Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Anesthesiology
Published in: BMC Anesthesiology 1/2012

Open Access 01-12-2012 | Research article

Health-related quality of life following ambulatory surgery procedures: assessment by RAND-36

Authors: Kristiina Mattila, Merja Lahtela, Markku Hynynen

Published in: BMC Anesthesiology | Issue 1/2012

Login to get access

Abstract

Background

Increasing numbers of elective surgical procedures are performed as day-cases. The impact of ambulatory surgery on health-related quality of life in the recovery period has seldom been described.

Methods

We assessed health-related quality of life in 143 adult outpatients scheduled for arthroscopic procedures of the knee and shoulder joints, laparoscopic cholecystectomy and inguinal hernia repair using the RAND 36-Item Health Survey preoperatively and one week after patients had returned to work or comparable normal daily routines.

Results

Postoperatively all patient groups reported significant improvements in bodily pain and vitality. Physical functioning improved significantly in orthopedic and inguinal hernia patients. However, in the orthopedic groups, postoperative scores for physical health were still relatively lower compared to the general population reference values.

Conclusions

Ambulatory surgery has a positive impact on health-related quality of life. Assessment of the recovery process is necessary for recognition of potential areas of improvement in care and postoperative rehabilitation.
Appendix
Available only for authorised users
Literature
1.
Castoro C, Bertinato L, Baccaglini U, Drace CA, McKee M, with the collaboration of IAAS Executive Committee Members: Policy brief. Day surgery: making it happen. 2007, Brussels: WHO European Centre for Health Policy
2.
NHS Modernisation Agency: 10 High impact changes for service improvement and delivery: a guide for NHS leaders. 2004, London: NHS Modernisation Agency
3.
Engbaek J, Bartholdy J, Hjortso NC: Return hospital visits and morbidity within 60 days after day surgery: a retrospective study of 18,736 day surgical procedures. Acta Anaesthesiol Scand. 2006, 50: 911-919. 10.1111/j.1399-6576.2006.01090.x.CrossRefPubMed
4.
Fortier J, Chung F, Su J: Unanticipated admission after ambulatory surgery - a prospective study. Can J Anaesth. 1998, 45: 612-619. 10.1007/BF03012088.CrossRefPubMed
5.
Coley KC, Williams BA, DaPos SV, Chen C, Smith RB: Retrospective evaluation of unanticipated admissions and readmissions after same day surgery and associated costs. J Clin Anesth. 2002, 14: 349-353. 10.1016/S0952-8180(02)00371-9.CrossRefPubMed
6.
Mattila K, Hynynen M, for the Intensium Consortium Study Group: Day surgery in Finland: a prospective cohort study of 14 day-surgery units. Acta Anaesthesiol Scand. 2009, 53: 455-463. 10.1111/j.1399-6576.2008.01895.x.CrossRefPubMed
7.
Rudkin GE, Bacon AK, Burrow B, Chapman MH, Claxton M, Donovan B, Gibb D, Weber LS: Review of efficiencies and patient satisfaction in Australian and New Zealand Day surgery units: a pilot study. Anaesth Intensive Care. 1996, 24: 74-78.PubMed
8.
Avery KN, Gujral S, Blazeby JM: Patient-reported outcomes to evaluate surgery. Expert Rev Pharmacoecon Outcomes Res. 2008, 8: 43-50. 10.1586/14737167.8.1.43.CrossRefPubMed
9.
Wu CL, Berenholtz SM, Pronovost PJ, Fleisher LA: Systematic review and analysis of postdischarge symptoms after outpatient surgery. Anesthesiology. 2002, 96: 994-1003. 10.1097/00000542-200204000-00030.CrossRefPubMed
10.
Herrera FJ, Wong J, Chung F: A systematic review of postoperative recovery measurements after ambulatory surgery. Anesth Analg. 2007, 105: 63-69. 10.1213/01.ane.0000265534.73169.95.CrossRefPubMed
11.
Swan BA, Maislin G, Traber KB: Symptom distress and functional status changes during the first seven days after ambulatory surgery. Anesth Analg. 1998, 86: 739-745.PubMed
12.
Idvall E, Berg K, Unosson M, Brudin L, Nilsson U: Assessment of recovery after day surgery using a modified version of quality of recovery-40. Acta Anaesthesiol Scand. 2009, 53: 673-677. 10.1111/j.1399-6576.2009.01914.x.CrossRefPubMed
13.
Brattwall M, Warren Stomberg M, Rawal N, Segerdahl M, Jakobsson J, Houltz E: Patients' assessment of 4-week recovery after ambulatory surgery. Acta Anaesthesiol Scand. 2011, 55: 92-98. 10.1111/j.1399-6576.2010.02322.x.CrossRefPubMed
14.
Suhonen R, Virtanen H, Heikkinen K, Johansson K, Kaljonen A, Leppänen T, Salanterä S, Leino-Kilpi H: Health related quality of life of day-case surgery patients: a pre/posttest survey using the EuroQoL-5D. Qual Life Res. 2008, 17: 169-177. 10.1007/s11136-007-9292-3.CrossRefPubMed
15.
Williams BA, Dang Q, Bost JE, Irrgang JJ, Orebaugh SL, Bottegal MT, Kentor ML: General health and knee function outcomes from 7 days to 12 weeks after spinal anesthesia and multimodal analgesia for anterior cruciate ligament reconstruction. Anesth Analg. 2009, 108: 1296-1302. 10.1213/ane.0b013e318198d46e.CrossRefPubMedPubMedCentral
16.
Brattwall M, Stomberg MW, Rawal N, Segerdahl M, Houltz E, Jakobsson J: Patient assessed health profile: a six-month quality of life questionnaire survey after day surgery. Scand J Public Health. 2010, 38: 574-579. 10.1177/1403494810374221.CrossRefPubMed
17.
Hays RD, Morales LS: The RAND-36 measure of health-related quality of life. Ann Med. 2001, 33: 350-357. 10.3109/07853890109002089.CrossRefPubMed
18.
Aalto AM, Aro AR, Teperi J: RAND-36 as a measure of health-related quality of life. Reliability, construct validity and reference values in the Finnish general population. 1999, Helsinki: National Research and Development Center for Welfare and Health, in Finnish, summary in English
19.
Osoba D, King M: Meaningful differences. Assessing quality of life in clinical trials. Edited by: Fayers P, Hays R. 2005, UK: Oxford University Press, 243-257. 2
20.
Rabin R, de Charro F: EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001, 33: 337-343. 10.3109/07853890109002087.CrossRefPubMed
21.
Kaarlola A, Pettilä V, Kekki P: Performance of two measures of general health- related quality of life, the EQ-5D and the RAND-36 among critically ill patients. Intensive Care Med. 2004, 30: 2245-2252. 10.1007/s00134-004-2471-6.CrossRefPubMed
22.
Fei L, Filippone G, Trapani V, Cuttitta D, Iannuzzi E, Iannuzzi M, Galizia G, Moccia F, Signoriello G: Feasibility of primary inguinal hernia repair with a new mesh. World J Surg. 2006, 30: 1055-1062. 10.1007/s00268-005-0602-z.CrossRefPubMed
23.
Bitzer EM, Lorenz C, Nickel S, Dorning H, Trojan A: Patient-reported outcomes in hernia repair. Hernia. 2008, 12: 407-414. 10.1007/s10029-008-0364-2.CrossRefPubMed
24.
25.
Moseley JB, O'Malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP: A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med. 2002, 347: 81-88. 10.1056/NEJMoa013259.CrossRefPubMed
26.
Asch DA, Jedrziewski MK, Christakis NA: Response rates to mail surveys published in medical journals. J Clin Epidemiol. 1997, 50: 1129-1136. 10.1016/S0895-4356(97)00126-1.CrossRefPubMed
Metadata
Title
Health-related quality of life following ambulatory surgery procedures: assessment by RAND-36
Authors
Kristiina Mattila
Merja Lahtela
Markku Hynynen
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Anesthesiology / Issue 1/2012
Electronic ISSN: 1471-2253
DOI
https://doi.org/10.1186/1471-2253-12-30

Other articles of this Issue 1/2012

BMC Anesthesiology 1/2012 Go to the issue

Research article

A systematic review of the role of videolaryngoscopy in successful orotracheal intubation

Research article

Theoretical effect of hyperventilation on speed of recovery and risk of rehypnotization following recovery - a GasMan®simulation

Research article

Early diagnostic markers of sepsis after oesophagectomy (including thromboelastography)

Study protocol

ASAP ECMO: Antibiotic, Sedative and Analgesic Pharmacokinetics during Extracorporeal Membrane Oxygenation: a multi-centre study to optimise drug therapy during ECMO

Research article

Incidence and predictors of immediate complications following perioperative non-obstetric epidural punctures

Research article

The effect of crystalloid versus medium molecular weight colloid solution on post-operative nausea and vomiting after ambulatory gynecological surgery - a prospective randomized trial