Skip to main content
Top
Gepubliceerd in:

29-03-2017

Changes in quality of life after elective surgery: an observational study comparing two measures

Auteurs: Vanessa L. Kronzer, Michelle R. Jerry, Arbi Ben Abdallah, Troy S. Wildes, Sherry L. McKinnon, Anshuman Sharma, Michael S. Avidan

Gepubliceerd in: Quality of Life Research | Uitgave 8/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

Our main objective was to compare the change in a validated quality of life measure to a global assessment measure. The secondary objectives were to estimate the minimum clinically important difference (MCID) and to describe the change in quality of life by surgical specialty.

Methods

This prospective cohort study included 7902 adult patients undergoing elective surgery. Changes in the Veterans RAND 12-Item Health Survey (VR-12), composed of a physical component summary (PCS) and a mental component summary (MCS), were calculated using preoperative and postoperative questionnaires. The latter also contained a global assessment question for quality of life. We compared PCS and MCS to the global assessment using descriptive statistics and weighted kappa. MCID was calculated using an anchor-based approach. Analyses were pre-specified and registered (NCT02771964).

Results

By the change in VR-12 scores, an equal proportion of patients experienced improvement and deterioration in quality of life (28% for PCS, 25% for MCS). In contrast, by the global assessment measure, 61% reported improvement, while only 10% reported deterioration. Agreement with the global assessment was slight for both PCS (kappa = 0.20, 57% matched) and MCS (kappa = 0.10, 54% matched). The MCID for the overall VR-12 score was approximately 2.5 points. Patients undergoing orthopedic surgery showed the most improvement in quality of life measures, while patients undergoing gastrointestinal/hepatobiliary or urologic surgery showed the most deterioration.

