Intestinal surgery for Crohn's disease: Predictors of recovery, quality of life, and costs

Marco Scarpa, Cesare Ruffolo, Domenico Bassi, Riccardo Boetto, Renata D'Incà, Andrea Buda, Giacomo C. Sturniolo, Imerio Angriman

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: The aim of this prospective study was to analyze the impact of different surgical techniques on patients undergoing intestinal surgery for Crohn's disease (CD) in terms of recovery, quality of life, and direct and indirect costs. Patients and methods: Forty-seven consecutive patients admitted for intestinal surgery for CD were enrolled in this prospective study. Surgical procedures were evaluated as possible predictors of outcome in terms of disability status (Barthel's Index), quality of life (Cleveland Global Quality of Life score), body image, disease activity (Harvey-Bradshaw Activity Index), and costs (calculated in 2008 Euros). Univariate and multivariate analyses were performed. Results: Significant predictors of a long postoperative hospital stay were the creation of a stoma, postoperative complications, disability status on the third post-operative day, and surgical access (R2 =0.59, p2=0.53, p

Original languageEnglish
Pages (from-to)2128-2135
Number of pages8
JournalJournal of Gastrointestinal Surgery
Volume13
Issue number12
DOIs
Publication statusPublished - Dec 2009

Keywords

  • Crohn's disease
  • Ileostomy
  • Laparoscopic assisted bowel resection
  • Strictureplasty

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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