Highlights
- •Pilonidal disease negatively impacts adolescents’ quality of life.
- •This is the first study to evaluate the impact of a minimally invasive pilonidal protocol on self-reported QoL.
- •Negative QoL impact promptly decreased across all disease severities.
Abstract
Background
Pilonidal disease adversely affects the quality of life (QoL) of adolescents with
this condition. We report the impact of minimally invasive care on the QoL of a series
of adolescent patients in a dedicated Pilonidal Care Clinic.
Methods
Beginning in February 2019, all patients completed QoL surveys prior to each visit
reporting current symptoms and their QoL impact. Data were collected prospectively
with objective disease severity and treatment details. Patients with at least 2 clinic
visits were included. Demographics, procedures performed, and median QoL scores by
severity were analyzed.
Results
74 patients were included. Mean age was 17.3 years (SD 2.4), mean BMI was 27.5 (SD
6.2), median follow-up duration was 4 months (2–12). At intake patients reported a
median total QoL impact of 12 for those with mild disease, 11 for those with moderate
disease, and 12 with severe disease. Median total QoL impact resolved by the second
visit for patients with mild disease, the third for moderate disease, and decreased
88% by the fourth visit for patients with severe disease.
Conclusion
Pilonidal disease has a profound impact on most patients’ quality of life. Minimally
invasive care promptly resolves negative impacts on quality of life in adolescents.
Keywords
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Article info
Publication history
Published online: November 24, 2020
Accepted:
November 14,
2020
Received in revised form:
November 7,
2020
Received:
September 4,
2020
Footnotes
Level of evidence: Level IV.
Type of study: Treatment study.
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
