title: Long-term health-related quality of life after minimally invasive surgery for diverticular disease.
abstract: OBJECTIVE
  The aim of this multicentric study was to evaluate the disease specific and the generic quality of life in patients affected by colonic diverticular disease (DD) who had undergone minimally invasive or open colonic resection or who had been treated with medical therapy in the long-term follow-up.
  
  
  METHODS
  Seventy-one consecutive patients admitted to the departments of surgery of Padova and Arzignano Hospitals for DD were interviewed: 22 underwent minimally invasive colonic resection, 24 had open resection, and 25 had only medical therapy. The interview focused on disease specific and generic quality of life, body image, and disease activity.
  
  
  RESULTS
  Padova Inflammatory Bowel Disease Quality of Life (PIBDQL) was validated for the use in DD patients. PIBDQL scores were significantly worse in all patients with DD than those obtained by healthy subjects and it correlated with the symptoms score. The generic quality of life seemed similar in patients who had minimally invasive colonic resection compared with healthy subjects. Body Image Questionnaire scores correlated inversely with the presence of a stoma.
  
  
  CONCLUSIONS
  Disease activity resulted as the only independent predictor of the disease-specific quality of life. In fact, DD affected bowel function and quality of life of patients in the long-term follow-up regardless of the type of therapy adopted. The presence of a stoma affected the patients' body image.
authors.affiliation: Oncological Surgery Unit, Veneto Institute of Oncology (IOV-IRCCS), via Gattamelata 64, 35128 Padova, Italy. marcoscarpa73@yahoo.it
authors.forename: Marco
authors.initials: M
authors.lastname: Scarpa
authors.forename: Luciano
authors.initials: L
authors.lastname: Griggio
authors.forename: Sabrina
authors.initials: S
authors.lastname: Rampado
authors.forename: Cesare
authors.initials: C
authors.lastname: Ruffolo
authors.forename: Marilisa
authors.initials: M
authors.lastname: Citton
authors.forename: Anna
authors.initials: A
authors.lastname: Pozza
authors.forename: Lara
authors.initials: L
authors.lastname: Borsetto
authors.forename: Luigi
authors.initials: L
authors.lastname: Dall'olmo
authors.forename: Imerio
authors.initials: I
authors.lastname: Angriman
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D001828:Body Image; D003082:Colectomy / Q000379:methods*; D004241:Diverticulum, Colon / Q000523:psychology* / Q000601:surgery* / Q000628:therapy; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011788:Quality of Life; D012044:Regression Analysis; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D016896:Treatment Outcome