A Review of PROM Implementation in Surgical Practice

Area of Science:

• Healthcare Management
• Surgical Outcomes Research
• Patient-Centered Care

Background:

• Patient-reported outcomes (PROs) are vital for individualized patient care and assessing surgical intervention impact on quality of life.
• Despite recognized value, real-world implementation of patient-reported outcome measures (PROMs) in surgery remains underexplored.

Purpose of the Study:

• To synthesize the current status of patient-reported outcome measure (PROM) implementation and collection within routine surgical practice.
• To identify key factors influencing PROM adoption and success in surgical settings.

Main Methods:

• A scoping review of literature published after 2012 was conducted using MEDLINE and Embase.
• Included studies focused on routine surgical practice, validated PRO instruments, peri-operative data collection, and implementation outcomes.
• 1524 titles and abstracts were screened by two independent reviewers.

Main Results:

• 16 studies reported on PROM implementation for surgical patients, with sample sizes varying from 41 to 1324 patients.
• Fidelity and feasibility were the most frequently reported implementation outcomes.
• All studies concluded successful PROM collection, though less than half analyzed nonrespondents.

Conclusions:

• Establishing minimum standards for PROM collection (pre/post-intervention), reporting response rates, and analyzing respondent/nonrespondent data are essential.
• Transparency in resource utilization and cost can further facilitate PROM adoption and accountability in surgical care.