Copyright
©The Author(s) 2021.
World J Gastrointest Surg. Sep 27, 2021; 13(9): 1050-1062
Published online Sep 27, 2021. doi: 10.4240/wjgs.v13.i9.1050
Published online Sep 27, 2021. doi: 10.4240/wjgs.v13.i9.1050
Table 1 Sociodemographic features of patients and their spouses (n = 100)
Sociodemographic features | Number of patients (male/female) | Number of spouses (male/female) |
Type of surgery | ||
APR (male/female) | 33 (24/9) | 33 (9/24) |
LAR (male/female) | 33 (17/16) | 33 (16/17) |
AR (male/female) | 34 (15/19) | 34 (19/15) |
Age (yr) | 57.4 ± 12.3 [57 (28-83)] | 56.7 ± 12.1 [58 (26-85)] |
Gender (male/female) | 56/44 | 44/56 |
Educational level | ||
Illiterate | 6 | 12 |
Primary education | 51 | 41 |
High school | 26 | 32 |
College | 17 | 15 |
Preoperative employment | ||
Government employee | 7 | 11 |
Self-employed | 20 | 17 |
Retired | 37 | 25 |
Unemployed | 5 | 3 |
Housewife | 31 | 44 |
Table 2 Correlation of the percentage change in quality of life scores between patients and their spouses
Scale | Subscale | Spearman’s correlation coefficient |
WHODAS-II | Understanding and communication | 0.183 |
Getting around | 0.037 | |
Self-care | 0.349b | |
Getting along with people | 0.189 | |
Life activities | 0.323 b | |
Participation in society | 0.312 b | |
Total | 0.636c | |
SF-36 | Physical function | 0.071 |
Role physical | -0.170 | |
Bodily pain | 0.246a | |
General health | 0.233a | |
PCS | -0.035 | |
Vitality | 0.271b | |
Social function | 0.487c | |
Role emotional | 0.483c | |
Mental health | 0.359c | |
MCS | 0.536c |
Table 3 Comparison of quality of life changes in patients and their spouses according to type of surgery
Scale | Subscale | Patient | Spouse | ||||||
APR | LAR | AR | P value | APR | LAR | AR | P value | ||
WHODAS-II | Understanding and communication | 16 ± 29 [0 (-33; 100)] | 1 ± 27 [0 (-100; 50)] | 7 ± 19 [0 (0; 86)] | 0.103 | 14 ± 30 [0 (0; 100)] | 15 ± 53 [0 (-100; 151)] | 2 ± 7 [0 (0; 25)] | 0.241 |
Getting around | 24 ± 54 [0 (-100; 200)] | 77 ± 133 [46 (-100; 500)] | 10 ± 26 [0 (0; 100)] | 0.0011 | 8 ± 27 [0 (-33; 100)] | 4 ± 26 [0 (-80; 100)] | -3 ± 17 [0 (-100; 11)] | 0.467 | |
Self-care | 4 ± 19 [0 (0; 100)] | 1 ± 34 [0 (-100; 133)] | 2 ± 13 [0 (0; 75)] | 0.830 | 0 | -3 ± 18 [0 (-100; 0)] | 2 ± 9 [0 (0; 50)] | 0.226 | |
Getting along with people | 107 ± 173 [50 (-100; 800)] | 64 ± 70 [88 (-33; 200)] | 3 ± 23 [0 (-100; 50)] | <0.0012 | 25 ± 47 [0 (-100; 100)] | 53 ± 67 [58 (-80; 200)] | 15 ± 30 [0 (0; 150)] | 0.099 | |