Conclusions

Subjective global quality of life report does not agree well with a validated quality of life instrument, perhaps due to patient over-optimism.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
go back to reference Urbach, D. R. (2005). Measuring quality of life after surgery. Surgical Innovation, 12(2), 161–165.CrossRefPubMed Urbach, D. R. (2005). Measuring quality of life after surgery. Surgical Innovation, 12(2), 161–165.CrossRefPubMed
2.
go back to reference Lohr, K. N., & Zebrack, B. J. (2009). Using patient-reported outcomes in clinical practice: Challenges and opportunities. Quality of Life Research, 18(1), 99–107.CrossRefPubMed Lohr, K. N., & Zebrack, B. J. (2009). Using patient-reported outcomes in clinical practice: Challenges and opportunities. Quality of Life Research, 18(1), 99–107.CrossRefPubMed
3.
go back to reference Suk, K. S., Baek, J. H., Park, J. O., Kim, H. S., Lee, H. M., Kwon, J. W., et al. (2015). Postoperative quality of life in patients with progressive neuromuscular scoliosis and their parents. The Spine Journal, 15(3), 446–453.CrossRefPubMed Suk, K. S., Baek, J. H., Park, J. O., Kim, H. S., Lee, H. M., Kwon, J. W., et al. (2015). Postoperative quality of life in patients with progressive neuromuscular scoliosis and their parents. The Spine Journal, 15(3), 446–453.CrossRefPubMed
5.
go back to reference Maillard, J., Elia, N., Haller, C. S., Delhumeau, C., & Walder, B. (2015). Preoperative and early postoperative quality of life after major surgery - a prospective observational study. Health and Quality of Life Outcomes, 13, 12.CrossRefPubMedPubMedCentral Maillard, J., Elia, N., Haller, C. S., Delhumeau, C., & Walder, B. (2015). Preoperative and early postoperative quality of life after major surgery - a prospective observational study. Health and Quality of Life Outcomes, 13, 12.CrossRefPubMedPubMedCentral
6.
go back to reference Ubel, P. A., Loewenstein, G., Schwarz, N., & Smith, D. (2005). Misimagining the unimaginable: The disability paradox and health care decision making. Health Psychology, 24(4 Suppl), S57–S62.CrossRefPubMed Ubel, P. A., Loewenstein, G., Schwarz, N., & Smith, D. (2005). Misimagining the unimaginable: The disability paradox and health care decision making. Health Psychology, 24(4 Suppl), S57–S62.CrossRefPubMed
7.
go back to reference Velanovich, V., Younga, J., Bhandarkar, V., Marshall, N., McLaren, P., Ritz, J., et al. (2012). A single, global patient-centered measure from the SF-36 instrument to assess surgical outcomes and quality of life: A pilot study. World Journal of Surgery, 36(9), 2045–2050.CrossRefPubMed Velanovich, V., Younga, J., Bhandarkar, V., Marshall, N., McLaren, P., Ritz, J., et al. (2012). A single, global patient-centered measure from the SF-36 instrument to assess surgical outcomes and quality of life: A pilot study. World Journal of Surgery, 36(9), 2045–2050.CrossRefPubMed
8.
go back to reference Smith, D., Loewenstein, G., Jepson, C., Jankovich, A., Feldman, H., & Ubel, P. (2008). Mispredicting and misremembering: Patients with renal failure overestimate improvements in quality of life after a kidney transplant. Health Psychology, 27(5), 653–658.CrossRefPubMed Smith, D., Loewenstein, G., Jepson, C., Jankovich, A., Feldman, H., & Ubel, P. (2008). Mispredicting and misremembering: Patients with renal failure overestimate improvements in quality of life after a kidney transplant. Health Psychology, 27(5), 653–658.CrossRefPubMed
9.
go back to reference Mather, M., Shafir, E., & Johnson, M. K. (2000). Misremembrance of options past: Source monitoring and choice. Psychological Science, 11(2), 132–138.CrossRefPubMed Mather, M., Shafir, E., & Johnson, M. K. (2000). Misremembrance of options past: Source monitoring and choice. Psychological Science, 11(2), 132–138.CrossRefPubMed
10.
go back to reference Smith, D. M., Sherriff, R. L., Damschroder, L., Loewenstein, G., & Ubel, P. A. (2006). Misremembering colostomies? Former patients give lower utility ratings than do current patients. Health Psychology, 25(6), 688–695.CrossRefPubMed Smith, D. M., Sherriff, R. L., Damschroder, L., Loewenstein, G., & Ubel, P. A. (2006). Misremembering colostomies? Former patients give lower utility ratings than do current patients. Health Psychology, 25(6), 688–695.CrossRefPubMed
11.
