Patient-Reported Outcome Measures in Colon and Rectal Surgery: A Systematic Review and Quality Assessment.

Diseases of the Colon and Rectum
Alexander T HawkinsDavid F Penson

Abstract

There is growing interest in using patient-reported outcome measures to support value-based care in colorectal surgery. To draw valid conclusions regarding patient-reported outcomes data, measures with robust measurement properties are required. The purpose of this study was to assess the use and quality of patient-reported outcome measures in colorectal surgery. Three major databases were searched for studies using patient-reported outcome measures in the context of colorectal surgery. Articles that used patient-reported outcome measures as outcome for colorectal surgical intervention in a comparative effectiveness analysis were included. Exclusion criteria included articles older than 11 years, non-English language, age <18 years, fewer than 40 patients, case reports, review articles, and studies without comparison. This was a quality assessment using a previously reported checklist of psychometric properties. From 2007 to 2018, 368 studies were deemed to meet inclusion criteria. These studies used 165 distinct patient-reported outcome measures. Thirty were used 5 or more times and were selected for quality assessment. Overall, the measures were generally high quality, with 21 (70%) scoring ≥14 on an 18-point scale. Notable w...Continue Reading

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Citations

Mar 28, 2021·Journal of the American College of Surgeons·Alexander T Hawkins

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