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Routine Implementation of Patient-Reported Outcomes Assessment Into Thoracic Surgery Practice.
Khullar, Onkar V; Perez, Aubriana; Dixon, Meredith; Binongo, Jose N; Sancheti, Manu S; Pickens, Allan; Gillespie, Theresa; Force, Seth D; Fernandez, Felix G.
Afiliación
  • Khullar OV; Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia. Electronic address: onkar.vohra.khullar@emory.edu.
  • Perez A; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
  • Dixon M; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
  • Binongo JN; Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, Georgia.
  • Sancheti MS; Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia.
  • Pickens A; Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia.
  • Gillespie T; Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
  • Force SD; Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia.
  • Fernandez FG; Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia.
Ann Thorac Surg ; 115(2): 526-532, 2023 02.
Article en En | MEDLINE | ID: mdl-35561801
BACKGROUND: Patient-reported outcomes (PROs) assessment is a necessary component of surgical outcome assessment and patient care. This study examined the success of routine PROs assessment in an academic-based thoracic surgery practice. METHODS: PROs, measuring pain intensity, physical function, and dyspnea, were routinely obtained using the National Institutes of Health-sponsored Patient-Reported Outcomes Measurement Information System (PROMIS) on all thoracic surgery patients beginning in April 2018 through January 2021. Questionnaires were administered electronically through a web-based platform at home or during the office visit. Completion rates and barriers were measured. RESULTS: A total of 9725 thoracic surgery office visits occurred during this time frame. PROs data were obtained in 6899 visits from a total of 3551 patients. The mean number of questions answered per survey was 22.4 ± 2.2. Overall questionnaire completion rate was 65.7%. A significant decline in survey completion was noted in April 2020, after which adjustments were made to allow for questionnaire completion through a mobile health platform. Overall monthly questionnaire completion rates ranged from 20% (April 2020) to 90% (October 2018). Mean T scores were dyspnea, 41.6 ± 12.3; physical function, 42.7 ± 10.5; and pain intensity, 52.8 ± 10.3. CONCLUSIONS: PROs can be assessed effectively in a thoracic surgery clinic setting, with minimal disruption of clinical activities. Future efforts should focus on facilitating PROs collection from disadvantaged patient populations and scaling implementation across programs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía Torácica / Procedimientos Quirúrgicos Torácicos Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Ann Thorac Surg Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía Torácica / Procedimientos Quirúrgicos Torácicos Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Ann Thorac Surg Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos