Developing and Validating a Novel Generic Patient-Reported Outcome Measure - Postoperative Recovery Scale for Adult (PRSA): A Prospective Observational Study.

IF 2 3区医学 Q2 MEDICINE, GENERAL & INTERNAL

Patient preference and adherence Pub Date : 2025-01-30 eCollection Date: 2025-01-01 DOI:10.2147/PPA.S485263

Yijun Liu, Rou Yu, Yifan Fu, Yunxia Zuo, Yanhua Qiu, Jin Liu

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引用次数: 0

Abstract

Background: Quality of postoperative recovery is an important perioperative patient-reported outcome. However, there are limitations in the development process and content of existing scales.

Purpose: To develop and validate a universal patient-reported outcome measure, the postoperative recovery scale for adult (PRSA), to assess early and long-term postoperative recovery.

Patients and methods: The PRSA was developed through a new conceptual framework, systematic literature review, patient interview, and Delphi consultation. Then, the PRSA and the 15-item quality of recovery scale (QoR-15) were employed to evaluate the measurement properties of PRSA in 180 adult patients undergoing abdominal surgery.

Results: A 10-item PRSA scale was developed through a systematic review of 1602 literature, interviews with 138 patients, and two rounds of Delphi consultation. The correlation coefficient between the PRSA and QoR-15 ranged from 0.780 to 0.904 (P < 0.001), and the PRSA indicated great validity in distinguishing patients with complications. The internal consistency and test-retest reliability of the PRSA were satisfactory. Besides, the time to complete the PRSA was 27.5s (95% CI: 24.5-30.0 s) shorter than QoR-15, and more patients thought that completing the PRSA was easy compared to QoR-15 (65.7% vs 57.2%, P < 0.001).

Conclusion: The PRSA scale is a universal patient-reported outcome measure that can be utilized for evaluating postoperative recovery. It shows great measurement properties in patients undergoing abdominal surgery.

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来源期刊

Patient preference and adherence MEDICINE, GENERAL & INTERNAL-

CiteScore

3.60

自引率

4.50%

发文量

354

审稿时长

6-12 weeks

期刊介绍： Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.