Department of Surgery, Monash University, The Alfred Centre, Melbourne, VIC, 3004, Australia.
Department of Medicine, St Vincent's Hospital, University of Melbourne, Melbourne, VIC, 3000, Australia.
Obes Surg. 2022 Oct;32(10):3410-3418. doi: 10.1007/s11695-022-06237-z. Epub 2022 Aug 16.
Patient-reported measures are an important emerging metric in outcome monitoring; however, they remain ill-defined and underutilized in bariatric clinical practice. This study aimed to determine the characteristics of patient-reported measures employed in bariatric practices across Australia and Aotearoa New Zealand, including barriers to their implementation and to what extent clinicians are receptive to their use.
An online survey was distributed to all bariatric surgeons actively contributing to the Australian and Aotearoa New Zealand Bariatric Surgery Registry (n = 176). Participants reported their use of patient-reported measures and identified the most important and useful outcomes of patient-reported data for clinical practice.
Responses from 64 participants reported on 120 public and private bariatric practices across Australia and Aotearoa New Zealand. Most participants reported no collection of any patient-reported measure (39 of 64; 60.9%), citing insufficient staff time or resources as the primary barrier to the collection of both patient-reported experience measures (34 of 102 practices; 33.3%) and patient-reported outcome measures (30 of 84 practices; 35.7%). Participants indicated data collection by the Registry would be useful (47 of 57; 82.5%), highlighting the most valuable application to be a monitoring tool, facilitating increased understanding of patient health needs, increased reporting of symptoms, and enhanced patient-physician communication.
Despite the current lack of patient-reported measures, there is consensus that such data would be valuable in bariatric practices. Widespread collection of patient-reported measures by registries could improve the collective quality of the data, while avoiding implementation barriers faced by individual surgeons and hospitals.
患者报告的测量结果是结局监测中一种重要的新兴指标；然而，在肥胖症临床实践中，它们仍然定义不明确且未得到充分利用。本研究旨在确定澳大利亚和新西兰肥胖症实践中使用的患者报告测量结果的特征，包括实施这些测量结果的障碍，以及临床医生对其使用的接受程度。
向积极参与澳大利亚和新西兰肥胖症手术登记处（n=176）的所有肥胖症外科医生分发了在线调查。参与者报告了他们使用患者报告测量结果的情况，并确定了患者报告数据对临床实践最重要和最有用的结果。
来自 64 名参与者的回复报告了澳大利亚和新西兰的 120 家公共和私人肥胖症实践。大多数参与者报告未收集任何患者报告测量结果（64 名中的 39 名；60.9%），将缺乏工作人员时间或资源作为收集患者报告体验测量结果（102 个实践中的 34 个；33.3%）和患者报告结局测量结果（84 个实践中的 30 个；35.7%）的主要障碍。参与者表示，登记处的数据收集将是有用的（57 名中的 47 名；82.5%），突出了最有价值的应用是作为监测工具，有助于更好地了解患者的健康需求，更多地报告症状，并增强患者与医生的沟通。
尽管目前缺乏患者报告的测量结果，但人们普遍认为这些数据在肥胖症实践中是有价值的。登记处广泛收集患者报告的测量结果可以提高数据的整体质量，同时避免个别外科医生和医院面临的实施障碍。
