P02 Utilising electronic PROMs to measure a change in health following elective laparoscopic cholecystectomy: a feasibility study. (22nd July 2022)

• Record Type: Journal Article
• Authors: Daliya, P; Carvell, J; Lobo, DN; Parsons, SL
• Is Part Of: British journal of surgery. Volume 109(2022)Supplement 4
• Publication Date: 2022-07-22
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1093/bjs/znac231.002
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract: Introduction: The collection of Patient Reported Outcome Measures (PROMs) has many benefits for clinical practice. However, there are also many barriers that prevent them from becoming a part of routine clinical care. The aim of this feasibility study was to pilot the use of a digital platform to facilitate the routine collection of pre- and postoperative electronic PROMs (ePROMs) in patients undergoing elective laparoscopic cholecystectomy, and to validate the use of existing PROs for our population. Methods: Patients listed for elective laparoscopic cholecystectomy were asked to complete digital versions of the Otago gallstones Condition-Specific Questionnaire (CSQ), and the RAND 36-item health survey (SF36). An assessment of methodological quality of ePROM questionnaires was also performed. Results: Preoperative ePROMs were completed in 200 patients undergoing laparoscopic cholecystectomy. Despite participant drop out a significant improvement in quality of life was seen across all health domains postoperatively when compared with baseline preoperative values for both disease specific (emotional functioning; preoperative: 48.9, 30-days: 15.6, 3-months: 16.7, 6-months: 7.9, p < 0.05) and generic (emotional well-being; preoperative: 60.1, 30-days: 73.7, 3-months: 74.3, 6-months: 73.5, p < 0.05) PROMs. Methodological quality was assessed as good to excellent in both digital questionnaires used. Conclusion: The collection of ePROMs is possible with current technological advances. Although it may be an acceptable and convenient process for patients, and a useful measure of quality-of-life trends for clinicians, further developmental work is necessary to improve accessibility for patients and to reduce reporting bias. Take-home message: ePROMs are an acceptable and useful measure of quality-of-life trends for patients and clinicians, however further development is required to improve its usability in the clinical setting.