Life activities | 34 ± 86 [0 (-33; 400)] | 54 ± 86 [0 (-100; 300)] | 11 ± 71 [0 (-100; 300)] | 0.085 | 92 ± 128 [38 (0; 400)] | 128 ± 210 [0 (-100; 800)] | 10 ± 38 [0 (-100; 100)] | 0.0132 | |
Participation in society | 84 ± 66 [71 (-45; 300)] | 97 ± 123 [71 (-100; 550)] | 59 ± 70 [47 (-58; 300)] | 0.0362 | 50 ± 52 [43 (-100; 200)] | 63 ± 185 [13 (-100; 799)] | 38 ± 36 [31 (-50; 114)] | 0.0131 | |
Total | 83 ± 61 [57 (-41; 218)] | 112 ± 150 [66 (-100; 635)] | 55 ± 76 [29 (-57; 301)] | 0.0122 | 69 ± 67 [67 (-100; 349)] | 79 ± 89 [59 (-95; 301)] | 34 ± 40 [27 (-33; 200)] | 0.0022 | |
SF-36 | Physical function | -6 ± 10 [-4 (-44; 12)] | -8 ± 7 [-8 (-30; 3)] | 0 ± 4 [0 (-11; 15)] | < 0.0013 | 0 ± 1 [0 (-7; 0)] | 2 ± 12 [0 (-11; 65)] | -1 ± 4 [0 (-24; 0)] | 0.936 |
Physical role | -10 ± 20 [0 (-50; 14)] | -24 ± 32 [-29 (-50; 101)] | 9 ± 29 [0 (0; 101)] | < 0.0013 | 0 ± 14 [0 (-50; 61)] | 3 ± 13 [0 (-25; 33)] | 1 ± 20 [0 (-50; 101)] | 0.389 | |
Bodily pain | -16 ± 12 [-18 (-48; 12)] | -20 ± 15 [-19 (-53; 35)] | -8 ± 12 [-10 (-26; 24)] | < 0.0013 | 0 ± 9 [0 (-19; 24)] | -1 ± 15 [0 (-27; 68)] | -2 ± 7 [0 (-31; 11)] | 0.690 | |
General health | -17 ± 12 [-18 (-50; 0)] | -20 ± 12 [-22 (-48; 15)] | -10 ± 8 [-13 (-21; 16)] | 0.0013 | -3 ± 4 [-2 (-18; 8)] | -5 ± 6 [-5 (-22; 7)] | -3 ± 5 [0 (-16; 0)] | 0.077 | |
PCS | -10 ± 11 [-8 (-45; 13)] | -15 ± 11 [-19 (-35; 11)] | -3 ± 8 [-5 (-18; 32)] | < 0.0013 | 2 ± 7 [0 (-12; 18)] | 8 ± 7 [9 (-4; 19)] | -0 ± 9 [0 (-30; 27)] | < 0.0011 | |
Vitality | -7 ± 10 [-5 (-43; 5)] | -8 ± 13 [-10 (-19; 54)] | -4 ± 8 [-4 (-18; 28)] | 0.0191 | -4 ± 7 [-4 (-23; 12)] | -6 ± 16 [-5 (-21; 70)] | -3 ± 5 [0 (-16; 5)] | 0.0294 | |
Social function | -18 ± 14 [-19 (-37; 16)] | -22 ± 23 [-24 (-46; 61)] | -10 ± 17 [-13 (-47; 40)] | 0.0033 | -11 ± 13 [-12 (-38; 0)] | -22 ± 24 [-24 (-59; 61)] | -9 ± 11 [-12 (-40; 13)] | < 0.0011 | |
Emotional role | -18 ± 38 [0 (-57; 133)] | -39 ± 39 [-57 (-57; 133)] | 11 ± 39 [0 (-31; 133)] | < 0.0013 | -3 ± 36 [0 (-57; 133)] | -30 ± 39 [-47 (-57; 133)] | 3 ± 25 [0 (-47; 133)] | < 0.0011 | |
Mental health | -9 ± 10 -6 (-33; 19)] | -12 ± 21 [-11 (-33; 91)] | -6 ± 9 [-5 (-31; 16)] | 0.0021 | -7 ± 11 [0 (-31; 13)] | -8 ± 25 [-10 (-36; 115)] | -3 ± 8 [0 (-31; 8)] | 0.0071 | |
MCS | -16 ± 19 [-14 (-51; 44)] | -24 ± 30 [-32 (-45; 123)] | -4 ± 12 [-5 (-23; 25)] | < 0.0013 | -11 ± 18 [-5 (-55; 28)] | -29 ± 34 [-38 (-62; 124)] | -4 ± 10 [-3 (-33; 35)] | < 0.0011 |
