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Related Experiment Videos

PROMIS for Laparoscopy.

Juliane Bingener1, Jeff A Sloan, Drew K Seisler

  • 1Department of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA, bingenercasey.juliane@mayo.edu.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|March 19, 2015
PubMed
Summary
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Patient-reported outcome measures (PROMs) like PROMIS and linear analog self-assessment effectively track quality of life changes after laparoscopy. These tools demonstrate responsiveness in assessing perioperative pain and physical function.

Area of Science:

  • Surgical Outcomes Research
  • Patient-Reported Outcomes
  • Health Measurement

Background:

  • Assessing patient quality of life perioperatively is crucial for surgical care.
  • The responsiveness of Patient-Reported Outcomes Measures Information System (PROMIS) and linear analog self-assessment (LASA) for laparoscopy needs evaluation.

Purpose of the Study:

  • To test the responsiveness of the PROMIS global health short form and LASA for assessing quality of life in patients undergoing laparoscopy.
  • To compare composite and single item scores from these patient-reported outcome questionnaires.

Main Methods:

  • 115 patients undergoing laparoscopy completed PROMIS and LASA questionnaires perioperatively (May 2011-December 2013).
  • Responsiveness was assessed by comparing baseline scores with postoperative scores at day 1 and day 7.

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  • Statistical significance was determined for changes in various subscales and single items.

    • Main Results:

    • Significant changes in visual analog pain scores were observed from baseline to postoperative days 1 and 7 (p<0.0001).
    • PROMIS physical subscale and total physical component subscore showed significant decreases postoperatively (p=0.0007/0.0003).
    • LASA scores indicated significant changes in pain frequency, pain severity, and social activity (p<0.0001, p=0.0052).

    Conclusions:

    • Single item scores and changes from baseline are responsive measures for perioperative quality of life assessment in laparoscopy.
    • Both PROMIS and LASA tools can effectively capture patient-reported changes following laparoscopic procedures.