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Health-Related Quality of Life evaluation in "left" versus "right" access for percutaneous transhepatic biliary drainage using EORTC QLQBIL-21 questionnaire: a randomized controlled trial.

Abstract

PURPOSE

To investigate the impact of the different access for percutaneous transhepatic biliary drainage (PTBD) in terms of "Quality of Life" (QoL) in the management of malignant obstructive jaundice.

METHODS

In this IRB-approved study, 64 consecutive patients with malignant obstructive jaundice were prospectively randomized to the right (group A) or left access (group B) for PTBD between February 2017 and December 2018. In order to demonstrate differences in terms of QoL between these groups, patients were asked to complete the "EORTC QLQ-BIL21" questionnaire the week after the treatment. Continuous variables were summarized by mean ± SD and compared using a Mann-Whitney U test.

RESULTS

Percutaneous transhepatic biliary drainages were performed through right access in 31 cases and 33 cases through left access. Technical success was achieved in all cases (100%). During 1 week's follow-up, there was a significant difference between group A and B in terms of pain (p < 0.001). Group A showed higher intercostal pain and respiratory difficulties compared to group B. Moreover, patients of group A showed a higher level of tiredness, anxiety, and more difficult tubes drainage and bags management than group B patients.

CONCLUSION

In our experience, the use of the questionnaires showed the right access is associated with intercostal pain and respiratory difficulties. Left access for PTBD provides a better Quality of Life for patients who underwent PTBD as palliative treatment for the management of malignant obstructive jaundice and could be considered as the approach of choice in case of distal obstruction.

Authors+Show Affiliations

Section of Radiological Science, Bi.N.D, University of Palermo, Via del Vespro, 127, 90127, Palermo, Italy.Section of Radiological Science, Bi.N.D, University of Palermo, Via del Vespro, 127, 90127, Palermo, Italy. ceciliagozzo91@gmail.com.Unità di Radiologia I, Azienda Ospedaliero Universitaria "Policlinico-Vittorio Emanuele", Via Santa Sofia 78, 95125, Catania, CT, Italy.Diagnostica per Immagini e Radiologia Interventistica, Azienda Ospedaliera per l'Emergenza "Cannizzaro", Via Messina 829, 95126, Catania, CT, Italy.Unità di Radiologia I, Azienda Ospedaliero Universitaria "Policlinico-Vittorio Emanuele", Via Santa Sofia 78, 95125, Catania, CT, Italy.Unità di Radiologia I, Azienda Ospedaliero Universitaria "Policlinico-Vittorio Emanuele", Via Santa Sofia 78, 95125, Catania, CT, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31327040

Citation

Castiglione, Davide, et al. "Health-Related Quality of Life Evaluation in "left" Versus "right" Access for Percutaneous Transhepatic Biliary Drainage Using EORTC QLQBIL-21 Questionnaire: a Randomized Controlled Trial." Abdominal Radiology (New York), 2019.
Castiglione D, Gozzo C, Mammino L, et al. Health-Related Quality of Life evaluation in "left" versus "right" access for percutaneous transhepatic biliary drainage using EORTC QLQBIL-21 questionnaire: a randomized controlled trial. Abdom Radiol (NY). 2019.
Castiglione, D., Gozzo, C., Mammino, L., Failla, G., Palmucci, S., & Basile, A. (2019). Health-Related Quality of Life evaluation in "left" versus "right" access for percutaneous transhepatic biliary drainage using EORTC QLQBIL-21 questionnaire: a randomized controlled trial. Abdominal Radiology (New York), doi:10.1007/s00261-019-02136-7.
Castiglione D, et al. Health-Related Quality of Life Evaluation in "left" Versus "right" Access for Percutaneous Transhepatic Biliary Drainage Using EORTC QLQBIL-21 Questionnaire: a Randomized Controlled Trial. Abdom Radiol (NY). 2019 Jul 20; PubMed PMID: 31327040.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health-Related Quality of Life evaluation in "left" versus "right" access for percutaneous transhepatic biliary drainage using EORTC QLQBIL-21 questionnaire: a randomized controlled trial. AU - Castiglione,Davide, AU - Gozzo,Cecilia, AU - Mammino,Luca, AU - Failla,Giovanni, AU - Palmucci,Stefano, AU - Basile,Antonio, Y1 - 2019/07/20/ PY - 2019/7/22/entrez PY - 2019/7/22/pubmed PY - 2019/7/22/medline KW - Biliary interventions KW - Interventional radiology KW - Jaundice KW - Pain KW - Palliative care KW - Quality of Life JF - Abdominal radiology (New York) JO - Abdom Radiol (NY) N2 - PURPOSE: To investigate the impact of the different access for percutaneous transhepatic biliary drainage (PTBD) in terms of "Quality of Life" (QoL) in the management of malignant obstructive jaundice. METHODS: In this IRB-approved study, 64 consecutive patients with malignant obstructive jaundice were prospectively randomized to the right (group A) or left access (group B) for PTBD between February 2017 and December 2018. In order to demonstrate differences in terms of QoL between these groups, patients were asked to complete the "EORTC QLQ-BIL21" questionnaire the week after the treatment. Continuous variables were summarized by mean ± SD and compared using a Mann-Whitney U test. RESULTS: Percutaneous transhepatic biliary drainages were performed through right access in 31 cases and 33 cases through left access. Technical success was achieved in all cases (100%). During 1 week's follow-up, there was a significant difference between group A and B in terms of pain (p < 0.001). Group A showed higher intercostal pain and respiratory difficulties compared to group B. Moreover, patients of group A showed a higher level of tiredness, anxiety, and more difficult tubes drainage and bags management than group B patients. CONCLUSION: In our experience, the use of the questionnaires showed the right access is associated with intercostal pain and respiratory difficulties. Left access for PTBD provides a better Quality of Life for patients who underwent PTBD as palliative treatment for the management of malignant obstructive jaundice and could be considered as the approach of choice in case of distal obstruction. SN - 2366-0058 UR - https://www.unboundmedicine.com/medline/citation/31327040/Health-Related_Quality_of_Life_evaluation_in_"left"_versus_"right"_access_for_percutaneous_transhepatic_biliary_drainage_using_EORTC_QLQBIL-21_questionnaire:_a_randomized_controlled_trial L2 - https://dx.doi.org/10.1007/s00261-019-02136-7 DB - PRIME DP - Unbound Medicine ER -