SF-36 preoperative interest of predicting improvement of quality of life after laparoscopic management of minimal endometriosis

Valentin L, L. Valentin, Michel Canis, M Canis, J.-L. Pouly, Pouly JL, Lasnier C, C. Lasnier, P. Jaffeux, Jaffeux P, B Aublet-Cuvelier, Bruno Aublet‐Cuvelier, Aublet-Cuvelier B, Nicolas Bourdel, N Bourdel, Bourdel N
Journal of gynecology obstetrics and human reproduction · 2017 · vol. 46(2) , pp. 137–142 · doi:10.1016/j.jogoh.2016.12.004 · PMID:28403969 · W2583603884
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This study investigated how preoperative SF-36 scores predict quality of life improvements after laparoscopic surgery for minimal endometriosis.

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Abstract

THE PURPOSE OF THE STUDY: To study preoperative thresholds of the SF-36 components above which we can predict a high risk of failure in order to improve the quality of life after surgery for patients with minimal endometriosis. MATERIAL AND METHODS: Design: prospective and multicenter observational study between February 2004 and 2011. PATIENTS: 167 patients with operated minimal endometriosis. SETTING: for the Physical Component Summary (PCS) or the Mental Component Summary (MCS) subscales of the SF-36 questionnaire, an improvement defined by an increase of 5 points. INTERVENTION: evaluation by the SF-36 questionnaire the week before and one year after surgery. MEASUREMENT AND MAIN RESULTS: Success of surgery measured by an improvement in both components. We found significantly different initial variables between patients with improvement and those without: initial MCS score (P=0.0003), initial PCS score (P<0.0001) and dyspareunia (P=0.004). Multivariate analysis revealed only two significant variables. Initial MCS higher than 40 (OR=4.6) and initial PCS higher than 50 (OR=10.6) are risk factors for failure of improvement after surgery. CONCLUSION: Surgery is seldom a good treatment for improving QOL in minimal endometriosis. We set two thresholds for SF-36, 50 for PCS and 40 for MCS: above there is a very high risk of failure (86% of failure in our population). Under, the risk of failure remains high (54.3%). CANADIAN TASK FORCE CLASSIFICATION OF STUDY DESIGN: Evidence obtained from well-designed cohort or case-control studies, preferably from more than one center or research group.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Gynecologic Surgical Procedures Laparoscopy Quality of Life Quality of Life Surveys and Questionnaires Surveys and Questionnaires Uterine Diseases Adolescent Adolescent Adult Adult Case-Control Studies Case-Control Studies Endometriosis Endometriosis Endometriosis Endometriosis Female Female

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (26)

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