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Using PROMIS for measuring recovery after abdominal surgery: a pilot study.
Eva van der Meij1,2, Johannes R Anema3, Judith A F Huirne4,5
1Department of Obstetrics and Gynecology, VU University Medical Center, van der Boechorststraat 7, 1081, BT, Amsterdam, The Netherlands. ev.vandermeij@vumc.nl.
BMC Health Services Research
|February 21, 2018
Summary
The PROMIS Physical Function (PROMIS-PF) short form demonstrated strong validity and responsiveness for assessing postoperative recovery in abdominal surgery patients. The PROMIS Ability to Participate in Social Roles and Activities (PROMIS-APS) showed less consistent results.
Area of Science:
- Medical Rehabilitation
- Health Outcomes Research
- Surgical Patient Monitoring
Background:
- Postoperative recovery assessment is crucial for patient outcomes.
- Patient-reported outcome measures (PROMs) are increasingly utilized.
- The PROMIS Physical Function (PROMIS-PF) and PROMIS Ability to Participate in Social Roles and Activities (PROMIS-APS) are PROMs designed for various health conditions.
Purpose of the Study:
- To evaluate the construct validity and responsiveness of the PROMIS-PF v1.2 short form 8b and PROMIS-APS v2.0 short form 8a.
- To assess these PROMs specifically within the context of postoperative recovery following abdominal surgery.
Main Methods:
- An observational pilot study included 30 patients undergoing abdominal surgery.
- PROMIS-PF, PROMIS-APS, SF-36, and WHODAS 2.0 were administered pre- and post-surgery.
- Construct validity was assessed using Spearman correlations, and responsiveness using effect sizes, against pre-defined hypotheses.
Main Results:
- PROMIS-PF demonstrated strong construct validity (85.7% hypothesis consistency) and responsiveness (85.7% hypothesis consistency).
- PROMIS-APS showed weaker construct validity (46.7% hypothesis consistency) and responsiveness (53.8% hypothesis consistency).
Conclusions:
- The PROMIS-PF v1.2 short form 8b is a valid and responsive measure for assessing recovery after abdominal surgery.
- The study recommends the use of PROMIS-PF in abdominal surgery due to its advantages.
- Further investigation may be needed for the PROMIS-APS in this patient population.
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