caa a22 4500 606180567 CHVBK 20210128100806.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s11136-015-1008-5 doi (NATIONALLICENCE)springer-10.1007/s11136-015-1008-5 How well are we measuring postoperative "recovery” after abdominal surgery? [Elektronische Daten] [Lawrence Lee, Teodora Dumitra, Julio Fiore Jr., Nancy Mayo, Liane Feldman] Purpose: The content validity of patient-reported outcomes (PROs) commonly used to measure postoperative recovery is unknown. The objective of this study was to develop a conceptual framework for recovery after abdominal surgery and to analyze the content of PRO instruments against this conceptual framework. Methods: Qualitative methods were used to develop a conceptual framework for recovery. Patients undergoing abdominal surgery and healthcare professionals were interviewed. Recovery-related concepts were identified using a thematic analysis, and concepts were then linked to the International Classification of Functioning, Disability and Health (ICF). The contents of eight PRO instruments that have been used to measure recovery were then examined using this conceptual framework. Results: A total of 17 patients and 15 healthcare professionals were interviewed. A total of 22 important recovery-related concepts were identified and linked to the ICF. The four most important concepts were "Energy level,” "Sensation of pain,” "General physical endurance,” and "Carrying out daily routine.” The number of important recovery-related concepts covered by each instrument ranged from 1 to 22 (mean 7.3 concepts). The SF36 (n=22), European Organization for the Treatment and Research of Cancer Quality-of-Life Questionnaire-C30 (n=20), and the Gastrointestinal Quality-of-Life Index (n=19) covered the greatest number of important recovery concepts. No instrument covered all of the important concepts. Conclusions: The comparison of the contents of PRO instruments commonly used to measure postoperative recovery after abdominal surgery demonstrated major gaps in the representation of concepts that are important to patients and healthcare professionals. Springer International Publishing Switzerland, 2015 Recovery nationallicence Function nationallicence ICF nationallicence Quality of life nationallicence Content validity nationallicence Lee Lawrence Department of Surgery, Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave, E19-125, H3G 1A4, Montreal, QC, Canada aut Dumitra Teodora Department of Surgery, Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave, E19-125, H3G 1A4, Montreal, QC, Canada aut Fiore Jr. Julio Department of Surgery, Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave, E19-125, H3G 1A4, Montreal, QC, Canada aut Mayo Nancy Division of Clinical Epidemiology, Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC, Canada aut Feldman Liane Department of Surgery, Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave, E19-125, H3G 1A4, Montreal, QC, Canada aut Quality of Life Research Springer International Publishing 24/11(2015-11-01), 2583-2590 0962-9343 24:11<2583 2015 24 11136 https://doi.org/10.1007/s11136-015-1008-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-015-1008-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lee Lawrence Department of Surgery, Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave, E19-125, H3G 1A4, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Dumitra Teodora Department of Surgery, Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave, E19-125, H3G 1A4, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Fiore Jr Julio Department of Surgery, Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave, E19-125, H3G 1A4, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Mayo Nancy Division of Clinical Epidemiology, Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Feldman Liane Department of Surgery, Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, 1650 Cedar Ave, E19-125, H3G 1A4, Montreal, QC, Canada aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/11(2015-11-01), 2583-2590 0962-9343 24:11<2583 2015 24 11136