Effect of Age and Gender on Quality of Life in patients of Obstructive Jaundice

2021 ◽  
Vol 15 (12) ◽  
pp. 3150-3151
Author(s):  
Farhana Memon ◽  
Ashfaque Ahmed ◽  
Saima Sagheer ◽  
Fariya Usmani ◽  
Muhammad Naveed ◽  
...  

Aim: Effect of age and gender on quality of life in patients of obstructive jaundice. Methodology: This was a case control study conducted in OPD of General Surgery, Unit-1, Civil Hospital, Karachi. It is non-probability, consecutive sampling technique. The sample size was 195 subjects. 87 patients had an age between 18-60 years whereas 108 patients had >60 years of age. Either gender was included. QoL was measured by using SF-36 based on 8 domains. Data were analyzed through SPSS version-21 Results: Significant effect of age in obstructive jaundice patients on their QOL (p<0.01) where patients aged from 18 to 60 years had significantly higher SF-36 quality of life scores, both overall and in all eight individual domains than patients aged >60 years. Gender of the obstructive jaundice patients did not have a significant effect on their QOL, though the female patients had higher SF-36 quality of life scores, both overall and in all eight individual domains. Conclusion: Quality of life of obstructive jaundice patients were more improved with the age between 20-60 years than age >60 years, whereas gender had no significant impact on the quality of life. Keywords: Obstructive jaundice, age, gender, quality of life

2021 ◽  
Vol 15 (12) ◽  
pp. 3152-3153
Author(s):  
Ashfaque Ahmed ◽  
Farhana Memon ◽  
Fariya Usmani ◽  
Saima Sagheer ◽  
Sadaf Iqbal ◽  
...  

Aim: Effects of duration of biliary patenting on quality of life in patients suffering from obstructive jaundice. Methodology: A case control study in OPD of general surgery, Unit-1, Civil Hospital, Karachi, by using non-probability consecutive sampling technique. The sample size is 195 subjects with the age of 20-80 years for both the genders. Ethical approval was taken from the concerned department. 105 patients had a duration upto 12 months since biliary patenting whereas 90 patients had duration >12 months since biliary patenting. Results: Mean duration since biliary patenting was 11.9±3.7 months whereas 105 (53.8%) of them had biliary patenting within last one year while 90(46.2%) of them had biliary patenting over a year ago. Moreover, their mean total SF-36 quality of life score was 55.2±12.5. There was a statistically significant effect of duration since biliary patenting on quality of life of obstructive jaundice patients (p<0.01) where patients who had biliary patenting within the last year had significantly higher SF-36 QOL scores than patients who had biliary patenting >one year ago. Conclusion: In obstructive jaundice, quality of life was observed more better in those patients who had a duration upto 12 months than those who had duration >12 months since biliary patenting Keywords: Obstructive jaundice, Bile duct obstruction, malignant, polyp.


Author(s):  
Tjaša Filipčič ◽  
Špela Bogataj ◽  
Jernej Pajek ◽  
Maja Pajek

Hemodialysis (HD) patients have lower functional abilities compared to healthy people, and this is associated with lower physical activity in everyday life. This may affect their quality of life, but research on this topic is limited. Therefore, the present study aimed to determine the relationship between habitual physical activity and quality of life in HD patients and healthy controls. Ninety-three HD patients and 140 controls participated in the study. Quality of life was assessed using a 36-item medical outcomes study short-form health survey (SF-36). Human Activity Profile (HAP) was used to assess habitual physical activity. The adjusted activity score (AAS) from HAP, age, gender, fat tissue index (FTI), lean tissue index (LTI), and Davies comorbidity score were analyzed as possible predictors of the Physical Component Summary (PCS) of the SF-36. Three sequential linear models were used to model PCS. In Model 1, PCS was regressed by gender and age; in Model 2 the LTI, FTI, and Davies comorbidity scores were added. Model 3 also included AAS. After controlling for age and gender (ModelHD 1: p = 0.056), LTI, FTI, and Davies comorbidity score effects (ModelHD 2: p = 0.181), the AAS accounted for 32% of the variation in PCS of HD patients (ModelHD 3: p < 0.001). Consequently, the PCS of HD patients would increase by 0.431 points if the AAS increased by one point. However, in healthy controls, AAS had a lower impact than in the HD sample (B = 0.359 vs. 0.431), while the corresponding effects of age and gender (ModelH 1: p < 0.001), LTI, FTI, and Davies comorbidity score (ModelH 2: p < 0.001) were adjusted for. The proportion of variation in PCS attributed to AAS was 14.9% (ModelH 3: p < 0.001). The current study results showed that physical activity in everyday life as measured by the HAP questionnaire is associated to a higher degree with the quality of life of HD patients than in healthy subjects. Routine physical activity programs are therefore highly justified, and the nephrology community should play a leading role in this effort.


