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Implementing PROMS for elective surgery patients: feasibility, response rate, degree of recovery and patient acceptability.

dc.contributor.authorBrusco, Natasha K
dc.contributor.authorAtkinson, Victoria
dc.contributor.authorWoods, Jeffrey
dc.contributor.authorMyles, Paul S
dc.contributor.authorHodge, Anita
dc.contributor.authorJones, Cathy
dc.contributor.authorLloyd, Damien
dc.contributor.authorRovtar, Vincent
dc.contributor.authorClifford, Amanda M
dc.contributor.authorMorris, Meg E
dc.date.accessioned2024-07-15T09:39:11Z
dc.date.available2024-07-15T09:39:11Z
dc.date.issued2022-07-07
dc.identifier.pmid35798915
dc.identifier.doi10.1186/s41687-022-00483-6
dc.identifier.urihttp://hdl.handle.net/10147/642174
dc.descriptionBackground Patient reported outcome measures (PROMs) engage patients in co-evaluation of their health and wellbeing outcomes. This study aimed to determine the feasibility, response rate, degree of recovery and patient acceptability of a PROM survey for elective surgery. Methods We sampled patients with a broad range of elective surgeries from four major Australian hospitals to evaluate (1) feasibility of the technology used to implement the PROMs across geographically dispersed sites, (2) response rates for automated short message service (SMS) versus email survey delivery formats, (3) the degree of recovery at one and four weeks post-surgery as measured by the Quality of Recovery 15 Item PROM (QoR-15), and (4) patient acceptability of PROMS based on survey and focus group results. Feasibility and acceptability recommendations were then co-designed with stakeholders, based on the data. Results Over three months there were 5985 surveys responses from 20,052 surveys (30% response rate). Feasibility testing revealed minor and infrequent technical difficulties in automated email and SMS administration of PROMs prior to surgery. The response rate for the QoR-15 was 34.8% (n = 3108/8919) for SMS and 25.8% (n = 2877/11,133) for email. Mean QoR-15 scores were 122.1 (SD 25.2; n = 1021); 113.1 (SD 27.7; n = 1906) and 123.4 (SD 26.84; n = 1051) for pre-surgery and one and four weeks post-surgery, respectively. One week after surgery, 825 of the 1906 responses (43%) exceeded 122.6 (pre-surgery average), and at four weeks post-surgery, 676 of the 1051 responses (64%) exceeded 122.6 (pre-surgery average). The PROM survey was highly acceptable with 76% (n = 2830/3739) of patients rating 8/10 or above for acceptability. Fourteen patient driven recommendations were then co-developed. Conclusion Administering PROMS electronically for elective surgery hospital patients was feasible, acceptable and discriminated changes in surgical recovery over time. Patient co-design and involvement provided innovative and practical solutions to implementation and new recommendations for implementation.en_US
dc.language.isoenen_US
dc.rights© 2022. The Author(s).
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectAcceptabilityen_US
dc.subjectCo-designen_US
dc.subjectConsumeren_US
dc.subjectfeasibilityen_US
dc.subjectHOSPITALen_US
dc.subjectImplementation scienceen_US
dc.subjectpatient reported outcome measure (PROM)en_US
dc.subjectQuality of recoveryen_US
dc.subjectsafetyen_US
dc.titleImplementing PROMS for elective surgery patients: feasibility, response rate, degree of recovery and patient acceptability.en_US
dc.typeArticleen_US
dc.identifier.eissn2509-8020
dc.identifier.journalJournal of patient-reported outcomesen_US
dc.source.journaltitleJournal of patient-reported outcomes
dc.source.volume6
dc.source.issue1
dc.source.beginpage73
dc.source.endpage
refterms.dateFOA2024-07-15T09:39:14Z
dc.source.countryGermany


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