CONCOMITANT ISCHEMIC HEART DISEASE AS A FACTOR OF REDUCED QUALITY OF LIFE IN PATIENTS WITH CHRONIC PANCREATITIS
DOI:
https://doi.org/10.11603/2415-8798.2019.2.10250Keywords:
chronic pancreatitis, coronary heart disease, quality of life, questionnaires SF-36 and GSRSAbstract
The urgency of the problem of chronic pancreatitis is increasing due to the fact that in 15.5 % of patients with diseases of the gastrointestinal tract, including pancreatitis, there is coronary heart disease. The high medical and social significance of both chronic pancreatitis and coronary heart disease is determined by their significant contribution to the pathology of people of social active age, high costs of diagnosis and treatment, decreasing the quality of life.
The aim of the study – to learn and compare the quality of life of patients with chronic pancreatitis regarding patients with comorbidity of chronic pancreatitis and coronary heart disease.
Materials and Methods. The study included 52 patients with chronic pancreatitis with coronary heart disease and 30 patients with isolated chronic pancreatitis. The quality of life of all patients were evaluated by using a common medical questionnaire – the Medical Outcomes Study 36-Item, and a specialized gastroenterological questionnaire the Gastrointestinal Symptom Rating Scale.
Results and Discussion. During the study, a significantly lower quality of life in patients with comorbidity of chronic pancreatitis and coronary heart disease as a psychological and physical component of health (according to the questionnaire SF-36) was established (p<0.05). Analyzing the data of the patients in the main group using the GSRS specialized gastroenterology questionnaire, it was established that the leading place in the clinic of the disease is pain, dyspepsia and diarrhea syndromes (p<0.05).
Conclusion. Рatients with chronic pancreatitis concomitant with coronary heart disease had a significantly lower level of quality of life scores on all scales as by a questionnaire Medical Outcomes Study 36-Item and by gastroenterological questionnaire the Gastrointestinal Symptom Rating Scale in regarding to the group of patients with isolated chronic pancreatitis.
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