@article{01aeccf93e7f43dcbcb9c5cee4241916,
title = "PROMIS for Laparoscopy",
abstract = "Introduction: We tested the responsiveness of the National Institutes of Health-sponsored Patient-Reported Outcomes Measures Information System (PROMIS) global health short form and a linear analog self-assessment for laparoscopy. Methods: From May 2011 through December 2013, patients undergoing laparoscopy responded to patient reported outcome questionnaires perioperatively. Composite and single item scores were compared. Results: One hundred fifteen patients, mean age 55 years, 58 % female, were enrolled. Visual analog pain scores differed significantly from baseline (mean 1.7 ± 2.3) to postoperative day 1 (mean 4.8 ± 2.6) and 7 (mean 2.5 ± 2.1) (p < 0.0001). PROMIS physical subscale and total physical component subscore differed significantly from baseline (14.4 ± 3.0/47.4 ± 8.3) to postoperative day 1 (12.7 ± 3.2/42.1 ± 8.8) (p = 0.0007/0.0003), due to everyday physical activities (p = 0.0001). Linear analog self-assessment scores differed from baseline for pain frequency (p < 0.0001), pain severity (p < 0.0001), and social activity (p = 0.0052); 40 % of subjects reported worsening in PROMIS physical T-score to postoperative day 1 and 25 % to postoperative day 7. Linear analog self-assessment mental well-being scores were worse in 32 % of patients at postoperative day 7, emotional well-being in 28 %, social activity in 24 %, and fatigue in 20 % of patients. Conclusion: Single items and change from baseline are responsive perioperative quality of life assessments for laparoscopy.",
keywords = "Fatigue, Laparoscopy, Pain, Patient reported outcome, Quality of life, Social activity",
author = "Juliane Bingener and Sloan, {Jeff A.} and Seisler, {Drew K.} and McConico, {Andrea L.} and Skaran, {Pamela E.} and Farley, {David R.} and Truty, {Mark J.}",
note = "Funding Information: Research reported in this manuscript was supported by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health under award number K23DK93553 and the National Cancer Institute CA154537-01A1-03 and UL1 TR000135 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the National Cancer Institute. Funding Information: Attention has recently turned to patient-reported outcomes, and a number of trials have included quality of life (QOL) instruments to compare minimally invasive surgical approaches. In addition, patient-reported outcomes are gaining importance as components of value-based purchasing and reimbursement strategies. We wanted to test the performance of two short global quality of life tools. First, we wanted to test a validated National Institutes of Health (NIH)-sponsored Patient-Reported Outcomes Measurement System (PROMIS) for use with minimally invasive surgical procedures. The PROMIS tool bank is supported by the NIH and the Patient Centered Outcomes Research Institute (PCORI) for research proposals and has found acceptance with the Federal Drug Administration as outcome measure, thus understanding the outcomes expected with commonly performed laparoscopic procedures would provide a baseline for clinical and research projects. The PROMIS tool has resulted from large QOL research collaborations over the last decade, is now frequently used for cancer-related QOL research, and is significantly shorter than the previously frequently used SF36. PROMIS is a publically funded and available tool and does not require payment to use. PROMIS does require weighted scoring however, which is supported by online tools ( www.nihpromis.org/ ). In addition, we were interested in a previously validated single item, linear-analog self-assessment tool (LASA). This tool is unique in that it can be used at the bedside similar to the visual analog scale (VAS), and single items can be used independently from the entire questionnaire. We wanted to evaluate which of the domains may be most affected by perioperative changes and therefore would provide an efficient way of capturing patient-reported outcomes and possibly enable real-time interventions. Both instruments are ten questions each and thus correspond to patients{\textquoteright} preference for short QOL tools. – Publisher Copyright: {\textcopyright} 2015, The Society for Surgery of the Alimentary Tract.",
year = "2015",
month = may,
day = "1",
doi = "10.1007/s11605-015-2789-0",
language = "English (US)",
volume = "19",
pages = "917--926",
journal = "Journal of Gastrointestinal Surgery",
issn = "1091-255X",
publisher = "Springer New York",
number = "5",
}