Evaluation of Patient-reported Quality-of-life Outcomes After Renal Surgery

Abstract

Objectives To assess the feasibility of two patient-reported health related quality of life (HRQOL) instruments, CARE and SF-12, as tools for evaluating HRQOL outcome consequences following renal surgery, and to determine which domains of these HRQOL instruments are most sensitive to HRQOL outcome effects of renal surgery. Methods Patients completed CARE and SF-12 preoperatively (baseline) and at 2, 4, 12 and 24 weeks after surgery. Clinical data, patient response rate, HRQOL changes over time, and likelihood of patient return to baseline HRQOL were evaluated. Results Seventy-one patients were enrolled. Sixty patients completed the baseline and at least one follow-up set of questionnaires. The CARE pain, gastrointestinal (GI) and activity domain scores and the SF-12 physical composite score (PCS) were sensitive to changes in HRQOL (all p<0.05), whereas other domain subscores of these instruments did not change from pre-surgical baseline to post-surgical follow-up. Postsurgical HRQOL effects detected by the CARE pain, GI, and activity domains, and SF-12 PCS were most evident at 2 weeks (all p<0.001). The CARE composite score demonstrated 74% and 50% of patients returned to within 90% of baseline 4 weeks after radical and partial nephrectomy respectively. Conclusion Evaluation of patient-reported HRQOL outcomes after renal surgery is feasible, our findings suggest that the activity, pain, and GI domains of CARE and PCS subscore of the SF-12 are sensitive measures of HRQOL outcome consequences of renal surgery and represent appropriate measures of either care quality or comparative effectiveness analyses of robotic, laparoscopic, and open renal surgery.

Effect of Perioperative Intravenous Lidocaine Administration on Pain, Opioid Consumption, and Quality of Life after Complex Spine Surgery

“…It measures two domains, including mental and physical component summaries (mental component summary and physical composite score, respectively). 13,14 The survey was administered by phone; use of the SF-12 by phone has been shown to be valid. 14 …”

“…13,14 The survey was administered by phone; use of the SF-12 by phone has been shown to be valid. 14 …”

Robot‐assisted partial nephrectomy: Superiority over laparoscopic partial nephrectomy

“…RAPN resulted in greater stability of tumor excision and improved movability on suturing renorrhaphy, leading to a shortened WIT and a reduction in complications . RAPN maintained a low invasiveness for patients, and caused an improvement in QOL after surgery for renal tumors …”

“…14,15 RAPN maintained a low invasiveness for patients, and caused an improvement in QOL after surgery for renal tumors. 16 In the present article, technical advancements and updated outcomes will be reviewed. Furthermore, associated preoperative factors for extended WIT will be analyzed and discussed for RAPN, based on our experience and previous studies.…”

Comparison of patient-reported quality of life outcome questionnaire response rates between patients treated surgically for renal cell carcinoma and prostate carcinoma

“…Our institution is looking into methods that may improve our overall QoL response rates. A 2012 examination of QoL outcomes following renal surgery gave patients the option of internet or paper-based follow-up [ 17 ]. Patients who did not respond were contacted by phone or e-mail up to three times.…”