go back to reference Mangione, C. M., Goldman, L., Orav, E. J., Marcantonio, E. R., Pedan, A., Ludwig, L. E., et al. (1997). Health-related quality of life after elective surgery: Measurement of longitudinal changes. Journal of General Internal Medicine, 12(11), 686–697.CrossRefPubMedPubMedCentral Mangione, C. M., Goldman, L., Orav, E. J., Marcantonio, E. R., Pedan, A., Ludwig, L. E., et al. (1997). Health-related quality of life after elective surgery: Measurement of longitudinal changes. Journal of General Internal Medicine, 12(11), 686–697.CrossRefPubMedPubMedCentral
12.
go back to reference Turel, M. K., Thakar, S., & Rajshekhar, V. (2015). Quality of life following surgery for large and giant vestibular schwannomas: A prospective study. Journal of Neurosurgery, 122(2), 303–311.CrossRefPubMed Turel, M. K., Thakar, S., & Rajshekhar, V. (2015). Quality of life following surgery for large and giant vestibular schwannomas: A prospective study. Journal of Neurosurgery, 122(2), 303–311.CrossRefPubMed
13.
go back to reference Carreon, L. Y., Bratcher, K. R., Canan, C. E., Burke, L. O., Djurasovic, M., & Glassman, S. D. (2013). Differentiating minimum clinically important difference for primary and revision lumbar fusion surgeries. Journal of Neurosurgery: Spine, 18(1), 102–106.PubMed Carreon, L. Y., Bratcher, K. R., Canan, C. E., Burke, L. O., Djurasovic, M., & Glassman, S. D. (2013). Differentiating minimum clinically important difference for primary and revision lumbar fusion surgeries. Journal of Neurosurgery: Spine, 18(1), 102–106.PubMed
14.
go back to reference Zhou, F., Zhang, Y., Sun, Y., Zhang, F., Pan, S., & Liu, Z. (2015). Assessment of the minimum clinically important difference in neurological function and quality of life after surgery in cervical spondylotic myelopathy patients: A prospective cohort study. European Spine Journal, 24(12), 2918–2923.CrossRefPubMed Zhou, F., Zhang, Y., Sun, Y., Zhang, F., Pan, S., & Liu, Z. (2015). Assessment of the minimum clinically important difference in neurological function and quality of life after surgery in cervical spondylotic myelopathy patients: A prospective cohort study. European Spine Journal, 24(12), 2918–2923.CrossRefPubMed
15.
go back to reference von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gotzsche, P. C., & Vandenbroucke, J. P. (2014). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies. International Journal of Surgery (London, England), 12(12), 1495–1499.CrossRef von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gotzsche, P. C., & Vandenbroucke, J. P. (2014). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies. International Journal of Surgery (London, England), 12(12), 1495–1499.CrossRef
16.
go back to reference Avidan, M. S. ([cited 2016 Feb 10]). Systematic Assessment and Targeted Improvement of Services Following Yearlong Surgical Outcomes Surveys (SATISFY-SOS). In: ClinicalTrials.gov. Avidan, M. S. ([cited 2016 Feb 10]). Systematic Assessment and Targeted Improvement of Services Following Yearlong Surgical Outcomes Surveys (SATISFY-SOS). In: ClinicalTrials.gov.
17.
go back to reference Kronzer, V. L., Jerry, M. R., & Avidan, M. S. (2016). Assessing change in patient-reported quality of life after elective surgery: Protocol for an observational comparison study. F1000Research, 5, 976.CrossRefPubMedPubMedCentral Kronzer, V. L., Jerry, M. R., & Avidan, M. S. (2016). Assessing change in patient-reported quality of life after elective surgery: Protocol for an observational comparison study. F1000Research, 5, 976.CrossRefPubMedPubMedCentral
18.
go back to reference Kazis, L. E., Miller, D. R., Skinner, K. M., Lee, A., Ren, X. S., Clark, J. A., et al. (2006). Applications of methodologies of the Veterans Health Study in the VA healthcare system: Conclusions and summary. Journal of Ambulatory Care Management, 29(2), 182–188.CrossRefPubMed Kazis, L. E., Miller, D. R., Skinner, K. M., Lee, A., Ren, X. S., Clark, J. A., et al. (2006). Applications of methodologies of the Veterans Health Study in the VA healthcare system: Conclusions and summary. Journal of Ambulatory Care Management, 29(2), 182–188.CrossRefPubMed
19.
go back to reference Kazis, L. E., Selim, A., Rogers, W., Ren, X. S., Lee, A., & Miller, D. R. (2006). Dissemination of methods and results from the veterans health study: Final comments and implications for future monitoring strategies within and outside the veterans healthcare system. Journal of Ambulatory Care Management, 29(4), 310–319.CrossRefPubMed Kazis, L. E., Selim, A., Rogers, W., Ren, X. S., Lee, A., & Miller, D. R. (2006). Dissemination of methods and results from the veterans health study: Final comments and implications for future monitoring strategies within and outside the veterans healthcare system. Journal of Ambulatory Care Management, 29(4), 310–319.CrossRefPubMed
