Quality of life after treatment of gallstones: results of a randomised study of lithotripsy and open cholecystectomy.
Eur J Surg
; 160(11): 613-7, 1994 Nov.
Article
em En
| MEDLINE
| ID: mdl-7858046
ABSTRACT
OBJECTIVE:
To compare quality of life after extracorporeal shock wave lithotripsy (ESWL) and open cholecystectomy for symptomatic gallstones.DESIGN:
Randomised study.SETTING:
University hospital, The Netherlands.SUBJECTS:
49 Patients, 23 of whom were randomized to undergo ESWL and 26 to undergo open cholecystectomy.INTERVENTIONS:
Health questionnaires were filled out before, and at 3, 6 and 12 months after treatment. MAIN OUTCOMEMEASURE:
Improvements of quality of life after one year.RESULTS:
Both treatments improved quality of life. Open cholecystectomy improved quality of life significantly better than ESWL (median percentage gains in Nottingham Health Profile scores at 1 year 17.1 and 10.5, respectively, p = 0.003).CONCLUSION:
Open cholecystectomy is superior to ESWL in improving quality of life, so cholecystectomy remains the treatment of choice for symptomatic gallstones. For patients who are unfit or unwilling to undergo operation, however, ESWL is adequate because most patients have some benefit from it in terms of quality of life.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Litotripsia
/
Colecistectomia
/
Colelitíase
Tipo de estudo:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
Aspecto:
Patient_preference
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Eur J Surg
Ano de publicação:
1994
Tipo de documento:
Article
País de afiliação:
Holanda