Measurement of quality of recovery using the QoR-40: a quantitative systematic review
Benjamin Gornall,Paul S. Myles,Paul S. Myles,Cathie Smith,Justin A. Burke,Kate Leslie,M J Pereira,James E. Bost,Kirsten B. Kluivers,Ulrica Nilsson,Yuu Tanaka,Andrew Forbes +11 more
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TLDR
The QoR-40 is a suitable measure of postoperative quality of recovery in a range of clinical and research situations and was supported by high patient recruitment into evaluation studies, and an excellent completion and return rate.Abstract:
Background Several rating scales have been developed to measure quality of recovery after surgery and anaesthesia, but the most extensively used is the QoR-40, a 40-item questionnaire that provides a global score and subscores across five dimensions: patient support, comfort, emotions, physical independence, and pain. It has been evaluated in a variety of settings, but its overall psychometric properties (validity, reliability, ease of use, and interpretation) and clinical utility are uncertain. Methods We undertook a quantitative systematic review of studies evaluating psychometric properties of the QoR-40. Data were combined in meta-analyses using random effects models. This resulted in a total sample of 3459 patients from 17 studies originating in nine countries. Results We confirmed content, construct, and convergent [pooled r=0.58, 95% confidence interval (CI): 0.51–0.65] validity. Reliability was confirmed by excellent intraclass correlation (pooled α=0.91, 95% CI: 0.88–0.93), test–retest reliability (pooled r=0.90, 95% CI: 0.86–0.92), and inter-rater reliability (intraclass correlation=0.86). The clinical utility of the QoR-40 instrument was supported by high patient recruitment into evaluation studies (97%), and an excellent completion and return rate (97%). The mean time to complete the QoR-40 was 5.1 (95% CI: 4.4–5.7) min. Conclusions The QoR-40 is a widely used and extensively validated measure of quality of recovery. The QoR-40 is a suitable measure of postoperative quality of recovery in a range of clinical and research situations.read more
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Standards for definitions and use of outcome measures for clinical effectiveness research in perioperative medicine: European Perioperative Clinical Outcome (EPCO) definitions: a statement from the ESA-ESICM joint taskforce on perioperative outcome measures.
Ib Jammer,Nadine Wickboldt,Michael Sander,Andrew Smith,Marcus J. Schultz,Paolo Pelosi,Brigitte Leva,Andrew Rhodes,Andreas Hoeft,Bernhard Walder,Michelle S Chew,Rupert M Pearse +11 more
TL;DR: Standards for the use of clinical outcome measures to strengthen the methodological quality of perioperative medicine research were developed and four composite outcome measures were identified, which were designed to evaluate postoperative outcomes.
Journal ArticleDOI
Minimal Clinically Important Difference for Three Quality of Recovery Scales.
TL;DR: Perioperative interventions that result in a change of 0.9 for the QoR score, 8.0 for theQoR-15, or 6.3 for the X-ray image quality signify a clinically important improvement or deterioration.
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Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: patient comfort.
David R. McIlroy,Rinaldo Bellomo,Rinaldo Bellomo,Rinaldo Bellomo,Frederic T. Billings,Keyvan Karkouti,Keyvan Karkouti,John R. Prowle,Andrew D. Shaw,Paul S. Myles +9 more
TL;DR: As standardised outcomes will support benchmarking and pooling (meta‐analysis) of trials, one or more of these recommended endpoints should be considered for inclusion in clinical trials assessing patient comfort and pain after surgery.
Journal ArticleDOI
Transversus abdominis plane block to ameliorate postoperative pain outcomes after laparoscopic surgery: a meta-analysis of randomized controlled trials.
Gildasio S. De Oliveira,Lucas J. Castro-Alves,Autoun Nader,Mark C. Kendall,Robert J. McCarthy +4 more
TL;DR: In this article, Transversus abdominis plane (TAP) block has been used as a multimodal strategy to optimize postoperative pain outcomes; however, it remains unclear which type of surgical procedures can benefit from the administration of a TAP block.
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Measurement of disability-free survival after surgery.
Mark A Shulman,Paul S. Myles,Matthew T. V. Chan,David R. McIlroy,Sophie Wallace,Jennie Ponsford +5 more
TL;DR: World Health Organization Disability Assessment Schedule 2.0 is a clinically acceptable, valid, reliable, and responsive instrument for measuring postoperative disability in a diverse surgical population and its use as an endpoint in future perioperative studies can provide outcome data that are meaningful to clinicians and patients alike.
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