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Improvement in quality of life among Sri Lankan patients with haemorrhoids after invasive treatment: a longitudinal observational study

Abstract Background Haemorrhoids is a common chronic disease that can significantly impact patients’ quality of life. Yet, few studies have evaluated health-related quality of life (HRQoL) of patients with haemorrhoids before and after treatment. This study investigated the HRQoL of patients with ha...

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Published in:BJS open 2021-03, Vol.5 (2)
Main Authors: Keong, S Y J, Tan, H K, Lamawansa, M D, Allen, J C, Low, Z L, Østbye, T
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Tan, H K
Lamawansa, M D
Allen, J C
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description Abstract Background Haemorrhoids is a common chronic disease that can significantly impact patients’ quality of life. Yet, few studies have evaluated health-related quality of life (HRQoL) of patients with haemorrhoids before and after treatment. This study investigated the HRQoL of patients with haemorrhoids before and after treatment and the change in HRQoL from baseline. Methods A prospective observational study of patients with haemorrhoids was conducted at two public hospitals in Kandy, Sri Lanka. Two questionnaires assessing symptom severity and haemorrhoid-specific QoL were administered at initial consultation and at 4- and 8-week follow-ups after treatment (sclerotherapy, rubber band ligation (RBL), haemorrhoidectomy or evacuation of haematoma). The primary outcome was the least squares (LS) change of HRQoL score from baseline, measured using the Short Health Scale adapted for Haemorrhoidal Disease (4 domains: symptom load, interference with daily activities, concern, general well-being). Results In 48 patients selected for this study, LS mean change from baseline showed significant improvement in HRQoL across all domains and total Short Health Scale adapted for Haemorrhoidal Disease score at 4- and 8-week follow-ups (P 
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Yet, few studies have evaluated health-related quality of life (HRQoL) of patients with haemorrhoids before and after treatment. This study investigated the HRQoL of patients with haemorrhoids before and after treatment and the change in HRQoL from baseline. Methods A prospective observational study of patients with haemorrhoids was conducted at two public hospitals in Kandy, Sri Lanka. Two questionnaires assessing symptom severity and haemorrhoid-specific QoL were administered at initial consultation and at 4- and 8-week follow-ups after treatment (sclerotherapy, rubber band ligation (RBL), haemorrhoidectomy or evacuation of haematoma). The primary outcome was the least squares (LS) change of HRQoL score from baseline, measured using the Short Health Scale adapted for Haemorrhoidal Disease (4 domains: symptom load, interference with daily activities, concern, general well-being). Results In 48 patients selected for this study, LS mean change from baseline showed significant improvement in HRQoL across all domains and total Short Health Scale adapted for Haemorrhoidal Disease score at 4- and 8-week follow-ups (P &lt; 0.001). Difference in LS mean change from baseline also showed continued improvement of HRQoL from week 4 to week 8 (P &lt; 0.010). ‘Concern’ showed greatest improvement at 4 and 8 weeks (P &lt; 0.001). Averaged LS mean changes from baseline showed RBL had greater improvement of HRQoL compared with sclerotherapy (P = 0.004). Conclusion Patients with haemorrhoids had improved HRQoL after invasive treatment. Haemorrhoid-specific QoL is an important component of the extent of disease and can serve as an aid to guide treatment, assess outcomes and monitor disease.