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Patient Judgement of Change with Elective Surgery Correlates with Patient Reported Outcomes and Quality of Life

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 ele...

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Autores principales: Morris, Meg E., Atkinson, Victoria, Woods, Jeffrey, Myles, Paul S., Hodge, Anita, Jones, Cathy H., Lloyd, Damien, Rovtar, Vincent, Clifford, Amanda M., Brusco, Natasha K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9222512/
https://www.ncbi.nlm.nih.gov/pubmed/35742049
http://dx.doi.org/10.3390/healthcare10060999
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author Morris, Meg E.
Atkinson, Victoria
Woods, Jeffrey
Myles, Paul S.
Hodge, Anita
Jones, Cathy H.
Lloyd, Damien
Rovtar, Vincent
Clifford, Amanda M.
Brusco, Natasha K.
author_facet Morris, Meg E.
Atkinson, Victoria
Woods, Jeffrey
Myles, Paul S.
Hodge, Anita
Jones, Cathy H.
Lloyd, Damien
Rovtar, Vincent
Clifford, Amanda M.
Brusco, Natasha K.
author_sort Morris, Meg E.
collection PubMed
description 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.
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spelling pubmed-92225122022-06-24 Patient Judgement of Change with Elective Surgery Correlates with Patient Reported Outcomes and Quality of Life Morris, Meg E. Atkinson, Victoria Woods, Jeffrey Myles, Paul S. Hodge, Anita Jones, Cathy H. Lloyd, Damien Rovtar, Vincent Clifford, Amanda M. Brusco, Natasha K. Healthcare (Basel) Article 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. MDPI 2022-05-27 /pmc/articles/PMC9222512/ /pubmed/35742049 http://dx.doi.org/10.3390/healthcare10060999 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Morris, Meg E.
Atkinson, Victoria
Woods, Jeffrey
Myles, Paul S.
Hodge, Anita
Jones, Cathy H.
Lloyd, Damien
Rovtar, Vincent
Clifford, Amanda M.
Brusco, Natasha K.
Patient Judgement of Change with Elective Surgery Correlates with Patient Reported Outcomes and Quality of Life
title Patient Judgement of Change with Elective Surgery Correlates with Patient Reported Outcomes and Quality of Life
title_full Patient Judgement of Change with Elective Surgery Correlates with Patient Reported Outcomes and Quality of Life
title_fullStr Patient Judgement of Change with Elective Surgery Correlates with Patient Reported Outcomes and Quality of Life
title_full_unstemmed Patient Judgement of Change with Elective Surgery Correlates with Patient Reported Outcomes and Quality of Life
title_short Patient Judgement of Change with Elective Surgery Correlates with Patient Reported Outcomes and Quality of Life
title_sort patient judgement of change with elective surgery correlates with patient reported outcomes and quality of life
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9222512/
https://www.ncbi.nlm.nih.gov/pubmed/35742049
http://dx.doi.org/10.3390/healthcare10060999
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