Pictorial adaptation of the quality of recovery 15 scale and psychometric validation into a pediatric surgical population
Patient reported outcomes measures (PROMS) are important endpoints to measure patient health status in the perioperative setting. However, there are no good tools to measure PROMS in the pediatric surgical population. Patients 7 to 17 years old undergoing surgery were included and followed up for 1 ...
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| Published in | Scientific reports Vol. 13; no. 1; pp. 14085 - 6 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
London
Nature Publishing Group UK
28.08.2023
Nature Publishing Group Nature Portfolio |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2045-2322 2045-2322 |
| DOI | 10.1038/s41598-023-40673-w |
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| Abstract | Patient reported outcomes measures (PROMS) are important endpoints to measure patient health status in the perioperative setting. However, there are no good tools to measure PROMS in the pediatric surgical population. Patients 7 to 17 years old undergoing surgery were included and followed up for 1 day after surgery (POD1). At POD1 the patients were asked to rate their overall postoperative recovery using a 100-mm visual analog scale (VAS). The primary outcome was the pediatric QoR-15 score on postoperative day 1 (POD1). 150 patients completed the study. The mean (SD) pediatric QoR-15F scores were 132.1 (14.1) and 111.0 (27.0), preoperatively and on POD1, respectively. Convergent validity confirmed with Pearson (r) correlation between the postoperative pediatric QoR-15F and the patient-rated global recovery assessment was 0.72 (95% confidence interval [0.63–0.79]; p < 10
–16
). Concerning reliability, internal consistency of the pediatric QoR-15 assessed by Cronbach’s alpha was 0.90. The test–retest concordance correlation coefficient was 0.92; 95% CI [0.83–0.96]. Split-half alpha was 0.74. The pictorial pediatric version of the QoR-15F showed good validity, reliability, responsiveness, acceptability and feasibility. This PROMS should be considered for clinical care and research in the perioperative pediatric patient setting.
Trial Registration:
NCT04453410 on clinicaltrials.gov. |
|---|---|
| AbstractList | Patient reported outcomes measures (PROMS) are important endpoints to measure patient health status in the perioperative setting. However, there are no good tools to measure PROMS in the pediatric surgical population. Patients 7 to 17 years old undergoing surgery were included and followed up for 1 day after surgery (POD1). At POD1 the patients were asked to rate their overall postoperative recovery using a 100-mm visual analog scale (VAS). The primary outcome was the pediatric QoR-15 score on postoperative day 1 (POD1). 150 patients completed the study. The mean (SD) pediatric QoR-15F scores were 132.1 (14.1) and 111.0 (27.0), preoperatively and on POD1, respectively. Convergent validity confirmed with Pearson (r) correlation between the postoperative pediatric QoR-15F and the patient-rated global recovery assessment was 0.72 (95% confidence interval [0.63–0.79]; p < 10
–16
). Concerning reliability, internal consistency of the pediatric QoR-15 assessed by Cronbach’s alpha was 0.90. The test–retest concordance correlation coefficient was 0.92; 95% CI [0.83–0.96]. Split-half alpha was 0.74. The pictorial pediatric version of the QoR-15F showed good validity, reliability, responsiveness, acceptability and feasibility. This PROMS should be considered for clinical care and research in the perioperative pediatric patient setting.
