Ellen Morrow, MD, Joshua Biber, MBA, MS, Anna Ibele, MD, Eric Volckmann, MD, Robert Glasgow, MD. University of Utah
Introduction: Although much is known regarding medical outcomes of metabolic surgery, less is known regarding quality of life outcomes. We hypothesized that the collection of patient-reported outcomes (PROs) could help us understand quality of life in this patient population. We chose to primarily use Patient Reported Outcomes Measurement Information System (PROMIS) instruments because of their broad applicability, low cost, and ability to use computer-adapted technology to survey.
Methods: We implemented the routine collection of PROs as part of clinical care in December, 2015. Patients were offered tablets in clinic, and were asked to complete the surveys at most of their visits. We used computer-adapted technology to decrease the length of time needed to survey. We collected the following PROMIS instruments: Depression, Pain Interference, Physical Function, and Satisfaction with Social Roles. We also collected the GERD-HRQL, a General Health question, and a Current Health Visual Analog Scale (VAS). We retrospectively reviewed our results from December 2015 through September 2017.
Results: Our response rate was 70% over the last year of collection. In total, 2166 assessments were completed by 1026 patients. The mean scores in our total patient population were as follows: VAS 59, GERD-HRQL 8, General health 51, Depression 52, Pain 56, Physical Function 43, and Social Roles 46. For PROMIS instruments, the mean for the national population is 50, with 10 as the standard deviation. For the depression and pain scores a higher score is worse, while a higher score indicates better quality of life for social roles and physical function.
Conclusions: Routine collection of patient reported outcomes can be implemented in a metabolic surgery clinic. Health-related quality of life appears to be decreased in this patient population compared to the general public. Further work is ongoing to learn about postoperative trends, as well as differential effects of metabolic procedures.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88412
Program Number: P561
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster