Comparative investigation of quality of life and clinical pancreatic index in patients with chronic pancreatitis


Cite item

Full Text

Abstract

Aim. To compare efficacy of using EORTC QLQ-C30 and clinic pancreatic index (CPI) in assessment of severity and treatment efficacy of chronic pancreatitis (CP).
Material and methods. The CPI is proposed which is an integrated quantitative index based on formalization of CP symptoms (number of operations for CP complications, efficacy of outpatient treatment, number of treatment courses in hospital, body mass loss, pain intensity, degree of steatorea, number of daily defecations, other dispeptic complaints, glucose tolerance). Quality of life (QoL) estimated with EORTC QLQ-C30 was compared with CPI in 22 patients before and 1 month after start of treatment of CP with enzyme medicine in combination with proton pump inhibitor and, on demand, analgetic from the group of nonsteroid anti-inflammatory drugs.
Results. A significant negative correlation was observed between QoL and health estimation by the patient according to EORTC QLQ-C30 and total CPI before treatment. At the end of the study this correlation was absent. It was found that both EORTC QLQ-C30 and CPI differed significantly before and after the study. When the indices of both EORTC QLQ-C30 and CPI before and after the study were pooled in groups, strong negative correlations were revealed between total CPI and such EORTC QLQ-C30 parameters as physical, role, cognitive and social function, with patient's assessment of QoL and symptoms severity by EORTC QLQ-C30.
Conclusion. EORTC QLQ-C30 and CPI are similar in reflection of CP severity. CPI is more sensitive than EORTC QLQ-C30 method of assessment of CP treatment efficacy.

About the authors

Larisa Mikhaylovna Umnova

Email: larium@inbox.lv

Grigoriy Aleksandrovich Orlikov

Email: propedeitika@inbox.lv

Yuliya Genrikhovna Voytsekhovskaya

Email: dr.julia@inbox.lv

Viya Karlovna Voltnere

Evald Konstantinovich Ostrovskis

Vladimir Vladimirovich Voytsekhovskiy

L M Umnova

P. Stradyn University, Riga, Latvia

P. Stradyn University, Riga, Latvia

G A Orlikov

P. Stradyn University, Riga, Latvia

P. Stradyn University, Riga, Latvia

Yu G Voitsekhovskaya

P. Stradyn University, Riga, Latvia

P. Stradyn University, Riga, Latvia

V K Voltnere

Gastroenterology Center, P. Stradyn University Clinic, Riga, Latvia

Gastroenterology Center, P. Stradyn University Clinic, Riga, Latvia

E K Ostrovskis

Gastroenterology Center, P. Stradyn University Clinic, Riga, Latvia

Gastroenterology Center, P. Stradyn University Clinic, Riga, Latvia

V V Voitsekhovsky

Chair of Psychosomatic Medicine and Psychotherapy of P. Stradyn University, Riga, Latvia

Chair of Psychosomatic Medicine and Psychotherapy of P. Stradyn University, Riga, Latvia

References

  1. Pezzilli R., Bini L., Fantini L. et al. Quality of life in chronic pancreatitis. Wld J. Gastroenterol. 2006; 12 (39): 6249-6251.
  2. Fitzimmons D., Kahl S., Butturini G. et al. Symptoms and quality of life in chronic pancreatitis assessed by structured interview and the EORTC QLQ-C30 and QLQ-PAN26. Am. J. Gastroenterol. 2005; 100: 918-926.
  3. Pezzilli R., Fantini L. Chronic pancreatitis: Assessing the quality of life. J. Pancreas. 2005; 6 (4): 406-409. (http://www.joplink.net)
  4. Орликов Г. А., Плявина И. А., Покротниекс Ю. Я., Селезнев Ю. В. Ультрасонографическая оценка тяжести течения хронического панкреатита. Панкреатический индекс. Тер. арх. 2007; 2: 49-51.
  5. Goldberg B. B., ed. Textbook of abdominal ultrasound. Baltimore: Williams and Wilkins; 1993. 173-193.
  6. Isaksson G., Ihse I. Pain reduction by an oral pancreatic enzyme preparation in chronic pancreatitis. Dig. Dis. Sci. 1983; 28 (2): 97-102.
  7. Slaff I., Jacobson D., Tillman C. R. et al. Protease-specific suppression of pancreatic exocrine secretion. Gastroenterology 1984; 87: 44-52.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2011 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
 

Address of the Editorial Office:

  • Alabyan Street, 13/1, Moscow, 127055, Russian Federation

Correspondence address:

  • Alabyan Street, 13/1, Moscow, 127055, Russian Federation

Managing Editor:

  • Tel.: +7 (926) 905-41-26
  • E-mail: e.gorbacheva@ter-arkhiv.ru

 

© 2018-2021 "Consilium Medicum" Publishing house


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies