Assessment of Quality of Lıfe in Patients with Anorectal Malformations

Yıl 2024, Cilt: 10 Sayı: 1, 59 - 70, 28.03.2024

Volkan Altınok Zehra Günyüz Temir

https://doi.org/10.19127/mbsjohs.1399632

Öz

Objective: Our main purpose in this study is to examine the effects of patients on their quality of life (QOL) according to anorectal malformations (ARM) types, and to compare them to patients with stool incontinence in the healthy population.
Methods: The research group was selected from 116 patients who were operated due to ARM between 2004-2018 and fulfilled the inclusion criteria, in University of Health Science İzmir Dr. Behçet Uz Pediatric Diseases and Surgery Training and Research Hospital. The control group was composed of 12 participants among 348 children between the ages 5-15 who were operated for phimosis in 2018 -2019. Fecal Incontinence Related Life Quality Questionnaire (QQVCFCA) scales were applied to both groups. SPSS 22.0 program was used.
Results: The research group was completed with 75 participants and the control group with 12 participants. The QQVCFCA score of the low-type ARM was significantly higher than the participants with the high-type ARM (p <0.001). The QQVCFCA score was lower in patients with additional anomalies, poor physical examination, presence of fistula and ongoing problems. There was no significant difference between the study group and the control group in terms of QQVCFCA score. However, high type ARM patients were found to have lower QQVCFCA (p <0.001) scores than the control group.
Conclusion: QOL results of high-type ARM patients were significantly higher than low-type ARM. While there is no significant difference in quality of life as total score; In behavior, lifestyle, and depression subtypes, the results were worse than the control group.

