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Patient-Reported Outcome Measures (PROM) as A Preoperative Assessment Tool.

Sunghye Kim1,2, Pamela W Duncan2,3, Leanne Groban2,4

  • 1Department of Internal Medicine, Winston-Salem, NC, USA.

Journal of Anesthesia and Perioperative Medicine
|January 16, 2018
PubMed
Summary
This summary is machine-generated.

Patient-reported outcomes like depression and functional status significantly predict surgical success. Assessing these preoperative factors using patient-reported outcome measures (PROMs) can improve patient care and outcomes.

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Area of Science:

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

Background:

  • Patient-reported outcomes (PRO) encompassing functional, social, and behavioral aspects are potential preoperative predictors of surgical results.
  • Preoperative assessment traditionally focuses on physical health, potentially overlooking crucial psychosocial and functional determinants.

Purpose of the Study:

  • To review the literature on associations between preoperative patient-reported factors and surgical outcomes.
  • To explore the predictive value of depression, socioeconomic status, social support, functional status/frailty, cognitive status, self-management skills, health literacy, and nutritional status on surgical results.

Main Methods:

  • A comprehensive literature review was conducted using PubMed and Google Scholar.
  • Searches included terms related to the specified patient-reported factors and surgical outcomes within the last two decades.

Main Results:

  • Preoperative depression is linked to increased delirium, complications, pain, length of stay, and mortality.
  • Socioeconomic status, social support, functional status/frailty, cognitive impairment, health literacy, and nutritional status all demonstrate associations with various postoperative outcomes, including survival, complications, and resource utilization.

Conclusions:

  • Assessing social, behavioral, functional, and health literacy factors preoperatively can enhance surgical management and outcomes, especially for vulnerable patients.
  • Patient-Reported Outcome Measures (PROMs) offer an efficient method to collect these critical data points preoperatively, enabling preemptive interventions.