Recovery to Usual Activity After Outpatient Anorectal Surgery.

Details

Serval ID
serval:BIB_6509C507D0BA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Recovery to Usual Activity After Outpatient Anorectal Surgery.
Journal
World journal of surgery
Author(s)
Djafarrian R., Hübner M., Vuagniaux A., Duvoisin C., Martin D., Demartines N., Hahnloser D.
ISSN
1432-2323 (Electronic)
ISSN-L
0364-2313
Publication state
Published
Issued date
06/2020
Peer-reviewed
Oui
Volume
44
Number
6
Pages
1985-1993
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Most elective anorectal procedures are performed in an outpatient setting, and the supposed recovery time is short. The aim of the present study was to assess return to usual physical activity (UPA), return to work and quality of life (QOL).
This prospective single-center cohort study included consecutive patients undergoing outpatient anorectal procedures. Physical and work activities were assessed using the validated International Physical Activity Questionnaire 7 days before surgery and 7, 14 and 30 days thereafter. In addition, patients were inquired daily on their postoperative QOL until postoperative day (POD)10 on a visual analogue scale (0-10). Patients were stratified by their preoperative physical activity score (POPAS; low, moderate and high).
Out of 379 patients, 100 (63 men) were included with a median age of 40 years [interquartile range (IQR) 27]. General QOL was rated at a median of 8/10 (IQR 3.5) at POD10. On POD30, only 69% and 71% of patients had returned to UPA and work, respectively. Patients who returned to UPA at POD30 had a better median QOL at POD10 than those who did not (9 vs. 7/10, p = 0.015). Patients with low POPAS and moderate POPAS returned to UPA earlier than patients with high POPAS (83%, 86% and 44% on POD30, respectively, p = 0.005).
Return to UPA and work after outpatient anorectal surgery took longer than expected despite a good QOL 10 days after surgery. High physical activity was associated with longer recovery time. These elements should be emphasized during preoperative counseling.
Pubmed
Web of science
Create date
14/02/2020 16:30
Last modification date
13/06/2020 5:20
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