Age should not be a limiting factor in laparoscopic surgery: a prospective multicenter cohort study on quality of life after laparoscopic hysterectomy

Justine M Briët,1 Marian JE Mourits,1 Barbara L van Leeuwen,2 Edwin R van den Heuvel,3 Monique JA Kenkhuis,1 Henriette JG Arts,1 Geertruida H de Bock3 1Department of Gynecologic Oncology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; 2Department...

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Autores principales:	Briët JM, Mourits MJE, van Leeuwen BL, van den Heuvel ER, Kenkhuis MJA, Arts HJG, de Bock GH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	quality of life laparoscopic surgery hysterectomy elderly. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/bb9fa23ed065476cb2dab7df6dc227c2
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spelling	oai:doaj.org-article:bb9fa23ed065476cb2dab7df6dc227c22021-12-02T00:34:45ZAge should not be a limiting factor in laparoscopic surgery: a prospective multicenter cohort study on quality of life after laparoscopic hysterectomy1178-1998https://doaj.org/article/bb9fa23ed065476cb2dab7df6dc227c22018-12-01T00:00:00Zhttps://www.dovepress.com/age-should-not-be-a-limiting-factor-in-laparoscopic-surgery-a-prospect-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Justine M Briët,1 Marian JE Mourits,1 Barbara L van Leeuwen,2 Edwin R van den Heuvel,3 Monique JA Kenkhuis,1 Henriette JG Arts,1 Geertruida H de Bock3 1Department of Gynecologic Oncology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; 2Department of Surgical Oncology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; 3Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands Purpose: A prospective, multicenter cohort study was performed on the implementation of laparoscopic hysterectomy (LH) in the Netherlands. The aim of this study was to evaluate the impact of LH on quality of life (QOL) with respect to age up to 6 months postoperatively. Patients and methods: Women with an indication for LH, either for benign conditions or early-stage low-risk endometrial cancer were included. QOL was measured before and 6 weeks and 6 months after surgery, using the 36-item Short Form Health Survey. Mean QOL values were compared to an unselected, female, Dutch reference population. A longitudinal linear mixed model was applied to assess changes in QOL over time after LH and to determine if in patients ≥65 years of age QOL scores were different. Results: Data on 116 patients were available for analysis. The median age was 54 years at time of surgery (range 34–83) with an interquartile range of 43–65 years. Six months after LH, all QOL values were higher than before surgery and were equal to or higher than those of the reference population. Older women tend to score higher on QOL preoperatively, and these scores remain high postoperatively. Conclusion: After LH, QOL improves. Older women report higher QOL values preoperatively and QOL is still high 6 months after the operation. Age does not confer a negative impact on QOL following LH and should not be the reason to refrain from laparoscopic surgery. Keywords: quality of life, laparoscopic surgery, hysterectomy, elderlyBriët JMMourits MJEvan Leeuwen BLvan den Heuvel ERKenkhuis MJAArts HJGde Bock GHDove Medical Pressarticlequality of lifelaparoscopic surgeryhysterectomyelderly.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 2517-2526 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	quality of life laparoscopic surgery hysterectomy elderly. Geriatrics RC952-954.6
spellingShingle	quality of life laparoscopic surgery hysterectomy elderly. Geriatrics RC952-954.6 Briët JM Mourits MJE van Leeuwen BL van den Heuvel ER Kenkhuis MJA Arts HJG de Bock GH Age should not be a limiting factor in laparoscopic surgery: a prospective multicenter cohort study on quality of life after laparoscopic hysterectomy
description	Justine M Briët,1 Marian JE Mourits,1 Barbara L van Leeuwen,2 Edwin R van den Heuvel,3 Monique JA Kenkhuis,1 Henriette JG Arts,1 Geertruida H de Bock3 1Department of Gynecologic Oncology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; 2Department of Surgical Oncology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; 3Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands Purpose: A prospective, multicenter cohort study was performed on the implementation of laparoscopic hysterectomy (LH) in the Netherlands. The aim of this study was to evaluate the impact of LH on quality of life (QOL) with respect to age up to 6 months postoperatively. Patients and methods: Women with an indication for LH, either for benign conditions or early-stage low-risk endometrial cancer were included. QOL was measured before and 6 weeks and 6 months after surgery, using the 36-item Short Form Health Survey. Mean QOL values were compared to an unselected, female, Dutch reference population. A longitudinal linear mixed model was applied to assess changes in QOL over time after LH and to determine if in patients ≥65 years of age QOL scores were different. Results: Data on 116 patients were available for analysis. The median age was 54 years at time of surgery (range 34–83) with an interquartile range of 43–65 years. Six months after LH, all QOL values were higher than before surgery and were equal to or higher than those of the reference population. Older women tend to score higher on QOL preoperatively, and these scores remain high postoperatively. Conclusion: After LH, QOL improves. Older women report higher QOL values preoperatively and QOL is still high 6 months after the operation. Age does not confer a negative impact on QOL following LH and should not be the reason to refrain from laparoscopic surgery. Keywords: quality of life, laparoscopic surgery, hysterectomy, elderly
format	article
author	Briët JM Mourits MJE van Leeuwen BL van den Heuvel ER Kenkhuis MJA Arts HJG de Bock GH
author_facet	Briët JM Mourits MJE van Leeuwen BL van den Heuvel ER Kenkhuis MJA Arts HJG de Bock GH
author_sort	Briët JM
title	Age should not be a limiting factor in laparoscopic surgery: a prospective multicenter cohort study on quality of life after laparoscopic hysterectomy
title_short	Age should not be a limiting factor in laparoscopic surgery: a prospective multicenter cohort study on quality of life after laparoscopic hysterectomy
title_full	Age should not be a limiting factor in laparoscopic surgery: a prospective multicenter cohort study on quality of life after laparoscopic hysterectomy
title_fullStr	Age should not be a limiting factor in laparoscopic surgery: a prospective multicenter cohort study on quality of life after laparoscopic hysterectomy
title_full_unstemmed	Age should not be a limiting factor in laparoscopic surgery: a prospective multicenter cohort study on quality of life after laparoscopic hysterectomy
title_sort	age should not be a limiting factor in laparoscopic surgery: a prospective multicenter cohort study on quality of life after laparoscopic hysterectomy
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/bb9fa23ed065476cb2dab7df6dc227c2
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Age should not be a limiting factor in laparoscopic surgery: a prospective multicenter cohort study on quality of life after laparoscopic hysterectomy

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