Assessment for the Quality of Recovery from General Anesthesia in Patients with Gynecologic Surgery

Hong, Sang Hyun; Lee, Jae Min; Park, Chong Min; Park, Hue Jung; Jeon, Joon Pyo; Yu, Mi Ran; Lee, Yoon Ki

doi:10.4097/kjae.2008.54.5.531

Cited by 5 publications

(3 citation statements)

References 30 publications

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“…However, the official Korean version of the QoR-40 has not been established so far. Although there are several Korean studies that evaluated quality of recovery using their own translated QoR-40 for Korean patients, the official Korean QoR-40 was not validated [ 10 , 11 ]. Lee et al [ 11 ] compared the validity of QoR-40 between the type of anesthesia (total intravenous anesthesia vs. inhaled anesthesia).…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of the Korean version of the Quality of Recovery-40 questionnaire

Lee

Kim

Seo

et al. 2018

Korean J Anesthesiol

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BackgroundThe Quality of Recovery-40 (QoR-40) is a widely-used, self-rated, and self-completed questionnaire for postoperative patients. The questionnaire is intended to elicit information from each patient regarding the quality of recovery during the postoperative period. It is noteworthy, however, that an official Korean version of the QoR-40 (QoR-40K) has not been established. The purpose of this study was to develop the QoR-40K by translation and cultural adaptation process and to evaluate the validity and reliability of the QoR-40K.MethodsAfter pre-authorization from the original author of the QoR-40, the translation procedure was established and carried out based upon Beaton’s recommendation to create a QoR-40K model comparable to the original English QoR-40. Two hundred surgical patients were enrolled, and each completed the questionnaire during the preoperative period, on the third day, and 1 month after surgery. The QoR-40K was compared with the visual analogue scale (VAS) and another health-related questionnaire, the Short-form Health Survery-36 (SF-36). The method of validation for QoR-40K included test-retest reliability, internal consistency, and level of responsiveness.ResultsSpearman’s correlation coefficient for test-retest reliability was 0.895 (P < 0.001), and Cronbach’s alpha of the global QoR-40K on the third day after surgery was 0.956. A positive correlation was obtained between the QoR-40K and the mental component summary of SF-36 (ρ = 0.474, P < 0.001), and a negative correlation was observed between QoR-40K and VAS (ρ = −0.341, P < 0.001). The standardized responsive mean of the total QoR-40K was 0.71.ConclusionsThe QoR-40K was found to be as acceptable and reliable as the original English QoR-40 for Korean patients after surgery, despite the apparent differences in the respective patients’ cultural backgrounds.

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Section: Introductionmentioning

confidence: 99%

Validity and reliability of the Korean version of the Quality of Recovery-40 questionnaire

Lee

Kim

Seo

et al. 2018

Korean J Anesthesiol

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“…Quality of Recovery 40 (QoR-40) is a multidimensional questionnaire addressing many aspects of postoperative improvement [ 7 ]. The QoR-40 has been used numerous times to measure patients’ recovery after different surgeries [ 8 , 9 ]. In addition, this questionnaire seems to be a reliable tool for assessing other techniques, including regional blocks [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

The quality of recovery after erector spinae plane block in patients undergoing breast surgery: a randomized controlled trial

