Ahmed Maira, Lau Angus, Hirpara Dhruvin H, Kidane Biniam
College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
J Thorac Dis. 2020 Nov;12(11):6902-6912. doi: 10.21037/jtd.2020.03.58.
Patient reported outcomes (PROs) fulfill a crucial and unique niche in patient management, providing health-care providers a glimpse into their patients' health experience. This is of utmost importance in patients with benign and malignant disorders of esophagus requiring surgery, which carries significant morbidity, in part due to a high burden of symptoms affecting health-related quality of life (HRQOL). There are a variety of generic and disease-specific patient reported outcome measures (PROMs) available for use in esophageal surgery. This article provides a broad overview of commonly used HRQOL instruments in esophageal surgery, including their utility in comparative effectiveness research, prognostication and shared decision-making for patients undergoing surgery for benign and malignant disorders of the esophagus.
患者报告结局(PROs)在患者管理中占据着关键且独特的地位,能让医疗服务提供者了解患者的健康体验。这对于需要进行手术的食管良性和恶性疾病患者极为重要,因为手术具有显著的发病率,部分原因是影响健康相关生活质量(HRQOL)的症状负担较重。有多种通用和特定疾病的患者报告结局测量工具(PROMs)可用于食管手术。本文全面概述了食管手术中常用的HRQOL工具,包括它们在比较疗效研究、预后评估以及食管良性和恶性疾病手术患者的共同决策中的作用。