20.
go back to reference Selim, A. J., Rogers, W., Fleishman, J. A., Qian, S. X., Fincke, B. G., Rothendler, J. A., et al. (2009). Updated U.S. population standard for the Veterans RAND 12-item Health Survey (VR-12). Quality of Life Research, 18(1), 43–52.CrossRefPubMed Selim, A. J., Rogers, W., Fleishman, J. A., Qian, S. X., Fincke, B. G., Rothendler, J. A., et al. (2009). Updated U.S. population standard for the Veterans RAND 12-item Health Survey (VR-12). Quality of Life Research, 18(1), 43–52.CrossRefPubMed
21.
go back to reference Lamb, S. E., Jorstad-Stein, E. C., Hauer, K., & Becker, C. (2005). Development of a common outcome data set for fall injury prevention trials: The Prevention of Falls Network Europe consensus. Journal of the American Geriatrics Society, 53(9), 1618–1622.CrossRefPubMed Lamb, S. E., Jorstad-Stein, E. C., Hauer, K., & Becker, C. (2005). Development of a common outcome data set for fall injury prevention trials: The Prevention of Falls Network Europe consensus. Journal of the American Geriatrics Society, 53(9), 1618–1622.CrossRefPubMed
22.
go back to reference Kronzer, V. L., Jerry, M. R., Ben Abdallah, A., Wildes, T. S., Stark, S. L., McKinnon, S. L., et al. (2016). Preoperative falls predict postoperative falls, functional decline, and surgical complications. EBioMedicine, 12, 302–308.CrossRefPubMedPubMedCentral Kronzer, V. L., Jerry, M. R., Ben Abdallah, A., Wildes, T. S., Stark, S. L., McKinnon, S. L., et al. (2016). Preoperative falls predict postoperative falls, functional decline, and surgical complications. EBioMedicine, 12, 302–308.CrossRefPubMedPubMedCentral
23.
go back to reference van Buuren, S. (2007). Multiple imputation of discrete and continuous data by fully conditional specification. Statistical Methods in Medical Research, 16(3), 219–242.CrossRefPubMed van Buuren, S. (2007). Multiple imputation of discrete and continuous data by fully conditional specification. Statistical Methods in Medical Research, 16(3), 219–242.CrossRefPubMed
24.
go back to reference Liu, H., & Hays, R. D. Measurement of interrater agreement: A SAS/IML Macro Kappa procedure for handling incomplete data. In Twenty-Fourth Annual SAS Users Group International Conference, April 11–14, 1999 (pp. 1620–1625). Liu, H., & Hays, R. D. Measurement of interrater agreement: A SAS/IML Macro Kappa procedure for handling incomplete data. In Twenty-Fourth Annual SAS Users Group International Conference, April 11–14, 1999 (pp. 1620–1625).
25.
go back to reference Crosby, R. D., Kolotkin, R. L., & Williams, G. R. (2003). Defining clinically meaningful change in health-related quality of life. Journal of Clinical Epidemiology, 56(5), 395–407.CrossRefPubMed Crosby, R. D., Kolotkin, R. L., & Williams, G. R. (2003). Defining clinically meaningful change in health-related quality of life. Journal of Clinical Epidemiology, 56(5), 395–407.CrossRefPubMed
27.
go back to reference Lee, T. H., Marcantonio, E. R., Mangione, C. M., Thomas, E. J., Polanczyk, C. A., Cook, E. F., et al. (1999). Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation, 100(10), 1043–1049.CrossRefPubMed Lee, T. H., Marcantonio, E. R., Mangione, C. M., Thomas, E. J., Polanczyk, C. A., Cook, E. F., et al. (1999). Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation, 100(10), 1043–1049.CrossRefPubMed
28.
go back to reference Norman, G. R., Sloan, J. A., & Wyrwich, K. W. (2003). Interpretation of changes in health-related quality of life: The remarkable universality of half a standard deviation. Medical Care, 41(5), 582–592.PubMed Norman, G. R., Sloan, J. A., & Wyrwich, K. W. (2003). Interpretation of changes in health-related quality of life: The remarkable universality of half a standard deviation. Medical Care, 41(5), 582–592.PubMed
29.
go back to reference Coteur, G., Feagan, B., Keininger, D. L., & Kosinski, M. (2009). Evaluation of the meaningfulness of health-related quality of life improvements as assessed by the SF-36 and the EQ-5D VAS in patients with active Crohn’s disease. Alimentary Pharmacology and Therapeutics, 29(9), 1032–1041.CrossRefPubMed Coteur, G., Feagan, B., Keininger, D. L., & Kosinski, M. (2009). Evaluation of the meaningfulness of health-related quality of life improvements as assessed by the SF-36 and the EQ-5D VAS in patients with active Crohn’s disease. Alimentary Pharmacology and Therapeutics, 29(9), 1032–1041.CrossRefPubMed
30.
