Abstract
Outcome after surgical treatment has been based predominantly on objective criteria (biomedical model) and has largely ignored, until recently, the expectations, personal feelings, satisfaction, and quality of life of patients (outcomes model). The importance of this derives from considerations that the viewpoints and priorities of patients may not be the same as those of their surgeons. Furthermore, there is often little correlation between symptom severity and disease severity. Measures of quality of life and patient satisfaction are, thus, important in valid assessment of the results of surgical treatment. Global assessment based on both the biomedical and outcomes models constitutes the ideal.
Questionnaires designed to measure both quality life (generic and specific) and patient satisfaction with treatment require careful development and validation by appropriate studies.
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Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, Filiberti A, Fletchner H, Fleishman SB, de Haes JCJM, Kaasa S, Klee M, Osoba D, Razavi D, Rofe PB, Schraub S, Sneeus K, Sullivan M, Takeda F (1993) The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in International Clinical Trials in Oncology. J Natl Cancer Inst 85:365–372
Bammer T, Freeman M, Shabriari A, Hinder RA, DeVault KR, Achem SR (2002) Outcome of laparoscopic antireflux surgery in patients with nonerosive reflux disease. J Gastointest Surg 6:730–737
Berzon RA, Hays RD, Shumaker SA (1993) International use, application and performance of health-related quality of life instruments. Qual Life Res 2:367–368
Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, Silberman M, Yellen SB, Winicour P, Brannon J (1993) The Functional Assessment of Cancer Therapy Scale: development and validation of the general measure. J Clin Oncol 11:570–579
Coyne KS, Wiklund I, Schmier J, Halling K, Defl;innocenti A, Revicki D (2003) Development and validation of a disease-specific treatment satisfaction questionnaire for gastro-oesophageal reflux disease. Aliment Pharmacol Ther 18:907–915
Dupuy HJ (1984) The psychological General Well-being (PSGWB) index. In Wenger NK, Mattson ME, Furberg CF, Elinson J, editors, Assessment of Quality of Life in Clinical Trials of Cardiovascular Therapies. Le Jacq Publishers, pp 170–184
Fokter SK, Yerby SA (2005) Patient-based outcomes for the operative treatment of degenerative lumbar spinal stenosis. Eur Spine J 21:1–9
Guyatt G, Veldhuyzen Van Zanten S, Feeny D, Patrick DL (1989) Measuring quality of life in clinical trials: a taxonomy and review. Can Med Assoc J 140:1441–1448
Hayden JD, Myers JC, Jamieson GG (2005) Illness behavior and laparoscopic antireflux surgery: tailoring the wrap to suit the patient. Dis Esophagus 18:378–382
Holzer B, Gyasi A, Schiessel R, Rosen HR (2006) Patients’ expectations of colorectal surgery for cancer. Colorect Dis 8:186–191
Hudak PL, Wright JG (2000) The characteristics of patient satisfaction measures. Spine 25:3167–3177
Kamolz T, Pointer R (2002) Expectations of patients with gastroesophageal reflux disease for the outcome of laparoscopic antireflux surgery. Surg Laparosc Endosc Percutan Tech 12:389–392
Kaplan RM (2002) Quality of life: an outcomes perspective. Arch Phys Med Rehabil 83(Suppl 2):S44–S50
Korolija D, Sauerland S, Wood-Dauphinée S, Abbou CC, Eypasch E, Garcia Caballero M, Lumsden MA, Millat B, Monson JRT, Nilsson G, Pointner R, Schwenk W, Shamiyeh A, Szold A, Taragona E, Ure B, Neugebauer E (2004) Evaluation of quality of life after laparoscopic surgery. Evidence-based guidelines of the European Association of Endoscopic Surgery. Surg Endosc 18:879–897
Kravitz RL (1996) Patients’ expectations for medical care: an expanded formulation based on review of the literature. Med Care Res Rev 53:3–27
Landgraf JM, Abetz L, Ware JE (1996) The Child Health Questionnaire: a user’s manual. Health Institute, New England Medical Center, Boston
Linder-Pelz S (1982) Toward a theory of patient satisfaction. Soc Sci Med 16:577–582
Locker D, Dunt D (1978) Theoretical and methodological issues in sociological studies of consumer satisfaction with medical care. Soc Sci Med 12:283–292
McColl E (2004) Best practice in symptom assessment: a review. Gut 53(Suppl IV):IV49–IV54
