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Article Abstract
Background: ERAS (Enhanced Recovery after Surgery) is an evidence-based multidisciplinary approach focusing on optimizing outcomes after surgery through structured clinical pathways. This study aimed to assess patient-reported outcome and experience measures (PROM/PREM), which are not routinely assessed after liver surgery within an ERAS protocol.
Methods: Routine outcome parameters were extracted from clinical documentation. Using qualitative content analysis, PROM and PREM were retrospectively identified in 13 case records. In a prospective survey of 10 participants, PROM was assessed at three timepoints using the EQ-5D-5L questionnaire. PREM were collected at discharge.
Results: The following PROM categories occurred in the retrospective content analysis: (84.6%), (76.9%), (69.2%), (69.2%), and (61.5%). The categories of (92.0%) and , , (69.0%) emerged as PREM. Descriptive changes in health state were shown for all EQ-5D-5L dimensions and timepoints. At discharge, , , , and tended to be worse, whereas decreased gradually from preoperatively to the 4 week follow-up. There was high satisfaction with interprofessional care services and experienced cooperation between professionals.
Conclusions: PROM and PREM are helpful to incorporate patients' perspectives after liver surgery within an ERAS pathway and should be collected routinely in clinical practice.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10969864 | PMC |
| http://dx.doi.org/10.3390/healthcare12060629 | DOI Listing |
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