Quality of Life in Women after Deep Endometriosis Surgery: Comparison with Spanish Standardized Values
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Cohort Enrollment
2.2. Sociodemographic and Clinical Variables
2.2.1. Type of Surgery
2.2.2. Compartment Affectation
2.3. Quality of Life by Short-Form 12 (SF-12)
2.4. Statistical Analysis
3. Results
3.1. Demographic and Clinical Characteristics
3.2. Quality of Life in Women with Deep Endometriosis Compared to a Reference Population
3.3. Type of Surgery and Quality of Live in Women with Deep Endometriosis
3.4. Secondary Clinical Outcome Related to Quality of Life in Women with Deep Endometriosis
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Mean (SD) | CI [95%] | Mean (SD) | CI [95%] | ||
---|---|---|---|---|---|
Physical function | 51.7 (8.3) | [50.8; 52.5] | Emotional role | 50.2 (9.1) | [49.3; 51.1] |
Physical role | 50.9 (9.0) | [50.0; 51.8] | Mental health | 49.5 (9.4) | [48.5; 50.4] |
Body pain | 50.7 (9.6) | [49.7; 51.7] | Vitality | 49.6 (9.9) | [48.5; 50.6] |
Social function | 50.9 (8.7) | [50.0; 51.8] | General health | 50.8 (9.1) | [49.9; 51.8] |
Physical component | 51.6 (8.1) | [50.7; 52.4] | Mental component | 49.3 (9.5) | [48.3; 50.3] |
Reference | Mean (SD) | CI [95%] | Magnitude | p-Value | |
---|---|---|---|---|---|
Physical function | 51.7 (8.3) | 20.3 (29.2) | [14.9; 25.8] | 0.4 | <0.001 |
Physical role | 50.9 (9.0) | 54.5 (45.3) | [46.0; 62.9] | 1.1 | 0.407 |
Body pain | 50.7 (9.6) | 64.1 (41.2) | [56.3; 71.8] | 1.3 | 0.001 |
Social function | 50.9 (8.7) | 29.7 (38.3) | [22.5; 36.9] | 0.6 | <0.001 |
Emotional role | 50.2 (9.1) | 62.5 (42.2) | [54.6; 70.4] | 1.2 | 0.003 |
Mental health | 49.5 (9.4) | 59.4 (26.0) | [54.5; 64.3] | 1.2 | <0.001 |
Vitality | 49.6 (9.9) | 59.3 (31.2) | [53.4; 65.1] | 1.1 | 0.001 |
General health | 50.8 (9.1) | 50.8 (34.0) | [44.4; 57.1] | 1.0 | 0.989 |
Physical component | 51.6 (8.1) | 37.8 (19.4) | [34.2; 41.5] | 0.7 | <0.001 |
Mental component | 49.3 (9.5) | 59.4 (26.6) | [54.4; 64.4] | 1.2 | <0.001 |
Hysterectomy | Double Adnexectomy | Fertility-Preserving Resection | |||||||
---|---|---|---|---|---|---|---|---|---|
No (n = 60) | Yes (n = 52) | p-Value | No (n = 72) | Yes (n = 40) | p-Value | No (n = 57) | Yes (n = 55) | p-Value | |
Physical function | 18.3 (28.3) | 22.6 (30.2) | 0.445 | 17.7 (26.7) | 25.0 (33.0) | 0.236 | 23.7 (30.8) | 16.8 (27.2) | 0.213 |
Physical role | 55.0 (44.8) | 53.8 (46.3) | 0.894 | 54.9 (45.3) | 53.8 (45.8) | 0.902 | 53.5 (46.2) | 55.5 (44.8) | 0.821 |
