Beyond morbidity and mortality: The practicality of measuring patient-reported outcomes in trauma

Hatchimonji, Justin S.; Kaufman, Elinore J.; Chreiman, Kristen; Stoecker, Jordan B.; Reilly, Patrick; Smith, Brian P.; Holena, Daniel N.; Seamon, Mark J.

doi:10.1016/j.injury.2020.11.034

Cited by 6 publications

(8 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our group has written previously about PROs in both emergency general surgery 11 and trauma patients. In trauma, we showed that patients reported significantly lower scores than the population mean in every domain of the PROMIS-29 at the time of the initial clinic follow-up visit 10 . These visits often occur within a few weeks of discharge; thus, the current study adds to this work by describing a change from baseline and demonstrating a worsening of responses in multiple domains over 6 months.…”

Section: Discussionmentioning

confidence: 61%

“…In trauma, we showed that patients reported significantly lower scores than the population mean in every domain of the PROMIS-29 at the time of the initial clinic follow-up visit. 10 These visits often occur within a few weeks of discharge; thus, the current study adds to this work by describing a change from baseline and demonstrating a worsening of responses in multiple domains over 6 months. In addition, this study adds to our prior work by also examining mental health and social outcomes.…”

Section: Discussionmentioning

confidence: 85%

“…5 In response, the literature has begun to explore a variety of long-term outcomes. Some authors, including our group, have discussed the importance of patient-reported outcomes (PROs) in medicine 6,7 and surgery, 8 demonstrating poor health-related quality of life (HRQoL) outcomes after trauma, 9,10 emergency surgery, 11 and other surgical disciplines. Indeed, the National Quality Forum and other organizations, such as the Patient-Centered Outcomes Research Institute, have stressed the importance of measuring these outcomes.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Beyond pain and disability: The lasting effects of trauma on life after injury

Hatchimonji

Kaufman

Babalola

et al. 2022

J Trauma Acute Care Surg

Self Cite

View full text Add to dashboard Cite

In support of improving patient care, this activity has been planned and implemented by CineMed and the American Association for the Surgery of Trauma. CineMed is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. AMA PRA Category 1 Credits™CineMed designates this enduing material for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. ObjectivesAfter reading the featured articles published in the Journal of Trauma and Acute Care Surgery, participants should be able to demonstrate increased understanding of the material specific to the article. Objectives for each article are featured at the beginning of each article and online. Test questions are at the end of the article, with a critique and specific location in the article referencing the question topic.

show abstract

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 85%

mentioning

confidence: 99%

See 1 more Smart Citation

Beyond pain and disability: The lasting effects of trauma on life after injury

Hatchimonji

Kaufman

Babalola

et al. 2022

J Trauma Acute Care Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…It has been used to monitor health outcomes after trauma. [7] For PROMIS instruments, a score of 50 is the average for the United States general population with a standard deviation of 10. A higher PROMIS Tscore represents more of the concept being measured.…”

Section: Secondary Outcomes Promis-29 Health Pro Le (29 Items)[8]mentioning

confidence: 99%

“…4 Persistent pain after trauma is common and associated with poor quality of life, psychological distress, reduced return to work, and the development of chronic pain. [5][6][7] Most trauma patients are discharged on opioids. 8 Patients discharged after major trauma are at high risk for opioid misuse and OUD, with two-thirds having at least one risk factor for unintentional opioid overdose and almost half showing signs of misuse.…”

Section: Introductionmentioning

confidence: 99%

A randomized trial of collaborative support for opioid taper after trauma hospitalization

Sullivan

Arbabi

Tauben

et al. 2023

Preprint

View full text Add to dashboard Cite

The COTAT (Collaborative Opioid Taper After Trauma) Study was a randomized trial of an opioid taper support program using a physician assistant (PA) to provide pain and opioid treatment guidance to primary care providers assuming care for adult patients with moderate to severe trauma discharged from a Level I trauma center on opioid therapy. Patients were recruited, assessed, and randomized individually by a surgery research recruitment team one to two days prior to discharge to home. Participants randomized to the opioid taper support program were contacted by phone within a few days of discharge by the PA interventionist to confirm enrollment and their primary care provider (PCP). The intervention consisted of PA support to the PCP as needed concerning pain and opioid care at weeks 1, 2, 4, 8, 12, 16, and 20 after discharge or until the PCP office indicated they no longer needed support or the patient had tapered off opioids. The PA was supervised by a pain physician-psychiatrist, a family physician, and a trauma surgeon. Patients randomized to usual care received standard hospital discharge instructions and written information on managing opioid medications after discharge. Trial results were analyzed using repeated measures analysis. 37 participants were randomized to the intervention and 36 were randomized to usual care. The primary outcomes of the trial were pain, enjoyment, general activity (PEG score) and mean daily opioid dose at 3 and 6 months after hospital discharge. Treatment was unblinded but assessment was blinded. No significant differences in PEG or opioid outcomes were noted at either time point. Physical function at 3 and 6 months and pain interference at 6 months were significantly better in the usual care group. No significant harms of the intervention were noted. COVID limited recruitment of high-risk opioid tolerant subjects, and limited contact between the PA interventionist and the participants and the PCPs. Our opioid taper support program failed to improve opioid and pain outcomes, since both control and intervention groups tapered opioids and improved PEG scores after discharge. Future trials of post-trauma opioid taper support with populations at higher risk of persistent opioid use are needed. This trial is registered at clinicaltrials.gov under NCT04275258 11/02/2020. This trial was funded by a grant from the Centers for Disease Control and Prevention to the University of Washington Harborview Injury Prevention & Research Center (R49 CE003087, PI: Monica S. Vavilala, MD). The funder had no role in the analysis or interpretation of the data.

show abstract

Trauma systems save lives - Is that enough?

Gabbe

Beck

2021

Injury

View full text Add to dashboard Cite

Beyond morbidity and mortality: The practicality of measuring patient-reported outcomes in trauma

Cited by 6 publications

References 35 publications

Beyond pain and disability: The lasting effects of trauma on life after injury

Beyond pain and disability: The lasting effects of trauma on life after injury

A randomized trial of collaborative support for opioid taper after trauma hospitalization

Trauma systems save lives - Is that enough?

Contact Info

Product

Resources

About