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Assessing a tool to measure patient functional ability after outpatient surgery.

Publication ,  Journal Article
Hogue, SL; Reese, PR; Colopy, M; Fleisher, LA; Tuman, KJ; Twersky, RS; Warner, DS; Jamerson, B
Published in: Anesth Analg
July 2000

UNLABELLED: The "24-Hour Functional Ability Questionnaire" (24hFAQ) was developed to measure final recovery and satisfaction 24 h after surgery. We used structured interviews preoperatively to measure baseline patient concerns, and up to 24 h after discharge, to assess patient function and satisfaction. The primary objective was to assess the validity of the newly developed 24hFAQ in the postoperative outpatient setting. The criteria assessed were 1) CONTENT: comparison with expert opinion and patients' views and response frequency distributions for asymptotes and irrelevance, 2) Construct: contribution of cognitive, physical, and satisfaction domains to postoperative functional ability, 3) Discrimination: comparing mean clinical end points with patient satisfaction, and 4) Criterion (predictive) validity: testing that related constructs are best correlated. CONTENT validity was supported by the appropriate frequency distribution of subject responses, by the lack of floor or ceiling effects, and by <2% of responses indicating irrelevance. Construct validity was supported by moderate-to-strong positive interitem correlations within the cognitive and physical domains as predicted a priori. Discriminant validity support was mixed: key symptoms were associated with adverse patient satisfaction, but operating room and postanesthesia care unit residence times were unrelated. Criterion validity was supported by the finding that preoperative concern with key symptoms was independent of postoperative outcomes. The validity assessment presented was the first assessment of the measurement capability of the 24hFAQ in an outpatient postoperative population. These results provide overall support for the validity of the 24hFAQ for use in outpatient populations. IMPLICATIONS: This study assessed the validity of a novel functional ability questionnaire that measured functional status after recovery from anesthesia and satisfaction 24 h after outpatient surgery. The content, construct, discriminant, and criterion (predictive) validities demonstrated the utility of this assessment instrument in the outpatient setting.

Duke Scholars

Published In

Anesth Analg

DOI

ISSN

0003-2999

Publication Date

July 2000

Volume

91

Issue

1

Start / End Page

97 / 106

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Recovery of Function
  • Prospective Studies
  • Postoperative Nausea and Vomiting
  • Patient Satisfaction
  • Male
  • Humans
  • Female
  • Cognition
  • Anesthesiology
 

Citation

APA
Chicago
ICMJE
MLA
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Hogue, S. L., Reese, P. R., Colopy, M., Fleisher, L. A., Tuman, K. J., Twersky, R. S., … Jamerson, B. (2000). Assessing a tool to measure patient functional ability after outpatient surgery. Anesth Analg, 91(1), 97–106. https://doi.org/10.1097/00000539-200007000-00019
Hogue, S. L., P. R. Reese, M. Colopy, L. A. Fleisher, K. J. Tuman, R. S. Twersky, D. S. Warner, and B. Jamerson. “Assessing a tool to measure patient functional ability after outpatient surgery.Anesth Analg 91, no. 1 (July 2000): 97–106. https://doi.org/10.1097/00000539-200007000-00019.
Hogue SL, Reese PR, Colopy M, Fleisher LA, Tuman KJ, Twersky RS, et al. Assessing a tool to measure patient functional ability after outpatient surgery. Anesth Analg. 2000 Jul;91(1):97–106.
Hogue, S. L., et al. “Assessing a tool to measure patient functional ability after outpatient surgery.Anesth Analg, vol. 91, no. 1, July 2000, pp. 97–106. Pubmed, doi:10.1097/00000539-200007000-00019.
Hogue SL, Reese PR, Colopy M, Fleisher LA, Tuman KJ, Twersky RS, Warner DS, Jamerson B. Assessing a tool to measure patient functional ability after outpatient surgery. Anesth Analg. 2000 Jul;91(1):97–106.

Published In

Anesth Analg

DOI

ISSN

0003-2999

Publication Date

July 2000

Volume

91

Issue

1

Start / End Page

97 / 106

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Recovery of Function
  • Prospective Studies
  • Postoperative Nausea and Vomiting
  • Patient Satisfaction
  • Male
  • Humans
  • Female
  • Cognition
  • Anesthesiology