Trial Registration:
NCT04453410 on clinicaltrials.gov. Patient reported outcomes measures (PROMS) are important endpoints to measure patient health status in the perioperative setting. However, there are no good tools to measure PROMS in the pediatric surgical population. Patients 7 to 17 years old undergoing surgery were included and followed up for 1 day after surgery (POD1). At POD1 the patients were asked to rate their overall postoperative recovery using a 100-mm visual analog scale (VAS). The primary outcome was the pediatric QoR-15 score on postoperative day 1 (POD1). 150 patients completed the study. The mean (SD) pediatric QoR-15F scores were 132.1 (14.1) and 111.0 (27.0), preoperatively and on POD1, respectively. Convergent validity confirmed with Pearson (r) correlation between the postoperative pediatric QoR-15F and the patient-rated global recovery assessment was 0.72 (95% confidence interval [0.63-0.79]; p < 10-16). Concerning reliability, internal consistency of the pediatric QoR-15 assessed by Cronbach's alpha was 0.90. The test-retest concordance correlation coefficient was 0.92; 95% CI [0.83-0.96]. Split-half alpha was 0.74. The pictorial pediatric version of the QoR-15F showed good validity, reliability, responsiveness, acceptability and feasibility. This PROMS should be considered for clinical care and research in the perioperative pediatric patient setting.Trial Registration: NCT04453410 on clinicaltrials.gov. Patient reported outcomes measures (PROMS) are important endpoints to measure patient health status in the perioperative setting. However, there are no good tools to measure PROMS in the pediatric surgical population. Patients 7 to 17 years old undergoing surgery were included and followed up for 1 day after surgery (POD1). At POD1 the patients were asked to rate their overall postoperative recovery using a 100-mm visual analog scale (VAS). The primary outcome was the pediatric QoR-15 score on postoperative day 1 (POD1). 150 patients completed the study. The mean (SD) pediatric QoR-15F scores were 132.1 (14.1) and 111.0 (27.0), preoperatively and on POD1, respectively. Convergent validity confirmed with Pearson (r) correlation between the postoperative pediatric QoR-15F and the patient-rated global recovery assessment was 0.72 (95% confidence interval [0.63-0.79]; p < 10-16). Concerning reliability, internal consistency of the pediatric QoR-15 assessed by Cronbach's alpha was 0.90. The test-retest concordance correlation coefficient was 0.92; 95% CI [0.83-0.96]. Split-half alpha was 0.74. The pictorial pediatric version of the QoR-15F showed good validity, reliability, responsiveness, acceptability and feasibility. This PROMS should be considered for clinical care and research in the perioperative pediatric patient setting.Trial Registration: NCT04453410 on clinicaltrials.gov.Patient reported outcomes measures (PROMS) are important endpoints to measure patient health status in the perioperative setting. However, there are no good tools to measure PROMS in the pediatric surgical population. Patients 7 to 17 years old undergoing surgery were included and followed up for 1 day after surgery (POD1). At POD1 the patients were asked to rate their overall postoperative recovery using a 100-mm visual analog scale (VAS). The primary outcome was the pediatric QoR-15 score on postoperative day 1 (POD1). 150 patients completed the study. The mean (SD) pediatric QoR-15F scores were 132.1 (14.1) and 111.0 (27.0), preoperatively and on POD1, respectively. Convergent validity confirmed with Pearson (r) correlation between the postoperative pediatric QoR-15F and the patient-rated global recovery assessment was 0.72 (95% confidence interval [0.63-0.79]; p < 10-16). Concerning reliability, internal consistency of the pediatric QoR-15 assessed by Cronbach's alpha was 0.90. The test-retest concordance correlation coefficient was 0.92; 95% CI [0.83-0.96]. Split-half alpha was 0.74. The pictorial pediatric version of the QoR-15F showed good validity, reliability, responsiveness, acceptability and feasibility. This PROMS should be considered for clinical care and research in the perioperative pediatric patient setting.Trial Registration: NCT04453410 on clinicaltrials.gov. Abstract Patient reported outcomes measures (PROMS) are important endpoints to measure patient health status in the perioperative setting. However, there are no good tools to measure PROMS in the pediatric surgical population. Patients 7 to 17 years old undergoing surgery were included and followed up for 1 day after surgery (POD1). At POD1 the patients were asked to rate their overall postoperative recovery using a 100-mm visual analog scale (VAS). The primary outcome was the pediatric QoR-15 score on postoperative day 1 (POD1). 