Roshni Alam1,2, Sabrina M Figueiredo3,4, Saba Balvardi1,2, Bénédicte Nauche5, Tara Landry5, Lawrence Lee1,2, Nancy E Mayo3,4, Liane S Feldman1,2, Julio F Fiore6,7,8. 1. Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, QC, Canada. 2. Department of Surgery, McGill University Health Centre, Montreal, QC, Canada. 3. School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada. 4. Division of Clinical Epidemiology, McGill University, Montreal, QC, Canada. 5. Medical Libraries, McGill University Health Centre, Montreal, QC, Canada. 6. Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, QC, Canada. julio.fiorejunior@mcgill.ca. 7. Department of Surgery, McGill University Health Centre, Montreal, QC, Canada. julio.fiorejunior@mcgill.ca. 8. Department of Surgery, Montreal General Hospital, McGill University, 1650 Cedar Ave, E19-125, Montreal, QC, H3G 1A4, Canada. julio.fiorejunior@mcgill.ca.
Abstract
BACKGROUND: We initiated a research program to develop a novel patient-reported outcome measure (PROM) to assess postoperative recovery from the perspective of abdominal surgery patients. In light of FDA recommendations, the first stage of our program aimed to, based on previous literature and expert input, develop a hypothesized conceptual framework portraying the health domains that are potentially relevant to the process of recovery after abdominal surgery. METHODS: This study was conducted in three phases: (1) systematic review to identify PROMs with measurement properties appraised in the context of recovery after abdominal surgery, (2) content analysis to categorize the health domains covered by the PROMs according to the ICF, and (3) two-round Delphi study to gain expert input regarding which of these health domains are relevant to the process of recovery. Participants were experts in perioperative care identified through two major surgical societies (35 invited). RESULTS: The systematic review identified 19 PROMs covering 66 ICF domains. 23 experts (66%) participated in the Delphi process. After Round 2, experts agreed that 22 health domains (8 body functions, 14 activities and participation) are potentially relevant to the process of recovery after abdominal surgery. These domains were organized into a diagram, representing our hypothesized conceptual framework. CONCLUSIONS: This hypothesized conceptual framework is an important first step in our research program and will be further refined based on in-depth qualitative interviews with patients. The sound methodological approach used to derive this framework may be valuable for studies aimed to develop PROMs according to FDA standards.
BACKGROUND: We initiated a research program to develop a novel patient-reported outcome measure (PROM) to assess postoperative recovery from the perspective of abdominal surgery patients. In light of FDA recommendations, the first stage of our program aimed to, based on previous literature and expert input, develop a hypothesized conceptual framework portraying the health domains that are potentially relevant to the process of recovery after abdominal surgery. METHODS: This study was conducted in three phases: (1) systematic review to identify PROMs with measurement properties appraised in the context of recovery after abdominal surgery, (2) content analysis to categorize the health domains covered by the PROMs according to the ICF, and (3) two-round Delphi study to gain expert input regarding which of these health domains are relevant to the process of recovery. Participants were experts in perioperative care identified through two major surgical societies (35 invited). RESULTS: The systematic review identified 19 PROMs covering 66 ICF domains. 23 experts (66%) participated in the Delphi process. After Round 2, experts agreed that 22 health domains (8 body functions, 14 activities and participation) are potentially relevant to the process of recovery after abdominal surgery. These domains were organized into a diagram, representing our hypothesized conceptual framework. CONCLUSIONS: This hypothesized conceptual framework is an important first step in our research program and will be further refined based on in-depth qualitative interviews with patients. The sound methodological approach used to derive this framework may be valuable for studies aimed to develop PROMs according to FDA standards.
Authors: Lawrence Lee; Juan Mata; Gabriela A Ghitulescu; Marylise Boutros; Patrick Charlebois; Barry Stein; A Sender Liberman; Gerald M Fried; Nancy Morin; Franco Carli; Eric Latimer; Liane S Feldman Journal: Ann Surg Date: 2015-12 Impact factor: 12.969
Authors: Brent K Hollenbeck; Rodney L Dunn; J Stuart Wolf; Martin G Sanda; David P Wood; Scott M Gilbert; Alon Z Weizer; James E Montie; John T Wei Journal: Qual Life Res Date: 2008-06-24 Impact factor: 4.147
Authors: Daphne C R van Vliet; Eva van der Meij; Esther V A Bouwsma; Antonie Vonk Noordegraaf; Baukje van den Heuvel; Wilhelmus J H J Meijerink; W Marchien van Baal; Judith A F Huirne; Johannes R Anema Journal: Surg Endosc Date: 2016-05-02 Impact factor: 4.584
Authors: Thomas A Aloia; Timothy Jackson; Amir Ghaferi; Jonathan Dort; Erin Schwarz; John Romanelli Journal: Surg Endosc Date: 2019-01-22 Impact factor: 4.584