Department of Social Medicine, University of Bristol, BS8 2PR, UK.
Expert Rev Pharmacoecon Outcomes Res. 2008 Feb;8(1):43-50. doi: 10.1586/14737167.8.1.43.
The role of patient-reported outcomes (PROs) in surgery evaluation is increasing. PROs include measures of health-related quality of life (HRQL), patient satisfaction and utility. It is hypothesized that they add to traditional end points by providing detailed assessment of the impact of surgery on patient well-being as well as assessing patient preferences. In addition, qualitative observations from in-depth or semistructured interviews, or focus groups provide data about patient experiences and views of surgery that may supplement standard outcomes and quantitative PROs. This type of detail may contribute to clinical decision-making and informed consent. It is essential, however, that PROs are valid and reliable, and that robust methodology is used in trials and other research settings to incorporate PROs in a clinical context. Future work focusing upon the role of PROs in surgical decision-making is needed, and there is a need to develop methods for communicating PROs to patients. In addition, evaluating surgery with qualitative approaches will add useful insights into how patients experience surgery. This review article focuses on evaluating surgery with measures of HRQL and the qualitative methods that may supplement quantitative outcomes.
患者报告的结果（PROs）在手术评估中的作用日益增强。PROs 包括健康相关生活质量（HRQL）、患者满意度和效用的衡量标准。据推测，它们通过提供对手术对患者幸福感的影响的详细评估以及评估患者偏好，从而对传统终点进行补充。此外，深入或半结构化访谈或焦点小组的定性观察提供了有关患者对手术的经验和看法的补充数据，这些数据可能补充标准结果和定量 PROs。这种细节可能有助于临床决策和知情同意。然而，PROs 必须是有效且可靠的，并且在临床试验和其他研究环境中使用稳健的方法将 PROs 纳入临床环境中。需要进一步研究 PROs 在手术决策中的作用，并且需要开发向患者传达 PROs 的方法。此外，采用定性方法评估手术将为患者的手术体验提供有用的见解。这篇综述文章重点介绍了使用 HRQL 衡量标准和可能补充定量结果的定性方法来评估手术。
