Bingener Juliane, Sloan Jeff A, Seisler Drew K, McConico Andrea L, Skaran Pamela E, Farley David R, Truty Mark J
Department of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA,
J Gastrointest Surg. 2015 May;19(5):917-26. doi: 10.1007/s11605-015-2789-0. Epub 2015 Mar 18.
We tested the responsiveness of the National Institutes of Health-sponsored Patient-Reported Outcomes Measures Information System (PROMIS) global health short form and a linear analog self-assessment for laparoscopy.
From May 2011 through December 2013, patients undergoing laparoscopy responded to patient reported outcome questionnaires perioperatively. Composite and single item scores were compared.
One hundred fifteen patients, mean age 55 years, 58 % female, were enrolled. Visual analog pain scores differed significantly from baseline (mean 1.7 ± 2.3) to postoperative day 1 (mean 4.8 ± 2.6) and 7 (mean 2.5 ± 2.1) (p<0.0001). PROMIS physical subscale and total physical component subscore differed significantly from baseline (14.4 ± 3.0/47.4 ± 8.3) to postoperative day 1 (12.7 ± 3.2/42.1 ± 8.8) (p=0.0007/0.0003), due to everyday physical activities (p=0.0001). Linear analog self-assessment scores differed from baseline for pain frequency (p<0.0001), pain severity (p<0.0001), and social activity (p=0.0052); 40 % of subjects reported worsening in PROMIS physical T-score to postoperative day 1 and 25 % to postoperative day 7. Linear analog self-assessment mental well-being scores were worse in 32 % of patients at postoperative day 7, emotional well-being in 28 %, social activity in 24 %, and fatigue in 20 % of patients.
Single items and change from baseline are responsive perioperative quality of life assessments for laparoscopy.
我们测试了美国国立卫生研究院资助的患者报告结局测量信息系统（PROMIS）全球健康简表以及腹腔镜检查的线性模拟自评法的反应性。
2011年5月至2013年12月，接受腹腔镜检查的患者在围手术期对患者报告结局问卷作出回应。比较了综合得分和单项得分。
共纳入115例患者，平均年龄55岁，58%为女性。视觉模拟疼痛评分从基线（平均1.7±2.3）到术后第1天（平均4.8±2.6）和第7天（平均2.5±2.1）有显著差异（p<0.0001）。PROMIS身体亚量表和总身体成分子得分从基线（14.4±3.0/47.4±8.3）到术后第1天（12.7±3.2/42.1±8.8）有显著差异（p=0.0007/0.0003），这是由于日常身体活动所致（p=0.0001）。线性模拟自评法在疼痛频率（p<0.0001）、疼痛严重程度（p<0.0001）和社交活动（p=0.0052）方面与基线存在差异；40%的受试者报告术后第1天PROMIS身体T得分恶化，25%的受试者报告术后第7天恶化。32%的患者在术后第7天线性模拟自评法心理健康得分较差，28%的患者情绪健康得分较差，24%的患者社交活动得分较差，20%的患者疲劳得分较差。
单项指标及与基线的变化对腹腔镜检查围手术期生活质量评估具有反应性。
