Journal article
Evaluation of Outcomes Following Surgical Treatment of Hidradenitis Suppurativa
Journal of burn care & research, Vol.44(4), pp.880-886
07/05/2023
DOI: 10.1093/jbcr/irac189
PMCID: PMC10321394
PMID: 36573669
Abstract
Hidradenitis suppurativa (HS), a chronic disease of the apocrine bearing skin causing induration, pain, draining sinuses, and subcutaneous abscesses, significantly impairs patients' quality of life (QOL). Full-thickness excision followed by skin grafting of the involved area can be curative. Herein, we evaluated the impact of this surgical treatment on QOL and depression symptomatology. Adult patients (≥18 years) who consented to participate filled out the dermatology quality of life (DLQI) and the Patient History Questionnaire (PHQ-9) at consent and at 1, 6, and 12 months post-initial evaluation and surgery. Demographics, HS, admission, and operative information were collected. Sixteen patients were included. Subjects were mainly white (81.3 %) and female (56.3%) with a median age of 38.2 (Interquartile range: 34.2-54.5); 62.5% were obese (BMI= 39.7 [28.4-50.6]). Half of the subjects presented with HS in 2 or more areas. Six patients were still undergoing surgeries at 6 months. One-, six-, and 12-month follow-up surveys were obtained from 14, 11, and 8 subjects for DQLI and from 14, 9, and 5 subjects for PHQ9. DLQI scores significantly decreased at 6 months compared to baseline, which indicates QOL improvement (10 [4-20] vs 15.5 [12-21.8], P = .036). Although not significant, PHQ9 scores tended to decrease. For those with the worst disease, DLQI significantly decreased at both 6 (P = .049) and 12 months (P = .047) compared to baseline. Despite a small sample size, our data suggest that aggressive surgical treatment improves the QOL of HS patients. Further studies are warranted to confirm our findings.
Details
- Title: Subtitle
- Evaluation of Outcomes Following Surgical Treatment of Hidradenitis Suppurativa
- Creators
- Kathleen S Romanowski - University of IowaColette Galet - University of IowaMarlon Torres - Acute Care Surgery Division, Department of Surgery, University of Iowa, Iowa City, IA 52242, USALucy Wibbenmeyer - University of Iowa, Surgery
- Resource Type
- Journal article
- Publication Details
- Journal of burn care & research, Vol.44(4), pp.880-886
- DOI
- 10.1093/jbcr/irac189
- PMID
- 36573669
- PMCID
- PMC10321394
- NLM abbreviation
- J Burn Care Res
- ISSN
- 1559-047X
- eISSN
- 1559-0488
- Grant note
- UL1 TR002537 / NCATS NIH HHS
- Language
- English
- Date published
- 07/05/2023
- Academic Unit
- Surgery; Injury Prevention Research Center
- Record Identifier
- 9984473219102771
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