在内镜鼻手术后的五年EuroQol五维结果
Katherine Tashman1,2, Dara Adams2, Thad W Vickery2
1Harvard Medical School, Boston, Massachusetts, U.S.A.
The Laryngoscope
|December 21, 2023
概括
患有慢性鼻炎 (CRS) 的内镜外科手术的患者在长达五年的时间内持续改善了生活质量. 欧罗科尔5维 (EQ-5D) 调查显示,手术后疼痛,焦虑减少,日常活动改善.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 健康 结果 研究 研究 结果
- 生活质量研究 生命质量研究
背景情况:
- 慢性鼻炎 (CRS) 显著影响患者与健康相关的生活质量.
- 欧科尔5维 (EQ-5D) 是一款用于测量健康效用值 (HUV) 的验证仪器.
研究的目的:
- 评估CRS患者在内镜外科手术 (ESS) 后的五年健康相关生活质量结果.
- 为了确定与长期EQ-5D结果相关的因素,ESS后CRS.
主要方法:
- 一项前性观察队列研究,涉及1296名CRS患者.
- EQ-5D问卷在手术前和每年在ESS后的五年内进行.
- 配对t测试,麦克纳马测试和混合效应建模用于统计分析.
主要成果:
- 在ESS后的五年内,观察到疼痛/不适和焦虑/抑郁的显著和持续减少.
- 在通常的活动领域的改善在一年后被注意到,并持续到第四年.
- 诸如女性性别,先前的鼻手术,吸烟,并发症 (糖尿病,高血压) 和较高的手术前SNOT-22分数等因素与更糟糕的长期EQ-5D结果有关.
结论:
- 内镜外科手术导致CRS患者健康相关生活质量的显著和持续改善,长达五年.
- EQ-5D仪器有效地捕捉了这些长期生活质量变化.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
121
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
121
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
206
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
206
01:26Endoscopic Studies II: Thoracocentesis
271
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
271
01:25Endoscopic Procedures II: Colonoscopy
102
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
102