Body pain | 67.1 (40.0) | 60.6 (42.7) | 0.409 | 67.0 (38.6) | 58.8 (45.5) | 0.335 | 59.6 (43.2) | 68.6 (39.2) | 0.250 |
Social function | 30.0 (37.6) | 29.3 (39.5) | 0.927 | 28.5 (36.4) | 31.9 (42.0) | 0.668 | 30.3 (39.2) | 29.1 (37.8) | 0.872 |
Emotional role | 64.2 (40.2) | 60.6 (44.7) | 0.658 | 63.2 (41.1) | 61.2 (44.6) | 0.821 | 59.6 (22.8) | 65.5 (39.5) | 0.468 |
Mental health | 61.1 (24.1) | 57.5 (28.2) | 0.469 | 60.3 (23.1) | 57.8 (30.9) | 0.649 | 56.3 (29.0) | 62.6 (22.4) | 0.201 |
Vitality | 59.3 (30.1) | 59.2 (32.7) | 0.986 | 60.3 (29.7) | 57.5 (33.9) | 0.666 | 60.0 (33.6) | 58.5 (28.8) | 0.806 |
General health | 53.5 (32.4) | 47.6 (35.9) | 0.366 | 51.4 (33.1) | 49.6 (36.1) | 0.799 | 48.2 (36.0) | 53.4 (32.0) | 0.428 |
Physical component | 38.2 (20.4) | 37.4 (18.4) | 0.818 | 37.7 (19.1) | 38.1 (20.1) | 0.921 | 38.1 (19.2) | 37.5 (19.8) | 0.865 |
Mental component | 61.0 (26.1) | 57.6 (27.4) | 0.499 | 60.3 (23.9) | 57.9 (31.3) | 0.676 | 56.8 (29.0) | 62.1 (23.9) | 0.287 |
Anterior | Posterior | Lateral | |||||||
---|---|---|---|---|---|---|---|---|---|
No (n = 102) | Yes (n = 10) | p-Value | No (n = 14) | Yes (n = 98) | p-Value | No (n = 20) | Yes (n = 92) | p-Value | |
Physical function | 20.6 (29.1) | 17.5 (31.3) | 0.770 | 32.1 (35.9) | 18.6 (27.9) | 0.196 | 20.0 (34.0) | 20.4 (28.2) | 0.963 |
Physical role | 53.9 (45.4) | 60.0 (45.9) | 0.697 | 39.3 (44.6) | 56.6 (45.2) | 0.192 | 62.5 (45.5) | 52.7 (45.3) | 0.391 |
Body pain | 63.0 (41.3) | 75.0 (40.8) | 0.394 | 50.0 (49.0) | 66.1 (39.9) | 0.259 | 73.8 (41.7) | 62.0 (41.0) | 0.260 |
Social function | 31.6 (39.2) | 10.0 (21.1) | 0.013 | 41.1 (41.1) | 28.1 (37.9) | 0.280 | 25.0 (40.6) | 30.7 (38.0) | 0.569 |
Emotional role | 61.8 (42.3) | 70.0 (42.2) | 0.568 | 60.7 (40.1) | 62.8 (42.7) | 0.862 | 77.5 (34.3) | 59.2 (43.2) | 0.048 |
Mental health | 59.8 (26.0) | 55.6 (27.2) | 0.646 | 48.4 (24.5) | 61.0 (26.0) | 0.092 | 65.0 (25.8) | 58.2 (26.1) | 0.296 |
Vitality | 60.2 (31.1) | 50.0 (31.6) | 0.351 | 50.0 (37.4) | 52.9 (33.1) | 0.326 | 59.0 (30.8) | 59.3 (31.4) | 0.964 |
General health | 51.3 (33.9) | 45.0 (36.5) | 0.610 | 36.1 (37.9) | 52.9 (33.1) | 0.136 | 53.8 (34.9) | 50.1 (34.0) | 0.674 |
Physical component | 37.7 (19.5) | 38.8 (19.5) | 0.875 | 31.3 (24.9) | 38.8 (18.5) | 0.298 | 39.6 (17.3) | 37.4 (19.9) | 0.633 |
Mental component | 60.0 (26.6) | 52.9 (28.2) | 0.461 | 56.0 (29.6) | 59.9 (26.3) | 0.642 | 66.1 (22.3) | 57.9 (27.4) | 0.163 |
Concomitant Events | Reintervention | Surgical Approach | |||||||
---|---|---|---|---|---|---|---|---|---|
No (n = 83) | Yes (n = 28) | p-Value | No (n = 53) | Yes (n = 58) | p-Value | LPS (n = 109) | LPT (n = 3) | p-Value | |