Anahtar Kelimeler

Anorectal Malformation, Quality of Life, QQVCFCA

Kaynakça

• Pena A. Anorectal malformations. Ziegler MM, Azizkhan RG, Weber TR (eds). Operative Pediatric Surgery. 2003; 739–62.
• Santulli TV. Treatment of imperforate anus and associated fıstulas. Surg Gynecol Obstet 1952; 95: 601–14.
• Winkler JM and Weinstein ED. Imperforate anus and heredity. J Pediatr Surg 1970; 5: 555–8.
• Boocock GR, Donnai D. Anorectal malformation: familial aspects and associated anomalies. Arch Dis Child 1987;62:576–9.
• Murken JD, Albert A. Genetic counselling in cases of anal and rectal atresia. Prog Pediatr Surg 1976;9:115–8. Naveh Y, Friedman A. Familial imperforate anus. Am J Dis Child 1976;130:441–2.
• Vangelder DW, Kloepfer HW. Familial anorectal anomalies. Pediatrics 1961;27:334–6.
• Winkler JM, Weinstein ED. Imperforate anus and heredity. J Pediatr Surg 1970;5:555–8.
• Moore SW. Associations of anorectal malformations and related syndromes. Pediatr Surg Int 2013;29:665–76.
• Peña A, Guardino K, Tovilla JM, Levitt MA, Rodriguez G, Torres R. Bowel management for fecal incontinence in patients with anorectal malformations. J Pediatr Surg 1998;33:133–7.
• Bischoff A, Levitt MA, Bauer C, Jackson L, Holder M, Peña A. Treatment of fecal incontinence with a comprehensive bowel management program. J Pediatr Surg 2009;44:1274–8.
• Bischoff A, Levitt MA, Peña A. Bowel management for the treatment of pediatric fecal incontinence. Pediatr Surg Int 2009;25:1027–42.
• Levitt M, Peña A. Update on pediatric faecal incontinence. Eur J Pediatr Surg 2009;19:1–9.
• Stephens F, Durham-Smith E. Classification, identification, and assesment of surgical treatment of anorectal anomalies. Pediatr Surg Int 1986;1:5.
• Paidas CN, Morreale RF, Holoski KM, Lund RE, Hutchins GM. Septation and. differantion of the embryonic human cloaca. J Pediatr Surg 1999; 34: 877–84.
• Hoekstra WJ, Scholtmeijer RJ, Molenaar J. Urogenital tract abnormalities associatedwith congenital anorectal anomalies. J Urolog 1983; 130: 962–3.
• Greenwood RD, Rosenthal A, Nadas AS: Cardiovascular malformations associated with imperfore anus. J Pediatr 1975; 86: 576–9.
• Carrer FM, Flannery AM, Nelson MD. Anorectal malformations: Evaluation of spinal. dysraphic syndromes. J Pediatr Surg 1988; 23: 45.
• Smith ED, Saeki M. Associated anomalies. Anorektal malformations in children. Uptade 1988. Birth Defects. 1988; 24: 501–8.
• Başaklar AC, Demiroğulları. Anorektal malformasyonlar. Başaklar AC (Eds). Bebek ve Çocukların Cerrahi ve Ürolojik Hastalıkları.1. Baskı, Ankara: Palme Yayıncılık, 2006.
• Narasimharao KL, Prasad GR, Katariya S, Yadav K,Prone cross-table lateral view: an alternative to the invertogram in imperforate anus. AJR Am J Roentgenol 1983;140:227–9.
• De Vries, Pena A. Posterior sagittal anorectoplasty. J Pediat Surg 1982; 17: 638–43.
• Grano, C, Bucci S, Aminoff D, Lucidi F. Quality of life in children and adolescents with anorectal malformation. Pediatr Surg Int, 2013;29: 925–30.
• Wong, CWY, Chung PHY, Tam PKH. Quality of life and defecative function 10 years or longer after posterior sagittal anorectoplasty and laparoscopic-assisted anorectal pull-through for anorectal malformation. Pediatr Surg Int, 2019;doi:10.1007/s00383-019-04606-x
• Todd H, James M, James W. Fecal incontinence quality of life scale. Diseases of the Colon & Rectum; 2000: 43; 9–16.
• Hasse W. Associated malformations with anal and rectal atresia. Prog Pediatr Surg 9: 1976; 99–101.
• Munn R, Schillinger JF. Urologic abnormalities found with imperforate anus. Urology. 1983; 21: 260–4.
• Parrott TS. Urologic implications of anorectal malformations Urol Clin North Am. 1985; 12: 13–21.
• Rintala RJ, Mikko P, Pakarinen MP. Imperforate anus: long- and short-term outcome. Semin Pediatr Surg 2008; 17: 79-89.
• Metts JC, Kotkin C, Kasper S, Shyr Y. Genital malformations and coexistent urinary tract orspinal anomalies in patients with imperforate anüs. J Urolog 1997; 158: 1298–300.
• Anderson RC, Reed SC. The likelihood of recurrence of congenital malformations. J Lancet 1954;74:175–6.
• Hassink EAM, Rieu PNMA, Hamel BCJ, Severerijnen RSVM. Additional congenital defects in anorectal malformations. Eur J Pediatr 1996; 155: 477–82.
• Oyania F, Ogwal A, Nimanya S. Long term bowel function after repair of Anorectal malformations in Uganda, J. Pediatr,2019.
• Çavuşoğlu YH, Karaman A, Afşarlar ÇE, Karaman İ. İncontinence Results of Patients. with Anorectal Malformation and Their Response to Treatment. Turkiye Klinikleri J Med. 2013;33: 1366–70
• Zheng H, Liu G, Liang Z. Middle-term bowel function and quality of.life in low-type anorectal malformation. Italian J Pediatr. 2019; 45–98.
• Tannuri AC, Ferreira MA, Mathias AL, Tannuri U. Long-term evaluation of fecal continence and quality of life in patients operated for anorectal malformations. Rev. Assoc. Med. Bras. 2016; 62: 544–52.
• Hartman EE, Oort FJ, Sprangers MA. Factors affecting quality of life of children and adolescents with anorectal malformations or Hirschsprung disease. J Pediatr Gastroenterol Nutr 2008;47:463–71.
• Wigander H, Nisell M, Frenckner B, Wester T, Brodin U, Öjmyr-Joelsson M.Quality of life and functional outcome in Swedish children with low anorectal malformations: a follow-up study.Pediatr Surg Int. 2019;35: 583–90.
• Michel G, Bisegger C, Fuhr, DC. Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis. Qual of children and adolescents in Europe: a multilevel analysis. Qual Life Res 2009;18:1147–57.