Abstract
A validated questionnaire to assess the impact of small bowel obstructions (SBO) on patients’ quality of life was developed and validated. The questionnaire included measurements for the impact on the patients’ quality of life in respect to diet, pain, gastrointestinal symptoms and daily life. The questionnaire was validated using 149 normal subjects. Chronbach alpha was 0.86. Test retest reliability was evaluated with 72 normal subjects, the correlation coefficient was 0.93. Discriminate validity was determined to be significant using the normal subject questionnaires and 10 questionnaires from subjects with recurrent SBO. Normative and level of impact for each measured domain were established using one standard deviation from the mean in the normal population and clinical relevance. This questionnaire is a valid and reliable instrument to measure the impact of SBO on a patient’s quality of life related to recurrent SBOs; therefore establishing a mechanism to monitor and quantify changes in quality of life over time.
Highlights
Small bowel obstruction (SBO) is a common medical occurrence, most commonly a complication of surgery secondary to the formation of post surgical adhesions [1,2]
The questionnaire for patients with functional gastrointestinal disorders does not address pain or diet [11,12]; the QOL questionnaire for patients with a colostomy or ileostomy is not generally applicable to the small bowel obstructions (SBO) population [13,14]; the bowel function index is not complete and focused on opioid induced constipation [15]; and the health related quality of life (HRQOL) measurement questionnaires are general and do not address the specific symptoms experienced by SBO patients [13,14,16,17]
To the knowledge of the authors, there was not a questionnaire specific for patients with SBO to quantify the impact of SBO on their overall quality of life prior to this study
Summary
Small bowel obstruction (SBO) is a common medical occurrence, most commonly a complication of surgery secondary to the formation of post surgical adhesions [1,2]. We developed a questionnaire to provide an instrument to measure various aspects of life impacted by SBO specific to this patient population. This instrument was designed to assess the degree to which a patient’s quality of life is affected by the symptoms of recurrent SBOs including the overall domains of diet, gastrointestinal (GI) symptoms, pain, quality of life (QOL) and medication requirements
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