Table 4 Comparison of the changes in patients’ and spouses’ quality of life according to gender
Patient | Spouse | ||||||
Scale | Subscale | Male | Female | P value | Male | Female | P value |
WHODAS-II | Understanding andcommunication | 8 ± 28 [0 (-100; 100)] | 9 ± 24 [0 (-27; 86)] | 0.829 | 6 ± 30 [0 (-100; 100)] | 14 ± 37 [0 (-100; 150)] | 0.127 |
Getting around | 43 ± 103 [0 (-100; 500)] | 27 ± 57 [0 (-100; 300)] | 0.900 | 5 ± 29 [0 (-100; 100)] | 2 ± 20 [0 (-80; 100)] | 0.247 | |
Self-care | 5 ± 24 [0 (0; 133)] | -1 ± 20 [0 (-100; 75)] | 0.343 | -1 ± 17 [0 (-100; 50) ] | 0 ± 0 [0 (0; 0)] | 1.000 | |
Getting along withpeople | 69 ± 138 [25 (-100; 800)] | 38 ± 66 [0 (-100; 200)] | 0.317 | 37 ± 58 [17 (0; 200)] | 25 ± 47 [0 (-100; 100)] | 0.322 | |
Life activities | 8 ± 47 [0 (-100; 150)] | 59 ± 104 [0 (-100; 400)] | 0.008 | 39 ± 96 [0 (-100; 350)] | 101 ± 174 [0 (-100; 800)] | 0.046 | |
Participation insociety | 72 ± 66 [69 (-100; 240)] | 91 ± 112 [60 (-50; 550)] | 0.593 | 77 ± 156 [37 (-17; 799)] | 29 ± 51 [20 (-100; 200)] | 0.044 | |
Total | 74 ± 85 [58 (-100; 400)] | 92 ± 123 [44 (-12; 635)] | 0.500 | 72 ± 74 [50 (-25; 301)] | 51 ± 66 [41 (-100; 349)] | 0.453 | |
SF-36 | Physical function | -4 ± 7 [-4 (-24; 15)] | -5 ± 9 [0 (-44; 3)] | 0.664 | -1 ± 4 [0 (-24; 7)] | 1 ± 9 [0 (-11; 65)] | 0.237 |
Physical role | -7 ± 34 [0 (-50; 101)] | -10 ± 26 [0 (-50; 101)] | 0.833 | 0 ± 13 [0 (-50; 33)] | 1 ± 19 [0 (-50; 101)] | 0.894 | |
Bodily pain | -14 ± 15 [-18 (-40; 35)] | -15 ± 13 [-11 (-53; 11)] | 0.842 | -3 ± 9 [0 (-31; 22)] | 0 ± 12 [0 (-27; 68)] | 0.456 | |
General health | -15 ± 12 [-14 (-36; 16)] | -16 ± 11 [-14 (-50; 0)] | 0.655 | -3 ± 5 [-0 (-22; 7)] | -4 ± 5 [0 (-18; 8)] | 0.766 | |
PCS | -8 ± 11 [-6 (-27; 32)] | -11 ± 11 [-8 (-45; 7)] | 0.465 | 3 ± 9 [1 (-30; 18)] | 3 ± 8 [1 (-15; 27)] | 0.911 | |
Vitality | -6 ± 11 [-7 (-22; 54)] | -7 ± 8 [-4 (-43; 5)] | 0.414 | -5 ± 7 [-4 (-21; 6)] | -4 ± 13 [-2 (-28; 70)] | 0.760 | |
Social function | -13 ± 20 [-15 (-40; 61)] | -21 ± 16 [-19 (-47; 18)] | 0.090 | -14 ± 15 [-12 (-53; 18)] | -14 ± 19 -13 (-59; 61)] | 0.615 | |
Emotional role | -15 ± 50 [0 (-57; 133)] | -15 ± 34 [0 (-57; 133)] | 0.447 | -14 ± 23 [0 (-57; 23)] | -7 ± 44 [0 (-57; 133)] | 0.832 | |
Mental health | -8 ± 18 [-11 (-33; 91)] | -10 ± 10 [-7 (-33; 4)] | 0.613 | -8 ± 11 [-6 (-31; 7)] | -5 ± 19 [-5 (-36; 115)] | 0.674 | |
MCS | -14 ± 27 [-16 (-44; 123)] | -15 ± 16 [-10 (-51; 25)] | 0.542 | -17 ± 18 [-6 (-61; 2)] | -14 ± 28 [-8 (-62; 124)] | 0.955 |
