PROMIS for Laparoscopy

Juliane Bingener, Jeff A Sloan, Drew K. Seisler, Andrea L. McConico, Pamela E. Skaran, David R. Farley, Mark Truty

Research output: Contribution to journalArticle

4 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)917-926
Number of pages10
JournalJournal of Gastrointestinal Surgery
Volume19
Issue number5
DOIs
StatePublished - May 1 2015

Keywords

  • Fatigue
  • Laparoscopy
  • Pain
  • Patient reported outcome
  • Quality of life
  • Social activity

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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    Bingener, J., Sloan, J. A., Seisler, D. K., McConico, A. L., Skaran, P. E., Farley, D. R., & Truty, M. (2015). PROMIS for Laparoscopy. Journal of Gastrointestinal Surgery, 19(5), 917-926. https://doi.org/10.1007/s11605-015-2789-0