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Measurement of patient-reported outcomes after laparoscopic cholecystectomy: a systematic review

  • Harry C. Alexander
  • Cindy H. Nguyen
  • Matthew R. Moore
  • Adam S. Bartlett
  • Jacqueline A. Hannam
  • Garth H. Poole
  • Alan F. MerryEmail author
Review Article
  • 33 Downloads

Abstract

Background

Patient-reported outcome (PRO) measures (PROMs) are increasingly used as endpoints in surgical trials. PROs need to be consistently measured and reported to accurately evaluate surgical care. Laparoscopic cholecystectomy (LC) is a commonly performed procedure which may be evaluated by PROs. We aimed to evaluate the frequency and consistency of PRO measurement and reporting after LC.

Methods

MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials were searched for prospective studies reporting PROs of LC, between 2013 and 2016. Data on the measurement and reporting of PROs were extracted.

Results

A total of 281 studies were evaluated. Forty-five unique multi-item questionnaires were identified, most of which were used in single studies (n = 35). One hundred and ten unique rating scales were used to assess 358 PROs. The visual analogue scale was used to assess 24 different PROs, 17 of which were only reported in single studies. Details about the type of rating scale used were not given for 72 scales. Three hundred and twenty-three PROs were reported in 162 studies without details given about the scale or questionnaire used to evaluate them.

Conclusions

Considerable variation was identified in the choice of PROs reported after LC, and in how they were measured. PRO measurement for LC is focused on short-term outcomes, such as post-operative pain, rather than longer-term outcomes. Consideration should be given towards the development of a core outcome set for LC which incorporates PROs.

Keywords

Laparoscopic Cholecystectomy Outcome Surgery 

Notes

Funding

This study was funded by the University of Auckland Honours Scholarship.

Compliance with ethical standards

Disclosures

Dr. Merry has financial relationships with SAFERsleep and is the Chair of the Board of the New Zealand Health Quality and Safety Commission. Mr. Alexander, Dr. Nguyen, Dr. Moore, Dr. Bartlett, Dr. Hannam, and Dr. Poole have no conflicts of interest or financial ties to disclose.

Supplementary material

464_2019_6745_MOESM1_ESM.docx (64 kb)
Supplementary material 1 (DOCX 63 KB)
464_2019_6745_MOESM2_ESM.docx (60 kb)
Supplementary material 2 (DOCX 60 KB)

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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Anaesthesiology, Faculty of Medical and Health SciencesUniversity of AucklandAucklandNew Zealand
  2. 2.Department of Surgery, Faculty of Medical and Health SciencesUniversity of AucklandAucklandNew Zealand
  3. 3.Department of SurgeryAuckland City HospitalAucklandNew Zealand
  4. 4.Department of SurgeryMiddlemore HospitalAucklandNew Zealand
  5. 5.Department of AnaesthesiologyAuckland City HospitalAucklandNew Zealand

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