PROMIS for Laparoscopy

Abstract

Introduction We tested the responsiveness of the National Institutes of Health-sponsored Patient-Reported Outcomes Measures Information System (PROMIS) global health short form and a linear analog self-assessment for laparoscopy. Methods From 5/2011 through 12/2013, patients undergoing laparoscopy responded to patient reported outcome questionnaires perioperatively. Composite and single item scores were compared. Results One hundred fifteen patients, mean age 55, 58% female, were enrolled. Visual analog pain scores differed significantly from baseline (mean 1.7±2.3) to postoperative day 1 (mean 4.8±2.6) and 7 (mean 2.5±2.1) (p<0.0001). PROMIS physical subscale and total physical component subscore differed significantly from baseline (14.4±3.0/47.4±8.3) to postoperative day 1 (12.7±3.2/42.1±8.8) (p 0.0007/0.0003), due to everyday physical activities (p=0.0001). Linear analog self-assessment scores differed from baseline for pain frequency (p<0.0001), pain severity (p< 0.0001) and social activity (p=0.0052); 40% of subjects reported worsening in PROMIS physical T-score to postoperative day 1 and 25% to postoperative day 7. Linear analog self-assessment mental well-being scores were worse in 32% of patients at postoperative day 7, emotional well-being in 28%, social activity in 24% , and fatigue in 20% of patients. Conclusion Single items and change from baseline are responsive perioperative quality of life assessments for laparoscopy.

Mobile Phone-Based Measures of Activity, Step Count, and Gait Speed: Results From a Study of Older Ambulatory Adults in a Naturalistic Setting

“…Compared to LLFDI and SAFFE, which were developed specifically for use in older populations, PROMIS-GH and PROMIS-PF assessments were developed for general adult populations [ 23 , 57 ]. Both of these instruments have previously been validated in a large, cross-sectional sample of independently dwelling US adults [ 23 , 58 , 59 ], as well as persons with chronic pelvic pain [ 60 ], cancer [ 61 , 62 ], or in preparation for surgical procedures [ 63 ]. Our results suggest that PROMIS-PF and PROMIS-PH can discriminate functional status capacity between a cohort of intact older adults and persons meeting frailty criteria.…”

A Double-Blinded Randomized Trial to Compare the Effectiveness of Minimally Invasive Procedures Using Patient-Reported Outcomes

“…We have previously used both tools and found them responsive to perioperative changes in patients after laparoscopic surgery. (4–5) Several studies have compared SP and FP laparoscopic cholecystectomy previously, including using PRO. However, most studies were small, often underpowered, and did not account for confounders or did not collect preoperative baseline PRO data, making interpretation of the results difficult.…”

American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) Joint Consensus Statement on Optimal Analgesia within an Enhanced Recovery Pathway for Colorectal Surgery: Part 2—From PACU to the Transition Home

“…Concerning other validated measures, it appears that PROMIS instruments faithfully capture information in respondents’ natural environments and reflect the participants’ real-life symptom, but the number of components for future work should be limited in order to reduce patient burden and the analytic workload while delivering results (Stone et al 2015 ; Bingener et al 2015 ). In the absence of a Health-Related Quality of Life (HRQoL) instrument specifically validated for the postoperative pain setting, Taylor and colleagues used two generic questionnaires, the 12-item Short-Form health survey (SF-12) and EQ-5D in general surgery and orthopedic procedure patients to measure impact of pain on quality of life on postoperative day seven (Taylor et al 2013 ).…”