Melton GB, Lillemoe KD, Cameron JL, Sauter PA, Coleman J, Yeo CJ (2002) Major bile duct injuries associated with laparoscopic cholecystectomy: effect of surgical repair on quality of life. Ann Surg 235:888–895
Myles PS, Hunt JO, Nigthingale CE, Fletcher H, Tanil D, Nagy A, Rubinstein A, Ponsford JL (1999) Development and psychometric testing of a quality of recovery score after general anesthesia and surgery in Adults. Anesth Analg 88:83–90
Nano MT, Gill PG, Kollias J, Bochner MA, Malycha P, Winefie HR (2005) Psychological impact and cosmetic outcome of surgical breast cancer strategies. Aust N Z J Surg 75:940–947
Patrick DL (2003) Patient-reported outcomes (PROs): an organizing tool for concepts, measures and applications. Qual of Life Newsletter 31:1–5
Patrick DL, Martin ML, Bushnell DM, Pesa J, (2003) Measuring satisfaction with migraine treatment: expectations, importance, outcomes and global ratings. Clin Ther 25:2920–2935
Pettersen KI, Veenstra M, Guldvog B, Kolstad A (2004) The Patient Experiences Questionnaire: development, validity and reliability. Int J Qual Health Care 16:453–463
Pope CE II (1992) The quality of life following antireflux surgery. World J Surg 16:355–358
Price DD, Harkins SW, Baker C (1987). Sensory-affective relationships among different types of clinical and experimental pain. Pain 28:297–307
Recart A, Duchene D, White PF, Thomas T, Johnosn DB, Cadeddu JA (2005) Efficacy and safety of fast-track recovery strategy for patients undergoing laparoscopic nephrectomy. J Endourol 19:1165–1169
Revicki DA (2004) Patient assessment of treatment satisfaction: methods and practical issues. GUT 53(Suppl IV):IV40–IV44
Rockwood TH, Church JM, Fleshman JW, Kane RL, Mavratonis C, Thorson AG, Wexner SD, Bliss D, Lowry AC (2000) Fecal Incontinence Quality of Life Scale: quality of life instrument for patients with fecal incontinence. Dis Colon Rectum 43:9–17
Shi G, Tatum RP, Joehl RJ, Kahrilas PJ (1999) Esophageal sensitivity and symptom perception in gastroesophageal reflux disease. Curr Gastroenterol Rep 1:214–219
Sitzia J (1999) How valid and reliable are patient satisfaction data? An analysis of 195 studies. Int J Qual Health Care 11:319–328
Stein HJ, Feussner H, Siewert JR (1998) Antireflux surgery: a current comparison of open and laparoscopic approaches. Hepatogastroenterology 45:1328–3337
Tahzib NG, Bootsma SJ, Eggink FA, Nabar VA, Nuijts RM (2005) Functional outcomes and patient satisfaction after laser in situ keratomileusis for correction of myopia. J Cataract Refract Surg 31:1943–1951
Talley NJ, Fullerton S, Junghard O, Wiklund I (2001) Quality of life in patients with endoscopy-negative heartburn: reliability and sensitivity of disease-specific instruments. Am J Gastroenterol 96:1998–2004
Tarlov AR, Ware JEJ, Greenfield S, Nelson EC, Perrin E, Zubkoff M (1989) The medical Outcomes Study. An application of methods for monitoring the results of medical care. J Am Med Assoc 262:925–930
Velanovich V, Karmy-Jones R (1998) Measuring gastroesophageal reflux disease: relationship between health-related quality of life scores and physiologic-parameters. Am Surg 64:649–653
Ware JE, Davies-Avery A, Stewart AL (1978) The measurement and meaning of patient satisfaction. Health Med Care Serv Rev 1:1
Ware JE, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483
Watson DI, Foreman D, Devitt PG (1997) Preoperative endoscopic grading of esophagitis versus outcome after laparoscopic Nissen fundoplication. Am J Gastroenterol 92:222–225
Weaver M, Patrick DL, Markson PD, Martin D, Frederic I, Berger M (1997) Issues in the measurement of treatment satisfaction. Am J Manag Care 3:579–594
Wood-Dauphinée S, Korolija D (2006) Symptoms, health-related quality-of-life and patient satisfaction: using these patient-reported outcomes in people with gastroesophageal reflux disease. In Granderath FA, Kamolz T, Pointner R, (eds) Gastroesophageal Reflux Disease. Principles of Disease, Diagnosis and Treatment, Springer, Wien, New York, pp 269–285
Wyrwich KW, Staebler Tardino VM (2004) A blueprint for symptom scales and responses: measurement and reporting. Gut 53 (Suppl IV):IV45–IV48
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Korolija, D., Wood-Dauphinee, S. & Pointner, R. Patient-reported outcomes. How important are they?. Surg Endosc 21, 503–507 (2007). https://doi.org/10.1007/s00464-007-9255-3
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DOI: https://doi.org/10.1007/s00464-007-9255-3