TH4.9 Patient Reported Outcome Measures (PROMs) – A Key to Understanding Laparoscopic Cholecystectomy Outcomes?

Abstract

Aims Healthcare requires patient feedback to improve outcomes and experience. This study undertook a systematic review of the depth, variability, and digital suitability of current patient reported outcome measures PROMS in laparoscopic cholecystectomy. Methods A PROSPERO registered (ID: CRD42021261707) systematic review was undertaken of English language articles, published from January 1st, 2011 to June 2nd, 2021, and underwent MINORS grading, using PubMed version of Medline, Scopus, and Web of Science electronic databases in June 2021. The search used Boolean operators and wildcards including key words: laparoscopic cholecystectomy AND patient outcome OR patient reported outcome OR patient reported outcome measure OR PRO OR PROM. Results A total of 4960 individual articles were reviewed, 44 were found to evaluate PROMs in patients undergoing laparoscopic cholecystectomy. 21 articles spanning 19 countries and 4 continents were included in the qualitative data synthesis. There was significant heterogeneity in PROMs, with eight different PROM tools used in 21 studies. Wide variation in the time points at which PROMs were recorded. Fourteen of twenty-one studies recorded PROMs pre- and post-operatively, seven of twenty-one recorded PROMs post-operatively only. Follow up periods ranged from 3 days to 2 years post-operatively. All PROMs detected changes in quality-of-life over time. Conclusions This study identified that while post laparoscopic cholecystectomy PROMs are infrequently measured currently, tools are widely available to achieve this in clinical practice. PROMs may not capture all the outcomes but should be incorporated into future cholecystectomy outcome research. EuroQOL EQ-5D provides a simple platform for the modern digital era.