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- Title
Patient-reported outcomes and health-related quality of life in male long-term survivors of Fournier's gangrene.
- Authors
Schneidewind, Laila; Roßberg, Vanessa; Dräger, Desiree L.; Stangl, Fabian P.; Steffens, Joachim; Hakenberg, Oliver W.; Kranz, Jennifer
- Abstract
Objectives To describe patient-reported outcomes and health-related quality of life (HRQoL) in male long-term survivors of Fournier's gangrene (FG). Methods We retrospectively identified male patients treated for FG via ICD-10 coding in two centres between January 2010 and December 2020. Patients who survived the in-house treatment were invited to participate and to complete the validated questionnaires International Prostate Symptom Score (IPSS), International Index of Erectile Function (IIEF-5), Quality of Life in chronic wounds (WOUND-QoL), Freiburger Life Quality Assessment -- wound module (FLQA-w) and the Short Form Health (SF-36). Results Finally, 39 patients with a median age of 65.0 years (IQR 53.0--74.0) were identified. Twenty patients had died (51.3%), nine patients were lost to follow up (23.1%) and ten patients participated in the survey (25.6%). The median survival time was 27.0 months (IQR 9.0 -- 60.0). The median IPSS was 13.5 (IQR 4.3 - 22.3); five patients (50.0%) had severe erectile dysfunction. Three patients (30.0%) reported problems with the wound, two (20.0%) complained of wound pain and one (10.0%) about the wound-healing situation. The mean global health score on the WOUND-QoL was 1.83 (SD 1.1), which is significantly lower than in the German reference population (p<0.001). In the FLQA-w, the mean subscales were for physical aliment 1.8 (SD 1.1), everyday life 1.5 (SD 0.5), social life 1.6 (SD 0.8) and psychological well-being 1.8 (SD 1.2). The mean general health score on the SF-36 was 64.0 (SD 10.5). Conclusions In long-term survivors of FG, the wound situation has a deeply negative impact on HRQoL.
- Subjects
FOURNIER gangrene; MEDICAL quality control; WELL-being; CAUSES of death; MEN'S health; IMPOTENCE; HEALTH outcome assessment; FISHER exact test; RETROSPECTIVE studies; HEALTH surveys; SURVEYS; QUALITATIVE research; T-test (Statistics); COMPARATIVE studies; SEPSIS; QUESTIONNAIRES; SURVIVAL analysis (Biometry); DESCRIPTIVE statistics; CHI-squared test; DATA analysis software; WOUND care; EVALUATION
- Publication
Journal of Wound Management, 2022, Vol 23, Issue 3, p143
- ISSN
2788-5771
- Publication type
Article