School of Medicine, University College Cork, Cork City, Ireland.
Assert Research Centre, University College Cork, Cork City, Ireland.
JMIR Res Protoc. 2024 Aug 19;13:e57344. doi: 10.2196/57344.
Patient-reported outcomes (PROs) can be defined as any report of a patient's health taken directly from the patient. Routine collection of PRO data has been shown to offer potential benefits to patient-doctor communication. Electronic forms of PRO measures (PROMs) could be more beneficial in comparison to traditional PROMs in obtaining PROs from patients. However, it is currently unclear whether the routine collection of electronic PRO data could result in better outcomes for patients undergoing laparoscopic cholecystectomy (LC).
This study aims to explore the perspectives of patients and surgeons on the use of electronic PROMs. Based on prior research, technical skill and experience level of the surgeon, long-term quality of life, patient involvement in decision-making, communication skills of the surgeon, cleanliness of the ward environment, and standards of nursing care are identified to be the most important factors for the patients.
This is a mixed methods prospective study that will collect both quantitative (survey) and qualitative (interview) data. The study has two components. The first involves the distribution of an electronic presurvey to patients who received elective LC within 48 hours of their surgery (n=80). This survey will explore the perspective of patients regarding the procedure, hospital experience, long-term outcomes, and the perceived value of using PROMs. These patients will then be followed up after 1 year and given another survey. The second component involves the distribution of the same survey and the completion of structured interviews with general surgeons (n=10). The survey will ascertain what PROs from the participants are most useful for the surgeons and the interviews will focus on how the surgeons view routine PRO collection. A convenience sampling approach will be used. Surveys will be distributed through Qualtrics and interviews will be completed on Microsoft Teams.
Data collection began on February 14, 2023. As of February 12, 2024, 71 of 80 recruited patients have been given the presurvey. The follow-up with the patients and the general surgeon components of the study have not begun. The expected completion date of this study is in April 2025.
Overall, this study will investigate the potential of electronic PRO collection to offer value for patients and general surgeons. This approach will ensure that patient care is investigated in a multifaceted way, offering patient-centric guidance to surgeons in their approach to care.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/57344.
患者报告的结果（PROs）可以定义为患者直接报告的任何健康状况。常规收集 PRO 数据已被证明对医患沟通有潜在益处。与传统的 PRO 相比，电子形式的 PRO 测量（PROMs）在从患者中获取 PRO 方面可能更有优势。然而，目前尚不清楚常规收集电子 PRO 数据是否会使接受腹腔镜胆囊切除术（LC）的患者获得更好的结果。
本研究旨在探讨患者和外科医生对电子 PROM 使用的看法。基于先前的研究，外科医生的技术技能和经验水平、长期生活质量、患者参与决策、外科医生的沟通技巧、病房环境的清洁度和护理标准被确定为患者最重要的因素。
这是一项混合方法前瞻性研究，将同时收集定量（调查）和定性（访谈）数据。该研究有两个组成部分。第一部分涉及向接受 LC 手术 48 小时内的择期患者（n=80）分发电子预调查。该调查将探讨患者对手术、医院体验、长期结果以及使用 PROM 的感知价值的看法。这些患者将在 1 年后进行随访，并接受另一次调查。第二部分涉及向普通外科医生分发相同的调查并完成结构访谈（n=10）。调查将确定参与者的哪些 PRO 对外科医生最有用，访谈将集中讨论外科医生如何看待常规 PRO 收集。将采用便利抽样方法。调查将通过 Qualtrics 分发，访谈将在 Microsoft Teams 上完成。
数据收集于 2023 年 2 月 14 日开始。截至 2024 年 2 月 12 日，已向 80 名招募患者中的 71 名发放了预调查。尚未开始对患者和普通外科医生进行后续调查。本研究的预计完成日期为 2025 年 4 月。
总的来说，本研究将调查电子 PRO 收集为患者和普通外科医生提供价值的潜力。这种方法将确保以多方面的方式调查患者护理，为外科医生提供以患者为中心的护理方法指导。
国际注册报告标识符（IRRID）：DERR1-10.2196/57344。
