Validity of the EuroQol-5 dimensions as a measure of recovery after pulmonary resection

Bejjani, Jimmy; Fiore, Julio F.; Lee, Lawrence; Kaneva, Pepa; Mata, Juan; Ncuti, Annie; Sirois, Christian; Mulder, David S.; Ferri, Lorenzo; Feldman, Liane S.

doi:10.1016/j.jss.2014.11.016

Cited by 9 publications

(5 citation statements)

References 34 publications

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“…35 This instrument is not very discriminative and has a significant ceiling effect when used after surgery, particularly with abdominal and thoracic surgery. 36,37 Future work in the perioperative and ERP arena must also focus on its use to provide actionable outcomes to enhance recovery instead of its sole use at remote time point distant from surgical intervention.…”

Section: Eq-5dmentioning

confidence: 99%

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway

Abola

Bennett‐Guerrero

Kent

et al. 2018

Anesthesia &Amp; Analgesia

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Patient-reported outcomes (PROs) are measures of health status that come directly from the patient. PROs are an underutilized tool in the perioperative setting. Enhanced recovery pathways (ERPs) have primarily focused on traditional measures of health care quality such as complications and hospital length of stay. These measures do not capture postdischarge outcomes that are meaningful to patients such as function or freedom from disability. PROs can be used to facilitate shared decisions between patients and providers before surgery and establish benchmark recovery goals after surgery. PROs can also be utilized in quality improvement initiatives and clinical research studies. An expert panel, the Perioperative Quality Initiative (POQI) workgroup, conducted an extensive literature review to determine best practices for the incorporation of PROs in an ERP. This international group of experienced clinicians from North America and Europe met at Stony Brook, NY, on December 2-3, 2016, to review the evidence supporting the use of PROs in the context of surgical recovery. A modified Delphi method was used to capture the collective expertise of a diverse group to answer clinical questions. During 3 plenary sessions, the POQI PRO subgroup presented clinical questions based on a literature review, presented evidenced-based answers to those questions, and developed recommendations which represented a consensus opinion regarding the use of PROs in the context of an ERP. The POQI workgroup identified key criteria to evaluate patient-reported outcome measures (PROMs) for their incorporation in an ERP. The POQI workgroup agreed on the following recommendations: (1) PROMs in the perioperative setting should be collected in the framework of physical, mental, and social domains. (2) These data should be collected preoperatively at baseline, during the immediate postoperative time period, and after hospital discharge. (3) In the immediate postoperative setting, we recommend using the Quality of Recovery-15 score. After discharge at 30 and 90 days, we recommend the use of the World Health Organization Disability Assessment Scale 2.0, or a tailored use of the Patient-Reported Outcomes Measurement Information System. (4) Future study that consistently applies PROMs in an ERP will define the role these measures will have evaluating quality and guiding clinical care. Consensus guidelines regarding the incorporation of PRO measures in an ERP were created by the POQI workgroup. The inclusion of PROMs with traditional measures of health care quality after surgery provides an opportunity to improve clinical care.

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Section: Eq-5dmentioning

confidence: 99%

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway

Abola

Bennett‐Guerrero

Kent

et al. 2018

Anesthesia &Amp; Analgesia

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“…The EQ‐5D‐5L also provides another single score originally called the EQ‐5D index value, which is derived from the descriptive system of five dimensions using the EQ‐5D value sets. The EQ‐5D index value has been reported to be inappropriate for patients with early and advanced lung cancer 19,20 . In contrast, the EQ‐5D VAS score could yield the same result with other validated QOL measures in advanced lung cancer 19 and be used with other validated measures in the surgical setting 3 .…”

Section: Discussionmentioning

confidence: 99%

Preoperative predictors of restoration in quality of life after surgery for lung cancer

et al. 2021

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Background The preoperative predictors of quality of life (QOL) in patients who undergo lung resection for lung cancer are poorly known. Here, we investigated these predictors in such patients using two QOL measures. Methods In this single‐institutional prospective cohort study, we administered the EQ‐5D‐5 levels (EQ‐5D‐5L) from January 2015, and the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire with 30 items from April 2015 to April 2018 preoperatively (Pre) and at one month postoperatively (M1), and one year postoperatively (Y1). General health status was measured by the EQ‐5D visual analogue scale (VAS) and EORTC global health status/QOL (GHS) scores. Multivariable linear regression analyses were used to explore the preoperative predictors of QOL at Y1. Results A total of 223 patients were included in the study. The EQ‐5D VAS and EORTC GHS scores, at Pre, M1, and Y1, were 80 ± 15, 77 ± 15, and 84 ± 11; and 74 ± 19, 65 ± 20, and 78 ± 17, respectively. In the multivariable analyses, the albumin level, preoperative VAS score, and preoperative pain/discomfort and anxiety/depression were identified as predictors by the EQ‐5D VAS score. The preoperative EORTC GHS score, absence of diabetes mellitus, preoperative cognitive function score, and preoperative symptom score of pain were identified as predictors by the EORTC GHS score. Conclusions The EQ‐5D VAS and EORTC GHS scores traced similar trajectories of QOL. In both QOL measures, preoperative pain was found as a common predictor. These predictors may help improve patient/survivor care in the future.

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“…Each item of the questionnaire is graded on 3 levels, and a variety of valuing algorithms allow to weigh responses in order to obtain a utility score from which can be derived QALYs. However, during the course of the study, we reported that the EQ-5D questionnaire was not responsive to the expected trajectory of postoperative recovery in patients specifically undergoing lung resection, at least when measured once at 30 days [29]. As a result, it was not possible to use the questionnaire data to calculate QALYs and perform a cost-effectiveness analysis.…”

Section: Commentmentioning

confidence: 97%

Economic Impact of an Enhanced Recovery Pathway for Lung Resection

Paci

Madani

Lee

et al. 2017

The Annals of Thoracic Surgery

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Validity of the EuroQol-5 dimensions as a measure of recovery after pulmonary resection

Cited by 9 publications

References 34 publications

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway

Preoperative predictors of restoration in quality of life after surgery for lung cancer

Economic Impact of an Enhanced Recovery Pathway for Lung Resection

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