EFFICIENCY OF AN ASSESSMENT OF QUALITY OF LIFE OF PATIENTS WITH UTERINE MYOMA AFTER ORGAN-PRESERVING INTERVENTIONS
https://doi.org/10.21886/2219-8075-2014-2-33-37
Abstract
Materials and Methods: This prospective study included 265 patients with symptomatic uterine myoma. Data on health-related quality of life and severity of symptoms before and after UAE and organ-preserving interventions and existence of complex rehabilitation were obtained by the standardized «Uterine Fibroid Symptom and Quality of Life» (UFS-QOL) questionnaire. Treatment failure was defined as the need for a second invasive procedure because of recurrent symptoms or persistent symptoms after interventions.
Results: At 6 months after treatment, all three leiomyoma therapies resulted in substantial symptom relief, to near normal levels, with the greatest improvement after complex rehabilitation.
Summary: It is shown that the assessment of quality of life not only a prediсtor of the complicated current of the postoperative period and the remote recurrence of a disease, but also criterion of full value of a carried-out course of rehabilitation. The complex rehabilitation makes it possible to reduce the frequency of postoperative complications and relapses of diseases.
About the Authors
E. V. BashirovRussian Federation
O. V. Tomina
Russian Federation
T. G. Melkonyanc
Russian Federation
References
1. Савельева Г.М., Бреусенко В.Г., Капранов С.А., Курцер М.А., Краснова И.А., Бобров Б.Ю. Эмболизация маточных артерий в лечении миомы матки: достижения и перспективы//Акушерство и гинекология. -2007. -№5. -С. 54 -59.
2. Савельева Г.М., Курцер М.А., Бреусенко В.Г. и др. Эндоскопическая миомэктомия: за и против//Вопросы акушерства, гинекологии и перинатологии. -2007. -Т. 6. -№1. -С. 57-60.
3. Van der Kooij S.M., Ankum W.M., Hehenkamp W.J. Review of nonsurgical/minimally invasive treatments for uterine fibroids//Curr Opin Obstet Gynecol. -2012. -V.24. -N 6. -P. 368-75.
4. Краснопольский В.И., Логутова Л.С., Буянова С.Н. Репродуктивные проблемы оперированной матки. М: Миклош. -2005. -162 с.
5. Harding G., Coyne K.S., Thompson C.L., Spies J.B. The responsiveness of the uterine fibroid symptom and health-related quality of life questionnaire (UFS-QOL)//Health Qual Life Outcomes. -2008. -V.12. -N 6. -99 p.
6. Smeets A.J., Nijenhuis R.J., Boekkooi P.F., Vervest H.A., van Rooij W.J., Lohle P.N. Long-term follow-up of uterine artery embolization for symptomatic adenomyosis//Cardiovasc Intervent Radiol. -2012. -V.35. -N4. -P. 815-9.
7. Coyne K.S., Margolis M.K., Murphy J., Spies J. Validation of the UFS-QOL-hysterectomy questionnaire: modifying an existing measure for comparative effectiveness research//Value Health. -2012. -V.15. -N5. -P. 674-9.
8. Shveiky D., Iglesia C.B., Antosh D.D., Kudish B.I., Peterson J., Huang C.C., Spies J.B. The effect of uterine fibroid embolization on lower urinary tract symptoms//Int Urogynecol J. -2013. -V.24. -N 8. -P.1341-5.
9. Gupta J.K., Sinha A., Lumsden M.A., Hickey M. Uterine artery embolization for symptomatic uterine fibroids//Cochrane Database Syst Rev. -2012. -V.16. -N 5. -CD005073.
10. Spies J.B., Bradley L.D., Guido R., Maxwell G.L., Levine B.A., Coyne K. Outcomes from leiomyoma therapies: comparison with normal controls//Obstet Gynecol. -2010. -V.116. -N 3. -P. 641-52.
Review
For citations:
Bashirov E.V., Tomina O.V., Melkonyanc T.G. EFFICIENCY OF AN ASSESSMENT OF QUALITY OF LIFE OF PATIENTS WITH UTERINE MYOMA AFTER ORGAN-PRESERVING INTERVENTIONS. Medical Herald of the South of Russia. 2014;(2):33-37. (In Russ.) https://doi.org/10.21886/2219-8075-2014-2-33-37