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Routine Implementation of Patient-Reported Outcomes Assessment Into Thoracic Surgery Practice
Onkar V Khullar1, Aubriana Perez2, Meredith Dixon2
1Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia.
The Annals of Thoracic Surgery
|May 13, 2022
Summary
Routine patient-reported outcomes (PROs) assessment in thoracic surgery is effective, achieving a 65.7% completion rate. Future work should improve PROs collection for disadvantaged patients.
Area of Science:
- Surgical Outcomes Research
- Health Services Research
- Patient-Reported Outcomes
Background:
- Patient-reported outcomes (PROs) are crucial for evaluating surgical success and patient care.
- This study investigated the effectiveness of integrating routine PROs into an academic thoracic surgery practice.
Purpose of the Study:
- To assess the feasibility and success rate of routine PROs collection in thoracic surgery.
- To identify barriers and challenges in PROs data acquisition.
Main Methods:
- Utilized the NIH-sponsored Patient-Reported Outcomes Measurement Information System (PROMIS) for PROs assessment (pain, function, dyspnea).
- Collected data electronically via a web-based platform from April 2018 to January 2021.
- Monitored questionnaire completion rates and implemented adjustments, including a mobile health platform, to address declines.
Main Results:
- Collected PROs data from 3551 patients across 6899 visits.
- Achieved an overall questionnaire completion rate of 65.7%.
- Observed significant variability in monthly completion rates (20%-90%), with a notable decline in April 2020.
Conclusions:
- Routine PROs assessment is feasible and minimally disruptive in thoracic surgery clinics.
- Future research should focus on enhancing PROs collection among underserved patient groups and expanding implementation.
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