go back to reference Zhang, Y., Zhou, F., & Sun, Y. (2015). Assessment of health-related quality of life using the SF-36 in Chinese cervical spondylotic myelopathy patients after surgery and its consistency with neurological function assessment: A cohort study. Health and Quality of Life Outcomes, 13, 39.CrossRefPubMedPubMedCentral Zhang, Y., Zhou, F., & Sun, Y. (2015). Assessment of health-related quality of life using the SF-36 in Chinese cervical spondylotic myelopathy patients after surgery and its consistency with neurological function assessment: A cohort study. Health and Quality of Life Outcomes, 13, 39.CrossRefPubMedPubMedCentral
31.
go back to reference Bahler, C. D., & Sundaram, C. P. (2013). Quality of life following laparoscopic living-donor nephrectomy. JSLS: Journal of the Society of Laparoendoscopic Surgeons, 17(2), 273–278.CrossRefPubMedPubMedCentral Bahler, C. D., & Sundaram, C. P. (2013). Quality of life following laparoscopic living-donor nephrectomy. JSLS: Journal of the Society of Laparoendoscopic Surgeons, 17(2), 273–278.CrossRefPubMedPubMedCentral
32.
go back to reference Dawson, J., Doll, H., Coffey, J., & Jenkinson, C. (2007). Responsiveness and minimally important change for the Manchester-Oxford foot questionnaire (MOXFQ) compared with AOFAS and SF-36 assessments following surgery for hallux valgus. Osteoarthritis and Cartilage, 15(8), 918–931.CrossRefPubMed Dawson, J., Doll, H., Coffey, J., & Jenkinson, C. (2007). Responsiveness and minimally important change for the Manchester-Oxford foot questionnaire (MOXFQ) compared with AOFAS and SF-36 assessments following surgery for hallux valgus. Osteoarthritis and Cartilage, 15(8), 918–931.CrossRefPubMed
33.
go back to reference Shi, H. Y., Lee, H. H., Chiu, C. C., Chiu, H. C., Uen, Y. H., & Lee, K. T. (2008). Responsiveness and minimal clinically important differences after cholecystectomy: GIQLI versus SF-36. Journal of Gastrointestinal Surgery, 12(7), 1275–1282.CrossRefPubMed Shi, H. Y., Lee, H. H., Chiu, C. C., Chiu, H. C., Uen, Y. H., & Lee, K. T. (2008). Responsiveness and minimal clinically important differences after cholecystectomy: GIQLI versus SF-36. Journal of Gastrointestinal Surgery, 12(7), 1275–1282.CrossRefPubMed
34.
go back to reference Bilbao, A., Quintana, J. M., Escobar, A., Garcia, S., Andradas, E., Bare, M., et al. (2009). Responsiveness and clinically important differences for the VF-14 index, SF-36, and visual acuity in patients undergoing cataract surgery. Ophthalmology, 116(3), 418–424.e411.CrossRefPubMed Bilbao, A., Quintana, J. M., Escobar, A., Garcia, S., Andradas, E., Bare, M., et al. (2009). Responsiveness and clinically important differences for the VF-14 index, SF-36, and visual acuity in patients undergoing cataract surgery. Ophthalmology, 116(3), 418–424.e411.CrossRefPubMed
35.
go back to reference Helsten, D. L., Abdallah, A. B., Avidan, M. S., Wildes, T. S., Winter, A., McKinnon, S. L., et al. (2016). Methodological considerations for collecting patient reported outcomes from unselected surgical patients. Anesthesiology, 125(3), 495–504.CrossRefPubMed Helsten, D. L., Abdallah, A. B., Avidan, M. S., Wildes, T. S., Winter, A., McKinnon, S. L., et al. (2016). Methodological considerations for collecting patient reported outcomes from unselected surgical patients. Anesthesiology, 125(3), 495–504.CrossRefPubMed
36.
go back to reference Copay, A. G., Subach, B. R., Glassman, S. D., Polly, D. W. Jr., & Schuler, T. C. (2007). Understanding the minimum clinically important difference: A review of concepts and methods. The Spine Journal, 7(5), 541–546.CrossRefPubMed Copay, A. G., Subach, B. R., Glassman, S. D., Polly, D. W. Jr., & Schuler, T. C. (2007). Understanding the minimum clinically important difference: A review of concepts and methods. The Spine Journal, 7(5), 541–546.CrossRefPubMed
37.
go back to reference Wright, A., Hannon, J., Hegedus, E. J., & Kavchak, A. E. (2012). Clinimetrics corner: A closer look at the minimal clinically important difference (MCID). Journal of Manual & Manipulative Therapy, 20(3), 160–166.CrossRef Wright, A., Hannon, J., Hegedus, E. J., & Kavchak, A. E. (2012). Clinimetrics corner: A closer look at the minimal clinically important difference (MCID). Journal of Manual & Manipulative Therapy, 20(3), 160–166.CrossRef
Metagegevens
Titel
Changes in quality of life after elective surgery: an observational study comparing two measures
Auteurs
Vanessa L. Kronzer
Michelle R. Jerry
Arbi Ben Abdallah
Troy S. Wildes
Sherry L. McKinnon
Anshuman Sharma
Michael S. Avidan
Publicatiedatum
29-03-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 8/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1560-2