2021 ◽  
Author(s):  
Shangbo Niu ◽  
Dehong Yang ◽  
Yangyang Ma ◽  
Shengliang Lin ◽  
Xuhao Xu

Abstract BackgroundIntervertebral fusion and internal fixation are often applied to patients with lumbar spinal disease. Whether to remove the internal fixation after successful fusion remains uncertain, but such a question needs to be explored in light of concerns regarding patients’ quality of life and health insurance. We sought to probe if the removal of internal fixation after successful lumbar intervertebral fusion affects patients’ quality of life.MethodsThis was a real-world retrospective case–control study. Data of 102 patients who had undergone posterior lumbar fusion with cage and internal fixation to treat lumbar degenerative diseases were extracted from a single center from 2012 to 2020. Fifty-one patients had undergone internal fixation removal surgery, and 51 controls who retained internal fixations were matched according to demographic and medical characteristics. The quality of life of patients based on the Medical Outcomes Study Short Form 36 (SF-36) scale and their self-assessment were surveyed.ResultsThere was no statistical difference in the overall score of the SF-36 questionnaire between the two groups, but the general health (GH) subscore was lower in the case group than in the control group (P = 0.0284). Among those patients who underwent internal fixation removal, the quality of life was improved after instrument removal as indicated by an increased overall score (P = 0.0040), physical functioning (PF) (P = 0.0045), and bodily pain (BP) (P = 0.0008). Among patients with pre-surgery discomfort, instrument removal generated better outcomes in 25% and poor outcomes in 4.2%. Among patients without pre-surgery discomfort, instrument removal generated better outcomes in 7.4% and poor outcomes in 11.1%.ConclusionAmong patients who achieved successful posterior lumbar internal fixation, whether or not to remove the fixation instruments should be evaluated carefully. In patients experiencing discomfort, instrument removal could improve their quality of life, but the benefits and risks should be comprehensively explained to these patients. Instrument removal should not be routinely performed due to its limited or even negative effect in patients who do not report discomfort before surgery.


2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Sule Gokyildiz ◽  
Ergul Aslan ◽  
Nezihe Kizilkaya Beji ◽  
Meltem Mecdi

Objective. The purpose of this study is to identify menstruation characteristics of the women and the effects of menorrhagia on women’s quality of life. Methods. The study was designed as a descriptive, case-control one. Results. Of the women in the case group, 10.9% stated that their menstrual bleeding was severe and very severe before complaints while 73.2% described bleeding as severe or very severe after complaints. Among those who complained about menorrhagia, 46.7% pointed that they used hygienic products that are more protective than regular sanitary pads. Women also stated that their clothes, bed linens, and furniture got dirty parallel to the severity of the bleeding. In all subscales of SF-36 scale, quality of life of the women in the menorrhagia group was significantly lower than the ones in the control group (). Conclusion. Menorrhagia has negative effects on women’s quality of life. Therefore, quality of life of the women consulting the clinics with menorrhagia complaint should be investigated and effective approaches should be designed.


2013 ◽  
Vol 45 (4) ◽  
pp. 194-199 ◽  
Author(s):  
R. Promberger ◽  
A. Spitzer ◽  
J. Ott ◽  
J. Lenglinger ◽  
W. Eilenberg ◽  
...  

2012 ◽  
Vol 44 (5) ◽  
pp. 1346-1350 ◽  
Author(s):  
D. Masala ◽  
A. Mannocci ◽  
B. Unim ◽  
A. Del Cimmuto ◽  
F. Turchetta ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document