Development and Psychometric Testing of a Quality of Recovery Score After General Anesthesia and Surgery in Adults

Myles, Paul S.; Hunt, Jennifer O.; Nightingale, Claire; Fletcher, Helen A.; Beh, Terence; Tanil, Deral; Nagy, Attila; Rubinstein, Alan; Ponsford, Jennie Louise

doi:10.1213/00000539-199901000-00016

Cited by 348 publications

(109 citation statements)

References 27 publications

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“…This result indicates that the questions are clearly formulated and that the participants understood the questions. Only two postoperative recovery instruments have presented test-retest assessment as part of their development [13,14].…”

Section: Discussionmentioning

confidence: 99%

“…The Recovery Inventory [12] measures patient welfare during recovery after surgery, primarily in terms of physical condition. Myles and collaborators [13] have developed the Quality of Recovery score (QoR) and QoR-40 [14] to measure quality of recovery after anaesthesia and surgery. The QoR consists of nine items that measure physical and functional dimensions, while QoR-40 is an extensive instrument consisting of 40 items sorted in five domains: emotional state, physical comfort, psychological support, physical independence and pain.…”

Section: Introductionmentioning

confidence: 99%

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Development of a questionnaire to measure patient‐reported postoperative recovery: content validity and intra‐patient reliability

Allvin

Ehnfors

Rawal

et al. 2009

Evaluation Clinical Practice

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Aims and objectives In this study we describe the development of a short, easy-to-use questionnaire to measure postoperative recovery and evaluate its content validity and intra-patient reliability. The questionnaire is designed to evaluate the progress of postoperative recovery and the long-term follow-up of possible effects of interventions during recovery. Methods The study involved four steps. (1) A conceptualization and item definitions were based on a theoretical framework and a description of patients' postoperative recovery from the perspective of patients, registered nurses and surgeons; (2) Content validity of items was tested through expert judgements; (3) A test run of the questionnaire was performed to confirm its feasibility and workload requirement; and (4) The stability of the questionnaire was evaluated through intra-patient reliability assessment. Results As a result of the operationalization process of the concept postoperative recovery, five dimensions (physical symptoms, physical functions, psychological, social, activity) and 19 items were identified. Each item was formulated as a statement in the questionnaire. Content validity was judged to be high. After the pre-test of the questionnaire a revision with refinements in the layout was made. The vast majority of items showed a high level of intra-patient reliability. Conclusion Based on a theoretical framework and empirical data, we developed a short and easy-to-use tentative questionnaire to measure patient-reported postoperative recovery. Initial support for content validity was established. The vast majority of items showed a high level of test-retest reliability.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development of a questionnaire to measure patient‐reported postoperative recovery: content validity and intra‐patient reliability

Allvin

Ehnfors

Rawal

et al. 2009

Evaluation Clinical Practice

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“…Mossey et al [2] reported that high post-operative depression scores in their study were associated with poorer recovery in functional status. Interestingly, Myles et al [14] found that female gender and age were both predictors of poor quality of recovery post-operatively. Regrettably we have not followed the subjects up after their discharge and are therefore unable to comment on our patient's functional state or quality of recovery since discharge.…”

Section: Discussionmentioning

confidence: 99%

Post‐operative anxiety and depression levels in orthopaedic surgery: a study of 56 patients undergoing hip or knee arthroplasty

Nickinson

Board

Kay

2009

Evaluation Clinical Practice

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“…All existing recovery assessment tools include pain as a substantial aspect. Several dimensions of recovery, such as physical, psychological, emotional and activity aspects are also included (Allvin, Ehnfors, Rawal, Svensson, & Idvall, 2009;Gordon et al, 2010;Myles et al, 1999;Rothaug et al, 2013;Royse et al, 2010). These extensive tools have been primarily developed for use in research or quality improvement from the early postoperative phase up to a year after surgery.…”

Section: Introductionmentioning

confidence: 99%

Association of pain ratings with the prediction of early physical recovery after general and orthopaedic surgery—A quantitative study with repeated measures

Eriksson

Wikström

Fridlund

et al. 2017

Journal of Advanced Nursing

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Development and Psychometric Testing of a Quality of Recovery Score After General Anesthesia and Surgery in Adults

Cited by 348 publications

References 27 publications

Development of a questionnaire to measure patient‐reported postoperative recovery: content validity and intra‐patient reliability

Development of a questionnaire to measure patient‐reported postoperative recovery: content validity and intra‐patient reliability

Post‐operative anxiety and depression levels in orthopaedic surgery: a study of 56 patients undergoing hip or knee arthroplasty

Association of pain ratings with the prediction of early physical recovery after general and orthopaedic surgery—A quantitative study with repeated measures

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