</description><identifier>ISSN: 2474-9842</identifier><identifier>EISSN: 2474-9842</identifier><identifier>DOI: 10.1093/bjsopen/zrab014</identifier><identifier>PMID: 33960376</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adolescent ; Adult ; Female ; Hemorrhoidectomy ; Hemorrhoids - therapy ; Humans ; Ligation ; Longitudinal Studies ; Male ; Middle Aged ; Original ; Prospective Studies ; Quality of Life ; Sclerotherapy ; Severity of Illness Index ; Sri Lanka ; Treatment Outcome ; Young Adult</subject><ispartof>BJS open, 2021-03, Vol.5 (2)</ispartof><rights>The Author(s) 2021. Published by Oxford University Press on behalf of BJS Society Ltd. 2021</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of BJS Society Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-affd6d16188e002a741d6553d39b494a00b0f3db5735c4da27daa762b79491843</citedby><cites>FETCH-LOGICAL-c428t-affd6d16188e002a741d6553d39b494a00b0f3db5735c4da27daa762b79491843</cites><orcidid>0000-0002-9738-0614</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088290/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088290/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,733,786,790,891,1591,27957,27958,53827,53829</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33960376$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Keong, S Y J</creatorcontrib><creatorcontrib>Tan, H K</creatorcontrib><creatorcontrib>Lamawansa, M D</creatorcontrib><creatorcontrib>Allen, J C</creatorcontrib><creatorcontrib>Low, Z L</creatorcontrib><creatorcontrib>Østbye, T</creatorcontrib><title>Improvement in quality of life among Sri Lankan patients with haemorrhoids after invasive treatment: a longitudinal observational study</title><title>BJS open</title><addtitle>BJS Open</addtitle><description>Abstract Background Haemorrhoids is a common chronic disease that can significantly impact patients’ quality of life. Yet, few studies have evaluated health-related quality of life (HRQoL) of patients with haemorrhoids before and after treatment. This study investigated the HRQoL of patients with haemorrhoids before and after treatment and the change in HRQoL from baseline. Methods A prospective observational study of patients with haemorrhoids was conducted at two public hospitals in Kandy, Sri Lanka. Two questionnaires assessing symptom severity and haemorrhoid-specific QoL were administered at initial consultation and at 4- and 8-week follow-ups after treatment (sclerotherapy, rubber band ligation (RBL), haemorrhoidectomy or evacuation of haematoma). The primary outcome was the least squares (LS) change of HRQoL score from baseline, measured using the Short Health Scale adapted for Haemorrhoidal Disease (4 domains: symptom load, interference with daily activities, concern, general well-being). Results In 48 patients selected for this study, LS mean change from baseline showed significant improvement in HRQoL across all domains and total Short Health Scale adapted for Haemorrhoidal Disease score at 4- and 8-week follow-ups (P &lt; 0.001). Difference in LS mean change from baseline also showed continued improvement of HRQoL from week 4 to week 8 (P &lt; 0.010). ‘Concern’ showed greatest improvement at 4 and 8 weeks (P &lt; 0.001). Averaged LS mean changes from baseline showed RBL had greater improvement of HRQoL compared with sclerotherapy (P = 0.004). Conclusion Patients with haemorrhoids had improved HRQoL after invasive treatment. Haemorrhoid-specific QoL is an important component of the extent of disease and can serve as an aid to guide treatment, assess outcomes and monitor disease.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Female</subject><subject>Hemorrhoidectomy</subject><subject>Hemorrhoids - therapy</subject><subject>Humans</subject><subject>Ligation</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Sclerotherapy</subject><subject>Severity of Illness Index</subject><subject>Sri Lanka</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>2474-9842</issn><issn>2474-9842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqFkc1O3DAURq0KVBBl3V3lJUKajv-SOF0gVai0SCN1Aaytm9hhTBM72E7Q9AV47Xo0A6IrVr72PT6-1ofQZ0q-UlLzZfMQ_Wjc8m-AhlDxAR0zUYlFLQU7eFMfodMYHwghVDJaCfoRHXFel4RX5TF6vh7G4GczGJewdfhxgt6mDfYd7m1nMAze3eObYPEK3B9weIRkMxvxk01rvAYz-BDW3uqIoUsmZMkM0c4Gp2Agbb3fMOA-a2yatHXQY99EE-Ys8ttdzMebT-iwgz6a0_16gu6uftxe_lqsfv-8vvy-WrSCybSArtOlpiWV0hDCIH9Hl0XBNa8bUQsgpCEd101R8aIVGlilAaqSNVUtaioFP0EXO-84NYPRbR4vQK_GYAcIG-XBqv87zq7VvZ-VJFKymmTB2V4Q_ONkYlKDja3pe3DGT1GxggleSFHRjC53aBt8jMF0r89QorYJqn2Cap9gvvHl7XSv_EteGTjfAX4a37X9A7HUrUc</recordid><startdate>20210305</startdate><enddate>20210305</enddate><creator>Keong, S Y J</creator><creator>Tan, H K</creator><creator>Lamawansa, M D</creator><creator>Allen, J