150 patients completed the study. The mean (SD) pediatric QoR-15F scores were 132.1 (14.1) and 111.0 (27.0), preoperatively and on POD1, respectively. Convergent validity confirmed with Pearson (r) correlation between the postoperative pediatric QoR-15F and the patient-rated global recovery assessment was 0.72 (95% confidence interval [0.63–0.79]; p < 10–16). Concerning reliability, internal consistency of the pediatric QoR-15 assessed by Cronbach’s alpha was 0.90. The test–retest concordance correlation coefficient was 0.92; 95% CI [0.83–0.96]. Split-half alpha was 0.74. The pictorial pediatric version of the QoR-15F showed good validity, reliability, responsiveness, acceptability and feasibility. This PROMS should be considered for clinical care and research in the perioperative pediatric patient setting. Trial Registration: NCT04453410 on clinicaltrials.gov. |
| ArticleNumber | 14085 |
| Author | Chauvin, Chloe De Angelis, Vincent Bopp, Claire Lefebvre, François Pottecher, Julien Noll, Eric Talon, Isabelle Bennett-Guerrero, Elliott |
| Author_xml | – sequence: 1 givenname: Eric surname: Noll fullname: Noll, Eric email: eric.noll@chru-strasbourg.fr organization: Department of Anesthesiology, Critical Care and Perioperative Medicine, Hautepierre Hospital, Strasbourg University Hospital, Physiology Laboratory, Faculté de Médecine, Equipe Acceuil 3072 – sequence: 2 givenname: Vincent surname: De Angelis fullname: De Angelis, Vincent organization: Department of Anesthesiology, Critical Care and Perioperative Medicine, Hautepierre Hospital, Strasbourg University Hospital – sequence: 3 givenname: Claire surname: Bopp fullname: Bopp, Claire organization: Department of Anesthesiology, Critical Care and Perioperative Medicine, Hautepierre Hospital, Strasbourg University Hospital – sequence: 4 givenname: Chloe surname: Chauvin fullname: Chauvin, Chloe organization: Department of Anesthesiology, Critical Care and Perioperative Medicine, Hautepierre Hospital, Strasbourg University Hospital – sequence: 5 givenname: Isabelle surname: Talon fullname: Talon, Isabelle organization: Department of Pediatric Surgery, Hautepierre Hospital, Strasbourg University Hospital – sequence: 6 givenname: Elliott surname: Bennett-Guerrero fullname: Bennett-Guerrero, Elliott organization: Department of Anesthesiology, Stony-Brook Medicine – sequence: 7 givenname: François surname: Lefebvre fullname: Lefebvre, François organization: Department of Biostatistics, Strasbourg University Hospital – sequence: 8 givenname: Julien surname: Pottecher fullname: Pottecher, Julien organization: Department of Anesthesiology, Critical Care and Perioperative Medicine, Hautepierre Hospital, Strasbourg University Hospital, Physiology Laboratory, Faculté de Médecine, Equipe Acceuil 3072 |
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| Cites_doi | 10.1016/j.bja.2017.12.037 10.1097/EJA.0000000000001001 10.1213/ANE.0000000000002758 10.1016/j.bja.2019.07.020 10.1097/ALN.0000000000001158 10.1001/jamaophthalmol.2020.4363 10.1007/s40271-015-0148-6 10.1186/s13063-017-1839-1 10.1186/s41687-021-00351-9 10.1111/aas.13086 10.1111/pan.13993 10.1542/peds.2010-1410 10.1097/ALN.0000000000003977 10.1016/j.bja.2020.03.011 10.1016/j.bja.2020.06.040 10.1213/00000539-199901000-00016 10.1097/ACO.0000000000000612 10.1001/jamaophthalmol.2018.5527 10.1016/j.bja.2018.07.036 10.1097/ALN.0b013e318289b84b 10.1093/oxfordjournals.bja.a013366 10.1016/j.bja.2021.07.026 10.1155/2006/197616 |
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| Title | Pictorial adaptation of the quality of recovery 15 scale and psychometric validation into a pediatric surgical population |
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