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Letters Corresponding Author: Paul Karanicolas, MD, PhD, Division of General Surgery, Black patients reported significantly lower quality of life Sunnybrook Health Sciences Centre, 2075 Bayview Ave, T2-016, Toronto, ON (QoL) and reduced satisfaction at 1 year compared with white M4N3M5, Canada (paul.karanicolas@sunnybrook.ca). patients. The lack of objective definitions underpinning the Published Online: July 24, 2019. doi:10.1001/jamasurg.2019.2313 notions of QoL and satisfaction in this study means the re- Conflict of Interest Disclosures: Dr Behman has received grants from the searchers’ own questions accompanying the Likert scales lack Ontario Ministry of Health and Long-term Care and from Physician Services total construct validity. Furthermore, internal consistency can- Incorporated. No other disclosures were reported. not be established owing to the use of a single Likert scale, and 1. Behman R, Nathens AB, Mason S, et al. Association of surgical intervention for adhesive small-bowel obstruction with the risk of recurrence. JAMA Surg. patients undoubtedly interpreted these terms with great sub- 2019;154(5):413-420. doi:10.1001/jamasurg.2018.5248 jectivity. We suggest that established questionnaires measur- 2. Aquina CT, Becerra AZ, Probst CP, et al. Patients with adhesive small bowel ing QoL should be used, such as the Bariatric Quality of Life obstruction should be primarily managed by a surgical team.
JAMA Surgery – American Medical Association
Published: Dec 1, 2019
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