Patient-reported Outcome Measures (PROMs) After Laparoscopic Cholecystectomy: Systematic Review

Overview

Journal BJS Open

Publisher Oxford University Press

Specialty General Surgery

Date 2022 Jun 7

PMID 35668711

Authors

Conor Melly

Gearoid McGeehan

Niall OConnor

Alison Johnston

Gary Bass

Shahin Mohseni

Claire Donohoe

Magda Bucholc

Michael Sugrue

Affiliations

Soon will be listed here.

Abstract

Background: Healthcare requires patient feedback to improve outcomes and experience. This study undertook a systematic review of the depth, variability, and digital suitability of current patient-reported outcome measures (PROMs) in patients undergoing laparoscopic cholecystectomy.

Methods: A PROSPERO-registered (registration number CRD42021261707) systematic review was undertaken for all relevant English language articles using PubMed version of MEDLINE, Scopus, and Web of Science electronic databases in June 2021. The search used Boolean operators and wildcards and included the keywords: laparoscopic cholecystectomy AND patient outcome OR patient-reported outcome OR patient-reported outcome measure OR PRO OR PROM. Medical Subjects Heading terms were used to search PubMed and Scopus. Articles published from 1 January 2011 to 2 June 2021 were included.

Results: A total of 4960 individual articles were reviewed in this study, of which 44 were found to evaluate PROMs in patients undergoing laparoscopic cholecystectomy and underwent methodological index for non-randomized studies (MINORS) grading. Twenty-one articles spanning 19 countries and four continents met all inclusion criteria and were included in the qualitative data synthesis. There was significant heterogeneity in PROMs identified with eight different comprehensive PROM tools used in the 21 studies. There was wide variation in the time points at which PROMs were recorded. Fourteen of 21 studies recorded PROMs before and after surgery, and 7 of 21 recorded PROMs only after surgery. Follow-up intervals ranged from 3 days to 2 years after surgery.

Conclusions: This study identified that while post-laparoscopic cholecystectomy PROMs are infrequently measured currently, tools are widely available to achieve this in clinical practice. PROMs may not capture all the outcomes but should be incorporated into future cholecystectomy outcome research. The EQ-5D™ (EuroQoL Group, Rotterdam, the Netherlands) provides a simple platform for the modern digital era.

Citing Articles

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Patient-reported Outcome Measure (PROM) Rand-36-item Health Survey for Gallstone Disease Patients Five Years Following Surgery: A Prospective Randomized Study.

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Enhancing operative documentation of emergency laparotomy: a systematic review and development of a synoptic reporting template.

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First RAND-36-Item Health Survey in Three-dimensional Laparoscopy Cholecystectomy: A Prospective Randomized Study.

Eskelinen M, Repo A, Saimanen I, Selander T, Karkkainen J, Juvonen P In Vivo. 2023; 37(3):1192-1197.

PMID: 37103083 PMC: 10188030. DOI: 10.21873/invivo.13195.

References

Benson T . Measure what we want: a taxonomy of short generic person-reported outcome and experience measures (PROMs and PREMs). BMJ Open Qual. 2020; 9(1). PMC: 7103852. DOI: 10.1136/bmjoq-2019-000789. View

Han I, Lee H, Park D, Choi Y, Lee S, Kim H . Long-term patient-reported outcomes following laparoscopic cholecystectomy: A prospective multicenter observational study. Medicine (Baltimore). 2020; 99(35):e21683. PMC: 7458203. DOI: 10.1097/MD.0000000000021683. View

Agathis A, Aalberg J, Garvey A, Divino C . Assessing long term quality of life in geriatric patients after elective laparoscopic cholecystectomy. Am J Surg. 2019; 219(6):1039-1044. DOI: 10.1016/j.amjsurg.2019.08.021. View

Mak M, Chew W, Junnarkar S, Woon W, Low J, Huey T . Patient reported outcomes in elective laparoscopic cholecystectomy. Ann Hepatobiliary Pancreat Surg. 2019; 23(1):20-33. PMC: 6405362. DOI: 10.14701/ahbps.2019.23.1.20. View

Del Grande L, Leme L, Marques F, Ramos A, Ramos P, Souza F . PREVALENCE AND PREDICTORS OF CHANGES IN BOWEL HABITS AFTER LAPAROSCOPIC CHOLECYSTECTOMY. Arq Bras Cir Dig. 2017; 30(1):3-6. PMC: 5424676. DOI: 10.1590/0102-6720201700010002. View

