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Utilising electronic PROMs to measure a change in health following elective laparoscopic cholecystectomy: A feasibility study
Daliya, Prita Lobo, Dileep N. Parsons, Simon L.
Daliya, Prita
Lobo, Dileep N.
Parsons, Simon L.
Abstract
BACKGROUND: The collection of patient-reported outcome measures (PROMs) has many benefits for clinical practice. However, there are many barriers that prevent them from becoming a part of routine clinical care. The aim of this feasibility study was to pilot the use of a digital platform to facilitate the routine collection of pre- and post-operative electronic PROMs (ePROMs) in participants undergoing elective laparoscopic cholecystectomy and to validate the use of existing patient-reported outcomes for our population. METHOD(S): Participants scheduled for elective laparoscopic cholecystectomy were asked to complete digital versions of the Otago gallstones Condition-Specific Questionnaire (CSQ), and the RAND 36-item health survey (SF36). An assessment of methodological quality of ePROM questionnaires was also performed. RESULT(S): Preoperative ePROMs were completed by 200 participants undergoing laparoscopic cholecystectomy. Post-operatively attrition was high (completion at 30 days, 3 months, and 6months: n = 61, 54, and 38, respectively) due to difficulties accessing our ePROMs portal. Of those able to complete, a significant improvement in quality of life was seen across all health domains post-operatively when compared with baseline preoperative values for both disease-specific and generic PROMs. Methodological quality was assessed as good to excellent in both digital questionnaires. CONCLUSION(S): The collection of ePROMs is possible with current technological advances. Although it may be an acceptable, and convenient process for patients, and a useful measure of quality-of-life trends for clinicians, further developmental work is necessary to improve accessibility for patients, improve compliance, and reduce reporting bias from high attrition rates.Copyright © 2022. The Author(s).
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Date
2022
Type
Article
Subject
Cholecystectomy, Surveys and questionnaires, Patient-reported outcome measures, Laparoscopy
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Citation
Daliya, P., Lobo, D.N. and Parsons, S.L. (2022) 'Utilising electronic PROMs to measure a change in health following elective laparoscopic cholecystectomy: A feasibility study', World Journal of Surgery, 46(9), pp. 2155-2165. doi: 10.1007/s00268-022-06588-9 https://doi.org/10.1007/s00268-022-06588-9.