et al. 2022

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Background The erector spinae plane (ESP) block has recently been shown to effectively alleviate postoperative pain and reduce opioid consumption in breast surgery patients. However, data are still limited concerning the quality of recovery in patients following this procedure. Methods This study was a randomized controlled trial (RCT) performed in a university hospital. We randomly allocated patients to one of three groups: ESP, SHAM, and control (CON). Procedures in the ESP and SHAM blocks were performed ipsilaterally with 0.375% ropivacaine or 0.9% saline (0.4 mL/kg). Our primary outcome was the assessment of the patient’s improvement with quality-of-recovery 40 (QoR-40) a day after surgery. Other outcome assessments included postoperative pain evaluation on the visual analog scale (VAS), 24-hour opioid consumption with patient-controlled analgesia (PCA), time to the first opioid demand, and global satisfaction with perioperative treatment. Results Overall, patients in the ESP group had improved QoR-40 compared to the CON group, 186 [177–193] vs. 175 [165–183] (medians and interquartile ranges). Pain severity was significantly higher in the CON group compared to the ESP group at hours 2 (38 [23–53] vs. 20 [7–32]) and 4 (30 [18–51] vs. 19 [7–25]). Moreover, we observed lower oxycodone consumption after 24 hours with the PCA pump between the ESP (4 [2–8] mg) and the CON (9.5 [5–19]) groups. Patients in the CON group used PCA sooner than those in the ESP group. Participants in the ESP group were more satisfied with treatment than those in the CON group. We found no statistical difference between SHAM and the other groups. Conclusions Compared to the CON group, the ESP block improved the quality of recovery, alleviated pain intensity, and lowered opioid consumption in patients undergoing breast surgery. However, we did not observe this superiority in comparison with the SHAM group. Trial registration NCT04726878.

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“…Quality of Recovery 40 (QoR-40) is a multidimensional questionnaire addressing many aspects of postoperative improvement [8]. The QoR-40 has been used numerous times to measure patients' recovery after different surgeries [9,10]. In addition, this questionnaire seems to be a reliable tool for assessing other techniques, including regional blocks [11].…”

mentioning

confidence: 99%

Erector Spinae Plane Block Improves the Quality of Recovery and Postoperative Pain Management in Patients Undergoing Breast Surgery Compared to the Control But Not the Sham Block Group: A Randomized Controlled Trial

Wiech

Piwowarczyk

Mieszkowski

et al. 2022

Preprint

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Background. The erector spinae plane (ESP) block has recently been shown to effectively alleviate postoperative pain and reduce opioid consumption in breast surgery patients. However, data are still limited concerning the quality of recovery in patients following this procedure.Methods. This study was a randomized controlled trial (RCT) performed in a university hospital. We randomly allocated patients to one of three groups: ESP, SHAM, and control (CON). Procedures in the ESP and SHAM blocks were performed ipsilaterally with 0.375% ropivacaine or 0.9% saline (0.4 mL/kg). Our primary outcome was the assessment of the patient’s improvement with quality-of-recovery 40 (QoR-40) a day after surgery. Other outcome assessments included postoperative pain evaluation on the visual analog scale (VAS), 24-hour opioid consumption with patient-controlled analgesia (PCA), time to the first opioid demand, and global satisfaction with perioperative treatment. Results. Overall, patients in the ESP group had improved QoR-40 compared to the CON group, 186 [177–193] vs. 175 [165–183] (medians and interquartile ranges). Pain severity was significantly higher in the CON group compared to the ESP group at hours 2 (38 [23–53] vs. 20 [7–32]) and 4 (30 [18–51] vs. 19 [7–25]). Moreover, we observed lower oxycodone consumption after 24 hours with the PCA pump between the ESP (4 [2–8] mg) and the CON (9.5 [5–19]) groups. Patients in the CON group used PCA sooner than those in the ESP group. Participants in the ESP group were more satisfied with treatment than those in the CON group. We found no statistical difference between SHAM and the other groups. Conclusions. Compared to the CON group, the ESP block improved the quality of recovery, alleviated pain intensity, and lowered opioid consumption in patients undergoing breast surgery. However, we did not observe this superiority in comparison with the SHAM group. Trial registration: NCT04726878

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Assessment for the Quality of Recovery from General Anesthesia in Patients with Gynecologic Surgery

Cited by 5 publications

References 30 publications

Validity and reliability of the Korean version of the Quality of Recovery-40 questionnaire

Validity and reliability of the Korean version of the Quality of Recovery-40 questionnaire

The quality of recovery after erector spinae plane block in patients undergoing breast surgery: a randomized controlled trial

Erector Spinae Plane Block Improves the Quality of Recovery and Postoperative Pain Management in Patients Undergoing Breast Surgery Compared to the Control But Not the Sham Block Group: A Randomized Controlled Trial

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