Patient reported outcomes after laparoscopic appendectomy for acute appendicitis

Langenbecks Arch Surg. 2024 Dec 24;410(1):15. doi: 10.1007/s00423-024-03584-6.

Abstract

Purpose: The purpose of this study is to establish more evidence to provide the clinicians with a greater knowledge on the patient reported outcomes and quality of life (QoL) after laparoscopic appendectomy (LA).

Method: 105 patients who had undergone LA for acute appendicitis regardless of severity, were included prospectively at Odense University Hospital, Svendborg. The patient reported consequence of surgery were assessed through the validated electronic survey from European-QoL questionnaire (5Q-5D-5L) including a self-reported VAS-score (0-100). The first survey was sent out the first day after surgery and the subsequent surveys at 7, 30 and 90 days. The replies was converted into an index-score expressing the QoL from 0 (death) to 1 (full health).

Results: All patients experienced pain/discomfort at day 1. At day 7, 30 and 90 it was 95%, 45% and 25%, respectively. The median index-score at day 1, 7, 30 and 90 was 0.778, 0.840, 0.984 and 1.00, respectively.

Keywords: 5Q-5D-5L; Acute appendicitis; Appendectomy; Patient reported outcomes; Quality of life.

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Aged
  • Appendectomy* / adverse effects
  • Appendicitis* / surgery
  • Female
  • Humans
  • Laparoscopy* / adverse effects
  • Male
  • Middle Aged
  • Pain, Postoperative
  • Patient Reported Outcome Measures*
  • Prospective Studies
  • Quality of Life*
  • Surveys and Questionnaires
  • Treatment Outcome
  • Young Adult