Table 5 Evaluation of the Ankara University Life Standards Questionnaire according to the type of surgery
Patient | Spouse | |||||||
Questions | APR | LAR | AR | P value | APR | LAR | AR | P value |
General health status1 | 0.58 ± 0.97 [1 (-2; 2)] | 0.75 ± 0.51 [1 (0; 2)] | 0.18 ± 0.72 [0 (-2; 2)] | 0.002 | 0.42 ± 0.66 [0 (0; 2)] | 0.66 ± 0.75 [1 (-1; 2)] | 0.15 ± 0.44 [0 (-1; 1)] | 0.006 |
General quality of life1 | 0.76 ± 0.71 [1 (-1; 2)] | 0.81 ± 0.59 [1 (0; 2)] | 0.50 ± 0.66 [0 (0; 2)] | 0.068 | 0.48 ± 0.71 [0 (-1; 2)] | 1.06 ± 0.84 [1 (0; 3)] | 0.32 ± 0.77 [0 (-2; 2)] | 0.001 |
Time to return to old life and activity (mo)2 | 4.17 ± 1.37 [5 (0; 5)] | 4.03 ± 1.52 [5 (0; 5)] | 3.70 ± 1.16 [4 (1; 5)] | 0.077 | 4.07 ± 1.14 [4 (0; 5)] | 3.57 ± 1.75 [4 (0; 5)] | 3 ± 1.53 [3 (0; 5)] | 0.018 |
Amount of time spent with spouse3 | ||||||||
Unchanged | 6 (18.2) | 10 (31.3) | 21 (61.8) | 5 (15.2) | 5 (15.6) | 22 (64.7) | ||
Decreased | 8 (24.2) | - | 8 (23.5) | 4 (12.1) | 1 (3.1) | 5 (14.7) | ||
Increased | 19 (57.6) | 22 (68.8) | 5 (14.7) | < 0.001 | 24 (72.7) | 26 (81.3) | 7 (20.6) | < 0.001 |
Amount of time spent at home3 | ||||||||
Unchanged | 5 (15.2) | 8 (25) | 26 (76.5) | 4 (12.1) | 4 (12.5) | 21 (61.8) | ||
Decreased | 3 (9.1) | - | 3 (8.8) | < 0.001 | 3 (9.1) | 1 (3.1) | 2 (5.9) | < 0.001 |
Increased | 25 (75.8) | 24 (75) | 5 (14.7) | 26 (78.8%) | 27 (84.4) | 11 (32.4) | ||
Sex life3 | ||||||||
Unchanged | 13 (39.4) | 18 (56.3) | 32 (94.1) | < 0.001 | 20 (60.6) | 19 (59.4) | 31 (91.2) | 0.005 |
Unavailable | 20 (60.6) | 14 (43.8) | 2 (5.9) | 13 (39.4) | 13 (40.6) | 3 (8.8) | ||
Praying3 | ||||||||
Unchanged | 13 (46.4) | 17 (68) | 26 (100) | < 0.001 | 27 (96.4) | 25 (96.2) | 22 (100) | NA |
Decreased | 15 (53.6) | 8 (32) | - | 1 (3.6) | 1 (3.8) | - | ||
Fasting3 | ||||||||
Unchanged | 10 (35.7) | 16 (64) | 24 (92.3) | < 0.001 | 25 (89.3%) | 25 (96.2) | 22 (100) | NA |
Decreased | 18 (64.3) | 79 (36) | 2 (7.7) | 3 (10.7) | 1 (3.8) | - | ||
Purifying aims3 | ||||||||
Unchanged | 22 (78.6) | 18 (72) | 25 (96.2) | 0.064 | 27 (96.4) | 25 (96.2) | 22 (100) | NA |
Decreased | 6 (21.4) | 7 (28) | 1 (3.8) | 1 (3.6) | 1 (3.8) | - |
- Citation: Aylaz G, Akyol C, Kocaay AF, Gökmen D, Yavuzarslan AB, Erkek AB, Kuzu MA. Quality of life after colorectal surgery: A prospective study of patients compared with their spouses. World J Gastrointest Surg 2021; 13(9): 1050-1062
- URL: https://www.wjgnet.com/1948-9366/full/v13/i9/1050.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v13.i9.1050