Patient Judgement of Change with Elective Surgery Correlates with Patient Reported Outcomes and Quality of Life.
Authors
Atkinson, VictoriaWoods, Jeffrey
Myles, Paul S
Hodge, Anita
Lloyd, Damien
Rovtar, Vincent
Clifford, Amanda M
Jones, Cathy
Brusco, Natasha
Morris, Meg
Issue Date
2022-05-27Keywords
HOSPITALImplementation science
patient reported outcome measure (PROM)
quality of life (QOL)
quality of recovery (QOR)
SURGERY
Metadata
Show full item recordJournal
Healthcare (Basel, Switzerland)DOI
10.3390/healthcare10060999PubMed ID
35742049PubMed Central ID
PMC9222512Abstract
Obtaining pre-surgery PROM measures is not always feasible. The aim of this study was to examine if self-reports of change following elective surgery correlate with change scores from a validated PROM (15-item Quality of Recovery (QoR-15)). This cross-sectional study across 29 hospitals enrolled elective surgery patients. PROMs were collected one-week pre-surgery, as well as one- and four-weeks post-surgery via an electronic survey. We examined associations between patient "judgement of change" at one and four-weeks after surgery and the actual pre-to post-surgery PROM change scores. A total of 4177 surveys were received. The correlation between patient judgement of change, and the actual change score was moderately strong at one-week (n = 247, rs = 0.512, p < 0.001), yet low at four-weeks (n = 241, rs = 0.340, p < 0.001). Patient judgement was aligned to the direction of the PROM change score from pre- to post-surgery. We also examined the correlation between the QoR-15 (quality of recovery) and the EQ-5D-5L (QOL). There was a moderately strong positive correlation between the two PROMs (n = 356, rs = 0.666, p < 0.001), indicating that change in quality of recovery was related to change in QOL. These findings support the use of a single "judgement of change" recall question post-surgery.Item Type
ArticleLanguage
enISSN
2227-9032ae974a485f413a2113503eed53cd6c53
10.3390/healthcare10060999
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