检索结果-南通市图书馆

Generic and disease-specific health-related quality of life in patients with Hirschsprung disease:A systematic review and meta-analysis

引用

World Journal of Gastroenterology 2022年第13期28卷 1362-1376页

作者： Veerle Huizer Naveen Wijekoon Daniëlle Roorda Jaap Oosterlaan Marc A Benninga lw ernest van heurn Shaman Rajindrajith Joep PM Derikx Department of Pediatric Surgery Emma Children's HospitalAmsterdam UMCUniversity of Amsterdam and Vrije Universiteit AmsterdamAmsterdam Reproduction and DevelopmentAmsterdam 1105 AZNetherlands Department of Surgery University of Colombo and Department of Paediatric SurgeryLady Ridgeway Hospital for ChildrenColombo 00800Sri Lanka Department of Pediatrics Emma Children's HospitalAmsterdam UMCUniversity of AmsterdamEmma Neuroscience GroupAmsterdam Reproduction and DevelopmentAmsterdam 1105 AZNetherlands Department of Pediatrics Lady Ridgeway Hospital for ChildrenColombo 00800Sri Lanka

BACKGROUND Patients with Hirschsprung disease(HD)are at risk of persistent constipation,fecal incontinence or recurrent enterocolitis after surgical treatment,which in turn may impact physical and psychosocial *** health-related quality of life(HRQoL)and disease-specific health-related quality of life are relevant outcome measures to assess the impact of HD on the QoL of these *** To summarize all available evidence on HRQoL of patients with HD after surgery and the impact of possible moderating *** Pubmed,Web of Sciences,Psyc Info and Embase were searched with search terms related to’Hirschsprung disease’,’Pediatrics’and’Quality of life’.Mean and standard deviation of generic HRQoL overall and domain scores were extracted from each study,as well as data describing potential factors associated with *** effect models were used for meta-analytic aggregation of generic HRQoL ***-regression was used to assess the relationship between patient and clinical characteristics and generic ***-specific HRQoL outcomes of patients with HD were systematically *** Seventeen articles were included in the systematic review(n=1137 patients)and 15 in the quantitative meta-analysis(n=1024 patients).Four studies reported disease-specific ***’s age ranged between 0 and 21 ***-analytic aggregation showed a nonsignificantly impaired generic HRQoL(d=-0.168[95%CI:-0.481;0.145],P=0.293,I^(2)=94.9)in patients with HD compared to healthy ***(d=-0.042[95%CI:-0.419;0.335],P=0.829,I^(2)=95.1),psychosocial(d=-0.159[95%CI:-0.458;0.141],P=0.299,I^(2)=93.6)and social HRQoL(d=-0.092[95%CI:-0.642;0.457],P=0.742,I^(2)=92.3)were also not significantly lower compared to healthy *** was no relation between health-related outcomes and the sex of the patients and whether generic HRQoL was measured by parental proxy or ***-specific complaints of patients with HD impaired physical

关键词： Hirschsprung disease Health-related quality of life Meta-analysis Systematic review Pediatrics

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Should primary anastomosis be considered more?A retrospective analysis of anastomotic complications in young children

引用

World Journal of Pediatric Surgery 2023年第4期6卷 224-230页

作者： Laurens D.Eeftinck Schattenkerk Gijsbert D.Musters Wouter J.de Jonge L.W.(ernest)van heurn Joep PM Derikx Department of Pediatric Surgery Emma Children’s HospitalAmsterdam UMCUniversity of Amsterdam and Vrije Universiteit AmsterdamAmsterdamThe Netherlands Tytgat Institute for Liver and Intestinal Research Amsterdam UMCUniversity of AmsterdamAmsterdamThe Netherlands Department of General VisceralThoracic and Vascular SurgeryUniversity Hospital BonnBonnGermany

Objective Little is known about intestinal anastomotic leakage and stenosis in young children(≤3 years of age).The purpose of this study is to answer the following questions:(1)what is the incidence of anastomotic stenosis and leakage in infants?(2)which surgical diseases entail the highest incidence of anastomotic stenosis and leakage?(3)what are perioperative factors associated with anastomotic stenosis and leakage?Methods Patients who underwent an intestinal anastomosis during primary abdominal surgery in our tertiary referral centre between 1998 and 2018 were retrospectively *** general incidence and incidence per disease of anastomotic complications were *** risk factors(location and type of anastomosis,mode of suturing,and suture resorption time)were evaluated by multivariate Cox regression for anastomotic *** and American Society of Anaesthesiology(ASA)score of≥Ⅲwere evaluated byχ^(2)test for anastomotic *** In total,477 patients underwent an *** most prominent diseases are intestinal atresia(30%),Hirschsprung’s disease(29%),and necrotizing enterocolitis(14%).Anastomotic stenosis developed in 7%(34/468)of the patients with highest occurrence in necrotizing enterocolitis(14%,9/65).Colonic anastomosis was associated with an increased risk of anastomotic stenosis(hazard ratio(HR)=3.6,95%CI 1.8 to 7.5).No technical features(type of anastomosis,suture resorption time and mode of suturing)were significantly associated with stenosis *** leakage developed in 5%(22/477)of the patients,with the highest occurrence in patients with intestinal atresia(6%,9/143).An ASA score of≥Ⅲ(p=0.03)and male gender(p=0.03)were significantly associated with anastomotic *** Both anastomotic stenosis and leakage are major surgical *** more patient specific factors can result in better treatment selection,which should not solely be based on the type of disease.

关键词： anastomosis anastomotic complications

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：