C</creator><creator>Low, Z L</creator><creator>Østbye, T</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9738-0614</orcidid></search><sort><creationdate>20210305</creationdate><title>Improvement in quality of life among Sri Lankan patients with haemorrhoids after invasive treatment: a longitudinal observational study</title><author>Keong, S Y J ; Tan, H K ; Lamawansa, M D ; Allen, J C ; Low, Z L ; Østbye, T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-affd6d16188e002a741d6553d39b494a00b0f3db5735c4da27daa762b79491843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Female</topic><topic>Hemorrhoidectomy</topic><topic>Hemorrhoids - therapy</topic><topic>Humans</topic><topic>Ligation</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Sclerotherapy</topic><topic>Severity of Illness Index</topic><topic>Sri Lanka</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keong, S Y J</creatorcontrib><creatorcontrib>Tan, H K</creatorcontrib><creatorcontrib>Lamawansa, M D</creatorcontrib><creatorcontrib>Allen, J C</creatorcontrib><creatorcontrib>Low, Z L</creatorcontrib><creatorcontrib>Østbye, T</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BJS open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keong, S Y J</au><au>Tan, H K</au><au>Lamawansa, M D</au><au>Allen, J C</au><au>Low, Z L</au><au>Østbye, T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improvement in quality of life among Sri Lankan patients with haemorrhoids after invasive treatment: a longitudinal observational study</atitle><jtitle>BJS open</jtitle><addtitle>BJS Open</addtitle><date>2021-03-05</date><risdate>2021</risdate><volume>5</volume><issue>2</issue><issn>2474-9842</issn><eissn>2474-9842</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Undefined-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><abstract>Abstract Background Haemorrhoids is a common chronic disease that can significantly impact patients’ quality of life. Yet, few studies have evaluated health-related quality of life (HRQoL) of patients with haemorrhoids before and after treatment. This study investigated the HRQoL of patients with haemorrhoids before and after treatment and the change in HRQoL from baseline. Methods A prospective observational study of patients with haemorrhoids was conducted at two public hospitals in Kandy, Sri Lanka. Two questionnaires assessing symptom severity and haemorrhoid-specific QoL were administered at initial consultation and at 4- and 8-week follow-ups after treatment (sclerotherapy, rubber band ligation (RBL), haemorrhoidectomy or evacuation of haematoma). The primary outcome was the least squares (LS) change of HRQoL score from baseline, measured using the Short Health Scale adapted for Haemorrhoidal Disease (4 domains: symptom load, interference with daily activities, concern, general well-being). Results In 48 patients selected for this study, LS mean change from baseline showed significant improvement in HRQoL across all domains and total Short Health Scale adapted for Haemorrhoidal Disease score at 4- and 8-week follow-ups (P &lt; 0.001). Difference in LS mean change from baseline also showed continued improvement of HRQoL from week 4 to week 8 (P &lt; 0.010). ‘Concern’ showed greatest improvement at 4 and 8 weeks (P &lt; 0.001). Averaged LS mean changes from baseline showed RBL had greater improvement of HRQoL compared with sclerotherapy (P = 0.004). Conclusion Patients with haemorrhoids had improved HRQoL after invasive treatment. Haemorrhoid-specific QoL is an important component of the extent of disease and can serve as an aid to guide treatment, assess outcomes and monitor disease.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>33960376</pmid><doi>10.1093/bjsopen/zrab014</doi><orcidid>https://orcid.org/0000-0002-9738-0614</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Female
Hemorrhoidectomy
Hemorrhoids - therapy
Humans
Ligation
Longitudinal Studies
Male
Middle Aged
Original
Prospective Studies
Quality of Life
Sclerotherapy
Severity of Illness Index
Sri Lanka
Treatment Outcome
Young Adult
title Improvement in quality of life among Sri Lankan patients with haemorrhoids after invasive treatment: a longitudinal observational study
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