- and gender-matched Swedish population (AGMSP). Results. Of the 330 patients, 212 responded to SF36 pre- and postoperatively (RR = 64%; 212/330). Standardized response means ranged from 0.20 to 0.93 for the SF-36 subscores. Highest responsiveness was seen for bodily pain. Preoperatively, all subscores were significantly lower than in the AGMSP (all ๐‘ƒ < . 0 5 ). Six months postoperatively, there was no significant difference between any of the observed and expected quality of life subscales. Conclusion. SF-36 is a useful instrument for measuring the impact of gallstone surgery on QoL. The postinterventional health status equalled or even exceeded the AGMSP for all subscales.