Physical function | 21.1 (30.6) | 18.8 (25.1) | 0.690 | 17.5 (26.7) | 23.3 (31.4) | 0.293 | 20.4 (29.3) | 16.7 (28.9) | 0.844 |
Physical role | 56.0 (45.8) | 48.2 (44.1) | 0.426 | 55.7 (43.5) | 52.6 (47.2) | 0.722 | 55.0 (45.1) | 33.3 (57.7) | 0.583 |
Body pain | 65.1 (41.9) | 59.8 (39.9) | 0.556 | 66.5 (37.3) | 61.2 (44.7) | 0.498 | 64.7 (41.0) | 41.7 (52.0) | 0.525 |
Social function | 26.8 (37.4) | 39.3 (40.5) | 0.158 | 26.5 (36.3) | 32.8 (40.3) | 0.421 | 29.6 (38.1) | 33.3 (57.7) | 0.921 |
Emotional role | 63.3 (42.8) | 58.9 (40.9) | 0.635 | 63.2 (40.6) | 61.2 (44.0) | 0.804 | 62.8 (42.7) | 50.0 (0.0) | 0.002 |
Mental health | 58.8 (26.8) | 59.9 (23.3) | 0.829 | 59.5 (23.5) | 58.6 (28.1) | 0.852 | 59.9 (25.8) | 40.7 (33.9) | 0.431 |
Vitality | 60.5 (31.5) | 55.0 (30.6) | 0.420 | 62.3 (28.7) | 56.2 (33.4) | 0.307 | 60.0 (31.3) | 33.3 (11.5) | 0.038 |
General health | 52.5 (33.5) | 43.8 (34.7) | 0.249 | 50.7 (32.9) | 50.0 (35.0) | 0.919 | 50.9 (34.2) | 45.0 (34.6) | 0.797 |
Physical component | 38.5 (19.3) | 32.4 (19.3) | 0.097 | 37.7 (18.3) | 37.7 (20.6) | 0.990 | 38.1 (19.4) | 26.2 (18.2) | 0.374 |
Mental component | 58.4 (27.9) | 61.6 (22.8) | 0.544 | 60.0 (24.4) | 58.4 (28.7) | 0.762 | 59.8 (26.9) | 45.5 (2.04) | <0.001 |
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Hernández, A.; Muñoz, E.; Ramiro-Cortijo, D.; Spagnolo, E.; Lopez, A.; Sanz, A.; Redondo, C.; Salas, P.; Cristobal, I. Quality of Life in Women after Deep Endometriosis Surgery: Comparison with Spanish Standardized Values. J. Clin. Med. 2022, 11, 6192. https://doi.org/10.3390/jcm11206192
Hernández A, Muñoz E, Ramiro-Cortijo D, Spagnolo E, Lopez A, Sanz A, Redondo C, Salas P, Cristobal I. Quality of Life in Women after Deep Endometriosis Surgery: Comparison with Spanish Standardized Values. Journal of Clinical Medicine. 2022; 11(20):6192. https://doi.org/10.3390/jcm11206192
Chicago/Turabian StyleHernández, Alicia, Elena Muñoz, David Ramiro-Cortijo, Emanuela Spagnolo, Ana Lopez, Angela Sanz, Cristina Redondo, Patricia Salas, and Ignacio Cristobal. 2022. "Quality of Life in Women after Deep Endometriosis Surgery: Comparison with Spanish Standardized Values" Journal of Clinical Medicine 11, no. 20: 6192. https://doi.org/10.3390/jcm11206192
APA StyleHernández, A., Muñoz, E., Ramiro-Cortijo, D., Spagnolo, E., Lopez, A., Sanz, A., Redondo, C., Salas, P., & Cristobal, I. (2022). Quality of Life in Women after Deep Endometriosis Surgery: Comparison with Spanish Standardized Values. Journal of Clinical Medicine, 11(20), 6192. https://doi.org/10.3390/jcm11206192