Measuring quality of recovery in perioperative clinical trials

Current Opinion in Anaesthesiology
P S Myles

Abstract

Perioperative studies increasingly report patient-centered outcomes, but few provide a valid, global measure of a patient's health status after surgery and anesthesia. This review considers three quality of recovery (QoR) scales. The 9-item (QoR Score), 15-item (QoR-15), and 40-item (QoR-40) QoR scales have been extensively validated in perioperative settings, and have also been used as outcome measures in numerous surgery and anesthesia studies. A range of clinical trials are presented to illustrate the value of the QoR scales in perioperative medicine research. The QoR Score, QoR-15, and QoR-40 are valid and recommended endpoints for perioperative clinical trials, and there is guidance as to what constitutes a minimal clinically important difference. These recovery scales are sensitive to a change in health status and, as numerical data, optimize statistical power when used in the design of a clinical trial. They are closely correlated with conventional measures of outcome such as analgesic consumption, pain scores, nausea and vomiting, and hospital stay. Although conventional measures may be considered patient-centered, each are incomplete by themselves. QoR scores provide a meaningful overall evaluation of a patient's recov...Continue Reading

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Citations

Oct 3, 2019·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Stefan van BeekRobert J Stolker
Dec 14, 2019·Current Opinion in Anaesthesiology·Lauren M SmithUNKNOWN St Vincent's Hospital, Melbourne
May 15, 2020·Journal of Cardiovascular Electrophysiology·Youssef Jalloul, Marwan M Refaat
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Feb 1, 2021·The Journal of Arthroplasty·Cody C WylesHugh M Smith
Feb 2, 2021·The American Surgeon·Yehonatan NevoAvinoam Nevler
Feb 25, 2021·American Journal of Ophthalmology·Amanda K BicketPradeep Y Ramulu
Apr 19, 2020·British Journal of Anaesthesia·François DemumieuxEric Noll
May 30, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Emma Jackson, Mike Charlesworth
Jul 23, 2021·Archives of Orthopaedic and Trauma Surgery·H PeuchotJ-N Argenson
Aug 10, 2021·British Journal of Anaesthesia·Paul S Myles

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