- Department of Cardiology, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, 100037, P. R. China;
国家心血管系统疾病质量控制中心心外科专业专家组,
Email: zhengzhe@fuwai.com
Cardiac surgery often leads to poor recovery experience for patients due to its high level of trauma. With the advancement of cardiovascular surgery technology, the incidence of surgical mortality and complications has significantly decreased, shifting attention towards subjective postoperative patient experiences. Patient reported outcomes (PROs) refer to the feedback directly reported by patients regarding their own health status, functional status, and treatment experience. Accurate evaluation and timely intervention have gradually become academic hotspots, and the improvement of some PROs is even significantly correlated with prognostic benefits. However, controversy persists regarding PROs dimensions and scale selection in post-cardiac surgery recovery. This guidance refers to the research progress at home and abroad, combined with clinical practice at home and abroad, extensively solicits opinions, and formulates guidance to further standardize the evaluation dimensions of PROs and the selection of scales for each dimension in postoperative recovery of cardiac surgery in China.
Copyright © the editorial department of Chinese Journal of Clinical Thoracic and Cardiovascular Surgery of West China Medical Publisher. All rights reserved
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- 1. Birkmeyer JD, Dimick JB, Birkmeyer NJ. Measuring the quality of surgical care: Structure, process, or outcomes? J Am Coll Surg, 2004, 198(4): 626-632.
- 2. Basch E, Deal AM, Kris MG, et al. Symptom monitoring with patient-reported outcomes during routine cancer treatment: A randomized controlled trial. J Clin Oncol, 2016, 34(6): 557-565.
- 3. US Department of Health and Human Services Food and Drug Administration. Guidance for industry. Patient-reported outcome measures: use in medicinal product development to support labeling claims, 2009.
- 4. Subramanian M, Kozower BD, Brown LM, et al. Patient-reported outcomes in cardiothoracic surgery. Ann Thorac Surg, 2019, 107(1): 294-301.
- 5. Stark PA, Myles PS, Burke JA. Development and psychometric evaluation of a postoperative quality of recovery score: The QoR-15. Anesthesiology, 2013, 118(6): 1332-1340.
- 6. Bu XS, Zhang J, Zuo YX. Validation of the Chinese version of the quality of recovery-15 score and its comparison with the post-operative quality recovery scale. Patient, 2016, 9(3): 251-259.
- 7. Jeanneteau A, Demarquette A, Blanchard-Daguet A, et al. Effect of superficial and deep parasternal blocks on recovery after cardiac surgery: Study protocol for a randomized controlled trial. Trials, 2023, 24(1): 444.
- 8. Rabin R, de Charro F. EQ-5D: A measure of health status from the EuroQol Group. Ann Med, 2001, 33(5): 337-343.
- 9. Wisløff T, Hagen G, Hamidi V, et al. Estimating QALY gains in applied studies: A review of cost-utility analyses published in 2010. Pharmacoeconomics, 2014, 32(4): 367-375.
- 10. Luo N, Johnson JA, Shaw JW, et al. Self-reported health status of the general adult U. S. population as assessed by the EQ-5D and Health Utilities Index. Med Care, 2005, 43(11): 1078-1086.
- 11. Claessens J, Goris P, Yilmaz A, et al. Patient-centred outcomes after totally endoscopic cardiac surgery: One-year follow-up. J Clin Med, 2023, 12(13): 4406.
- 12. Hansen TB, Zwisler AD, Berg SK, et al. Cost-utility analysis of cardiac rehabilitation after conventional heart valve surgery versus usual care. Eur J Prev Cardiol, 2017, 24(7): 698-707.
- 13. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care, 1992, 30(6): 473-483.
- 14. 李鲁, 王红妹, 沈毅. SF-36健康调查量表中文版的研制及其性能测试. 中华预防医学杂志, 2002, 36(2): 109-113.Li L, Wang HM, Shen Y. Development and psychometric tests of a Chinese version of the SF-36 Health Survey Scales. Chin J Prev Med, 2002, 36(2): 38-42.
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- 16. Akowuah EF, Maier RH, Hancock HC, et al. Minithoracotomy vs conventional sternotomy for mitral valve repair: A randomized clinical trial. JAMA, 2023, 329(22): 1957-1966.
- 17. Nasso G, Bonifazi R, Romano V, et al. Three-year results of repaired Barlow mitral valves via right minithoracotomy versus median sternotomy in a randomized trial. Cardiology, 2014, 128(2): 97-105.
- 18. Deutsch MA, Krane M, Schneider L, et al. Health-related quality of life and functional outcome in cardiac surgical patients aged 80 years and older: A prospective single center study. J Card Surg, 2014, 29(1): 14-21.
- 19. Ascione R, Reeves BC, Taylor FC, et al. Beating heart against cardioplegic arrest studies (BHACAS 1 and 2): Quality of life at mid-term follow-up in two randomised controlled trials. Eur Heart J, 2004, 25(9): 765-770.
- 20. Goldsmith IR, Lip GY, Patel RL. A prospective study of changes in the quality of life of patients following mitral valve repair and replacement. Eur J Cardiothorac Surg, 2001, 20(5): 949-955.
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