Health-related quality of life, somatization, and abuse in Sphincter of Oddi dysfunction.
BACKGROUND
Most of the focus on patients with Sphincter of Oddi dysfunction (SOD) has centered on endoscopic management, and thus little is known about quality of life in these patients.


OBJECTIVE
We sought to determine what health-related quality of life components are troublesome to patients with SOD and compare to patients with recurrent pancreatitis.


METHODS
Using the Brief Symptom Inventory and the SF-12 version 1, as well as proprietary questionnaires, we measured health-related quality of life in patients with biliary SOD and patients with recurrent idiopathic pancreatitis who underwent sphincter of Oddi manometry.


RESULTS
Both groups had significantly worse quality of life than nonpatients and both groups somatized. Abuse histories were surprisingly common and similar between both groups.


CONCLUSIONS
Health-related quality of life is impaired and abuse histories are common in SOD patients, and similar to patients with recurrent idiopathic pancreatitis. Whether these characteristics are predictors of healthcare seeking remains to be determined.
Winstead
Nathaniel S
NS
Center for Outcomes and Effectiveness Research and Education, Division of Preventive Medicine, University of Alabama-Birmingham, Birmingham, AL, USA. twinstead@uab.edu
Wilcox
Charles Melbern
CM
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008365:Manometry / Q000379:methods; D011312:Pressure; D011379:Prognosis; D011446:Prospective Studies; D011788:Quality of Life; D012307:Risk Factors; D012742:Sex Offenses / Q000523:psychology*; D013001:Somatoform Disorders / Q000150:complications*; D009803:Sphincter of Oddi / Q000503:physiopathology; D046628:Sphincter of Oddi Dysfunction / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D011795:Surveys and Questionnaires