This study aims at evaluating the effects of lung volume reduction versus respiratory rehabilitation on quality of life, assessed by three different questionnaires. Sixty emphysematous patients were randomised by computer to receive either surgery (n=30) or rehabilitation (n=30). Life quality was evaluated by the Nottingham Health Profile, the Short Form (SF)-36 item and the St George's questionnaires. As reported previously, dyspnoea index, forced expiratory volume in one second, residual volume, 6-min walk test and arterial oxygen tension improved after surgery more than after rehabilitation. Quality of life was significantly improved after surgery as follows Nottingham Health Profile physical mobility; SF-36 physical and social functioning, mental and general health, emotional role; St George's general, activity. At multivariate analysis 6- and 12-month changes after surgery of Short Form-36 physical functioning, general health, and St George's activity domains were significantly correlated with forced expiratory volume in one second, while Short Form-36 social functioning and Nottingham Health Profile isolation correlated with residual volume. Functional and especially symptomatic improvements persisted: dyspnoea index, residual volume, and Short Form-36 and St Georges's physical scores were still significant at 4 yrs. Surgery produces greater and longer effects than rehabilitation on quality of life by improving both physical and psychosocial domains. Symptomatic improvements persisted at 4 yrs.

Mineo, T.c., Ambrogi, A., Pompeo, E., Elia, S., Mineo, D., Bollero, P., et al. (2004). Impact of lung volume reduction surgery versus rehabilitation on quality of life. EUROPEAN RESPIRATORY JOURNAL, 23(2), 275-280 [10.1183/09031936.03.00025203].

Impact of lung volume reduction surgery versus rehabilitation on quality of life

POMPEO, EUGENIO;ELIA, STEFANO;MINEO, DAVIDE;BOLLERO, PATRIZIO;
2004-01-01

Abstract

This study aims at evaluating the effects of lung volume reduction versus respiratory rehabilitation on quality of life, assessed by three different questionnaires. Sixty emphysematous patients were randomised by computer to receive either surgery (n=30) or rehabilitation (n=30). Life quality was evaluated by the Nottingham Health Profile, the Short Form (SF)-36 item and the St George's questionnaires. As reported previously, dyspnoea index, forced expiratory volume in one second, residual volume, 6-min walk test and arterial oxygen tension improved after surgery more than after rehabilitation. Quality of life was significantly improved after surgery as follows Nottingham Health Profile physical mobility; SF-36 physical and social functioning, mental and general health, emotional role; St George's general, activity. At multivariate analysis 6- and 12-month changes after surgery of Short Form-36 physical functioning, general health, and St George's activity domains were significantly correlated with forced expiratory volume in one second, while Short Form-36 social functioning and Nottingham Health Profile isolation correlated with residual volume. Functional and especially symptomatic improvements persisted: dyspnoea index, residual volume, and Short Form-36 and St Georges's physical scores were still significant at 4 yrs. Surgery produces greater and longer effects than rehabilitation on quality of life by improving both physical and psychosocial domains. Symptomatic improvements persisted at 4 yrs.
2004
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/21 - CHIRURGIA TORACICA
English
Con Impact Factor ISI
emphysema; lung function; lung volume reduction surgery; quality of life; respiratory function tests; patient satisfaction; exercise therapy; humans; outcome and process assessment (health care); quality of life; activities of daily living; aged; thoracic surgery, video-assisted; pulmonary emphysema; patient education as topic; breathing exercises; pneumonectomy; postoperative complications; rome; follow-up studies; middle aged; dyspnea; female; male
Mineo, T.c., Ambrogi, A., Pompeo, E., Elia, S., Mineo, D., Bollero, P., et al. (2004). Impact of lung volume reduction surgery versus rehabilitation on quality of life. EUROPEAN RESPIRATORY JOURNAL, 23(2), 275-280 [10.1183/09031936.03.00025203].
Mineo, Tc; Ambrogi, A; Pompeo, E; Elia, S; Mineo, D; Bollero, P; Nofroni, I
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/28467
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