Patient-Reported Outcomes Measurement Information System (PROMIS) Use in Surgical Care: A Scoping Study

Rs, Jones; Stukenborg, George J.

doi:10.1016/j.jamcollsurg.2016.11.015

Cited by 66 publications

(52 citation statements)

References 44 publications

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“…The authors applauded the utility of PROMIS measures to provide standardized, accurate and efficiently captured patient constructs. 28 A PROMIS profile instrument (PROMIS 29a non-computer adaptive profile) was used in an interdisciplinary opioid reduction program in patients preparing to undergo spine surgery where significant benefits in pain interference occurred throughout the perioperative period. 29 Additionally, when compared to measures such as WHODAS and EQ5D, PROMIS has displayed similar performance in numerous populations.…”

Section: Quality Of Recovery Score (Qor) -Qor-9 Qor-15 Qor-40mentioning

confidence: 99%

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

Abola

Bennett‐Guerrero

Kent

et al. 2018

Anesthesia &Amp; Analgesia

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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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Section: Quality Of Recovery Score (Qor) -Qor-9 Qor-15 Qor-40mentioning

confidence: 99%

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

Abola

Bennett‐Guerrero

Kent

et al. 2018

Anesthesia &Amp; Analgesia

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“…To explore the use of PRO and QOL measures, all articles in the “trauma” category were reviewed for the specific measures used and common legacy tools, as well as novel measures were recorded. The Rand Short-Form 36 Health Survey (SF-36, RAND Corporation, California, USA) 15 18 and the EuroQoL Five-Dimension questionnaire (EQ-5D, EuroQoL Group, Rotterdam, The Netherlands) 15 19 20 were abstracted individually due to their prevalence of use, validity in the injury population, and frequent appearance in titles and keywords. The following additional tools were recorded given their predominance in the literature and high-quality validation: Rand Short-Form 12 Health Survey, WHO Quality of Life measure, Sickness Impact Profile, Hospital Anxiety and Depression Scale, and the Glasgow Outcomes Scale±Extended (GOS/GOS-E).…”

Section: Resultsmentioning

confidence: 99%

“…This toolkit is being promoted in the surgical literature. 15 20 22 23 In developing the toolkit, the goal of the NIH-PROMIS was to create a set of flexible, precise, and publicly available PRO measurement tools to promote clinical research of PROs and health-related QOL. The development of the PROMIS tools leveraged modern improvements in psychometric methodology called item-response theory.…”

Section: Discussionmentioning

confidence: 99%

Patient-reported outcomes in trauma: a scoping study of published research

Rosenberg

Stave

Spain

et al. 2018

Trauma Surg Acute Care Open

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More people are surviving traumatic injury, but disability and reduced quality of life are frequent. Investigators are now focusing on patient-reported outcomes (PROs) to better understand this problem. We performed a scoping study of the literature to explore trends in the study of PROs after injury. The volume of published literature on PROs after injury has consistently increased, but use of measurement tool and categorization of publications are inconsistent. Journal keyword patterns are inconsistent and likely limit the effective dissemination of important findings. In studies of hospitalized trauma patients, more than 100 unique measurement tools were used, and trauma-specific measures were used in fewer than 5% of studies. International investigators are more consistent than those in the USAin the use of validated, classic measurement tools such as the Short-Form 36 and the EuroQoL Five-Dimension tools. Uniform use of measurement tools would help improve the quality and comparability of research on PROs, and trauma-specific measures would enhance the study of long-term injury outcomes.

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“…The questionnaire included questions from the National Institutes of Health Patient-Reported Out-comes Measurement Information System (PROMIS) tool to evaluate pain severity and pain interference after discharge. 24 Item inclusion and wording were informed by our multidisciplinary research group, and readability was assessed using the Flesch-Kincaid grade level score. 25 The questionnaire was subsequently tested for face validity among 61 patients.…”

Section: Methodsmentioning

confidence: 99%

Predicting Opioid Use Following Discharge After Cesarean Delivery

et al. 2020

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PURPOSE Although cesarean delivery is the most common surgical procedure in the United States, postoperative opioid prescribing varies greatly. We hypothesized that patient characteristics, procedural characteristics, or both would be associated with high vs low opioid use after discharge. This information could help individualize prescriptions. METHODS In this prospective cohort study, we quantified opioid use for 4 weeks following hospital discharge after cesarean delivery. Predischarge characteristics were obtained from health records, and patients self-reported total opioid use postdischarge on weekly questionnaires. Opioid use was quantified in milligram morphine equivalents (MMEs). Binomial and Poisson regression analyses were performed to assess predictors of opioid use after discharge. RESULTS Of the 233 patients starting the study, 203 (87.1%) completed at least 1 questionnaire and were included in analyses (86.3% completed all 4 questionnaires). A total of 113 patients were high users (>75 MMEs) and 90 patients were low users (≤75 MMEs) of opioids postdischarge. The group reporting low opioid use received on average 44% fewer opioids in the 24 hours before discharge compared with the group reporting high opioid use (mean = 33.0 vs 59.3 MMEs, P <.001). Only a minority of patients (11.4% to 15.8%) stored leftover opioids in a locked location, and just 31 patients disposed of leftover opioids. CONCLUSIONS Knowledge of predischarge opioid use can be useful as a tool to inform individualized opioid prescriptions, help optimize nonopioid analgesia, and reduce opioid use. Additional studies are needed to evaluate the impact of implementing such measures on prescribing practices, pain, and functional outcomes.

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Patient-Reported Outcomes Measurement Information System (PROMIS) Use in Surgical Care: A Scoping Study

Cited by 66 publications

References 44 publications

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

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

Patient-reported outcomes in trauma: a scoping study of published research

Predicting Opioid Use Following Discharge After Cesarean Delivery

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