Teixeira U, Goldoni M, Christ Machry M, Ceccon P, Fontes P, Waechter F . AMBULATORY LAPAROSCOPIC CHOLECYSTECTOMY IS SAFE AND COST-EFFECTIVE: a Brazilian single center experience. Arq Gastroenterol. 2016; 53(2):103-7. DOI: 10.1590/S0004-28032016000200010. View

Daliya P, Gemmill E, Lobo D, Parsons S . A systematic review of patient reported outcome measures (PROMs) and quality of life reporting in patients undergoing laparoscopic cholecystectomy. Hepatobiliary Surg Nutr. 2019; 8(3):228-245. PMC: 6561890. DOI: 10.21037/hbsn.2019.03.16. View

To K, Cherry-Bukowiec J, Englesbe M, Terjimanian M, Shijie C, Campbell Jr D . Emergent versus elective cholecystectomy: conversion rates and outcomes. Surg Infect (Larchmt). 2013; 14(6):512-9. DOI: 10.1089/sur.2012.160. View

Lee H, Chiu C, Lee K, Wang J, Lin J, Chao C . Do preoperative depressive symptoms predict quality of life after laparoscopic cholecystectomy: A longitudinal prospective study. PLoS One. 2018; 13(8):e0202266. PMC: 6116980. DOI: 10.1371/journal.pone.0202266. View

10.

Wanjura V, Sandblom G . How Do Quality-of-Life and Gastrointestinal Symptoms Differ Between Post-cholecystectomy Patients and the Background Population?. World J Surg. 2015; 40(1):81-8. DOI: 10.1007/s00268-015-3240-0. View

11.

Mueck K, Cherla D, Taylor A, Ko T, Liang M, Kao L . Randomized Controlled Trials Evaluating Patient-Reported Outcomes after Cholecystectomy: A Systematic Review. J Am Coll Surg. 2017; 226(2):183-193.e5. DOI: 10.1016/j.jamcollsurg.2017.10.023. View

12.

Lirici M, Califano A, Angelini P, Corcione F . Laparo-endoscopic single site cholecystectomy versus standard laparoscopic cholecystectomy: results of a pilot randomized trial. Am J Surg. 2011; 202(1):45-52. DOI: 10.1016/j.amjsurg.2010.06.019. View

13.

Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J . Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg. 2003; 73(9):712-6. DOI: 10.1046/j.1445-2197.2003.02748.x. View

14.

Abd Ellatif M, Askar W, Abbas A, Noaman N, Negm A, El-Morsy G . Quality-of-life measures after single-access versus conventional laparoscopic cholecystectomy: a prospective randomized study. Surg Endosc. 2012; 27(6):1896-906. DOI: 10.1007/s00464-012-2625-5. View

15.

Alexander H, Bartlett A, Wells C, Hannam J, Moore M, Poole G . Reporting of complications after laparoscopic cholecystectomy: a systematic review. HPB (Oxford). 2018; 20(9):786-794. DOI: 10.1016/j.hpb.2018.03.004. View

16.

Kirk G, Kennedy R, McKie L, Diamond T, Clements B . Preoperative symptoms of irritable bowel syndrome predict poor outcome after laparoscopic cholecystectomy. Surg Endosc. 2011; 25(10):3379-84. DOI: 10.1007/s00464-011-1729-7. View

17.

Ito E, Takai A, Imai Y, Otani H, Onishi Y, Yamamoto Y . Quality of life after single-incision laparoscopic cholecystectomy: A randomized, clinical trial. Surgery. 2018; 165(2):353-359. DOI: 10.1016/j.surg.2018.08.004. View

18.

Cruickshank M, Newlands R, Blazeby J, Ahmed I, Bekheit M, Brazzelli M . Identification and categorisation of relevant outcomes for symptomatic uncomplicated gallstone disease: in-depth analysis to inform the development of a core outcome set. BMJ Open. 2021; 11(6):e045568. PMC: 8231013. DOI: 10.1136/bmjopen-2020-045568. View

19.

Zapf M, Denham W, Barrera E, Butt Z, Carbray J, Wang C . Patient-centered outcomes after laparoscopic cholecystectomy. Surg Endosc. 2013; 27(12):4491-8. DOI: 10.1007/s00464-013-3095-0. View

20.

Kudsi O, Castellanos A, Kaza S, McCarty J, Dickens E, Martin D . Cosmesis, patient satisfaction, and quality of life after da Vinci Single-Site cholecystectomy and multiport laparoscopic cholecystectomy: short-term results from a prospective, multicenter, randomized, controlled trial. Surg Endosc. 2016; 31(8):3242-3250. DOI: 10.1007/s00464-016-5353-4. View