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Burden of pilonidal disease and improvement in quality of life after treatment in adolescents

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Abstract

Purpose

Pilonidal Disease (PD) affects adolescents in different aspects. We hypothesized that patients with different gender, ethnicity, and age have different quality of life (QOL) measurements which could improve with minimally invasive treatment (MIT).

Methods

131 PD patients underwent MIT (laser epilation ± trephination) from 2019 to 2021. Patients’ demographics were recorded. Before and after MIT, patients received QOL questionnaire consisting of four categories: daily activities, sports participation, school/work attendance, and socializing. Data were analyzed using Student and multivariate t test. P < 0.05 was considered statistically significant.

Results

101 (51 male, 50 female) patients were included. 30 patients with incomplete data were excluded. 54% of patients were < 18 years old. 47.5% were Hispanic. Median symptom duration prior to presentation was 5.4 (1.3–15) months. Prior to MIT, patients’ ability to perform daily activities, participate in sports, attend school/work, and socialize was moderately or severely impacted in 66%, 57%, 45%, and 23% of respondents, respectively; after MIT, only 7%, 8%, 2%, and 4% were affected (p < 0.01). Recurrence rate was 6%. Pre-MIT, older patients and non-Hispanics reported worse impact on their QOL. Symptom duration or PD recurrence did not correlate with patient’s pre- or post-MIT QOL.

Conclusion

Patients’ ethnicity and age impacted QOL in PD. All patients’ QOL significantly improved with MIT. Considering the importance of socializing, playing sports, and school/work attendance in adolescents, our study highlights importance of early treatment of PD.

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Funding

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Authors and Affiliations

  1. Division of Pediatric Surgery, Department of Surgery, Stanford University, Palo Alto, CA, 94304, USA

    Fereshteh Salimi-Jazi, Claire Abrajano, Deanna Garza, Talha Rafeeqi, Emi Hartman, Kira Hah, Melissa Wilcox, Modupeola Diyaolu, Stephanie Chao, Wendy Su, Thomas Hui, Claudia Mueller, Julie Fuchs & Bill Chiu

  2. Department of Biochemistry and Molecular Biology, University of Texas Medical Branch, Galveston, TX, USA

    Razie Yousefi

Authors
  1. Fereshteh Salimi-Jazi
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  2. Claire Abrajano
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  3. Deanna Garza
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  4. Talha Rafeeqi
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  5. Razie Yousefi
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  6. Emi Hartman
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  7. Kira Hah
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  8. Melissa Wilcox
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  9. Modupeola Diyaolu
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  10. Stephanie Chao
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  11. Wendy Su
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  12. Thomas Hui
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  13. Claudia Mueller
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  14. Julie Fuchs
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  15. Bill Chiu
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Contributions

Dr. Chiu conceptualized and designed the study, supervised and performed data collection, critically reviewed and revised the manuscript. Drs. Chao, Fuchs, Mueller, Su, and Hui conceptualized and designed the study and critically revised the manuscript. Dr. Salimi-Jazi collected the data, carried out initial data analyses, drafted the initial manuscript and revised the manuscript. Dr. Yousefi analyzed the data, reviewed and revised the manuscript. Claire Abrajano, Deanna Garza, Emi Hartman, Kira Hah, Melissa Wilcox, and Dr. Diyaolu designed the data collection instruments, collected the data, and critically revised the manuscript. Dr. Rafeeqi collected the data, carried out the initial analyses, reviewed and revised the manuscript. All authors approved the final manuscript as submitted and agreed to be accountable for all aspects of the work.

Corresponding author

Correspondence to Bill Chiu.

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Salimi-Jazi, F., Abrajano, C., Garza, D. et al. Burden of pilonidal disease and improvement in quality of life after treatment in adolescents. Pediatr Surg Int 38, 1453–1459 (2022). https://doi.org/10.1007/s00383-022-05175-2

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  • DOI: https://doi.org/10.1007/s00383-022-05175-2

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