Core Outcome Measures in Effectiveness Trials

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

General Information

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.

Authors:
Alexander, H. C. Nguyen, C. H. Moore, M. R. Bartlett, A. S. Hannam, J. A. Poole, G. H. Merry, A. F.

Publication

Journal:
Surgical endoscopy
Volume:
33
Issue:
7
Pages:
2061 - 2071
Year:
2019
DOI:
Further Study Information

Date:
Funding source(s):
University of Auckland Honours Scholarship.

Health Area

Disease Category
Gastroenterology

Disease Name
Gallstone disease

Target Population

Age Range
-

Sex
Either


Nature / type of Intervention
Surgery

Method(s)

Systematic review

Stakeholders Involved

None

Study Type

Systematic review of outcome measures/measurement instruments

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