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

Publication ,  Journal Article
Abola, RE; Bennett-Guerrero, E; Kent, ML; Feldman, LS; Fiore, JF; Shaw, AD; Thacker, JKM; Gan, TJ; Miller, TE; Hedrick, TL; McEvoy, MD ...
Published in: Anesth Analg
June 2018

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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Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

June 2018

Volume

126

Issue

6

Start / End Page

1874 / 1882

Location

United States

Related Subject Headings

  • Societies, Medical
  • Recovery of Function
  • Quality of Life
  • Quality of Health Care
  • Perioperative Care
  • Patient Reported Outcome Measures
  • Humans
  • Consensus
  • Anesthesiology
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Abola, R. E., Bennett-Guerrero, E., Kent, M. L., Feldman, L. S., Fiore, J. F., Shaw, A. D., … Perioperative Quality Initiative (POQI) 2 Workgroup. (2018). American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway. Anesth Analg, 126(6), 1874–1882. https://doi.org/10.1213/ANE.0000000000002758
Abola, Ramon E., Elliott Bennett-Guerrero, Michael L. Kent, Liane S. Feldman, Julio F. Fiore, Andrew D. Shaw, Julie K. M. Thacker, et al. “American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway.Anesth Analg 126, no. 6 (June 2018): 1874–82. https://doi.org/10.1213/ANE.0000000000002758.
Abola RE, Bennett-Guerrero E, Kent ML, Feldman LS, Fiore JF, Shaw AD, et al. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway. Anesth Analg. 2018 Jun;126(6):1874–82.
Abola, Ramon E., et al. “American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway.Anesth Analg, vol. 126, no. 6, June 2018, pp. 1874–82. Pubmed, doi:10.1213/ANE.0000000000002758.
Abola RE, Bennett-Guerrero E, Kent ML, Feldman LS, Fiore JF, Shaw AD, Thacker JKM, Gan TJ, Miller TE, Hedrick TL, McEvoy MD, Mythen MG, Bergamaschi R, Gupta R, Holubar SD, Senagore AJ, Wischmeyer PE, Carli F, Evans DC, Guilbert S, Kozar R, Pryor A, Thiele RH, Everett S, Grocott M, Perioperative Quality Initiative (POQI) 2 Workgroup. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway. Anesth Analg. 2018 Jun;126(6):1874–1882.

Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

June 2018

Volume

126

Issue

6

Start / End Page

1874 / 1882

Location

United States

Related Subject Headings

  • Societies, Medical
  • Recovery of Function
  • Quality of Life
  • Quality of Health Care
  • Perioperative Care
  • Patient Reported Outcome Measures
  • Humans
  • Consensus
  • Anesthesiology
  • 3202 Clinical sciences