دورية أكاديمية
أعرض في EDS

Patient-Reported Outcomes Following Ventral Hernia Repair: Designing a Qualitative Assessment Tool.

التفاصيل البيبلوغرافية
العنوان: Patient-Reported Outcomes Following Ventral Hernia Repair: Designing a Qualitative Assessment Tool.
المؤلفون: Carney MJ; Division of Plastic Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Perelman School of Medicine, 2nd Floor Wright-Saunders Building, 51 N. 39th Street, Philadelphia, PA, 19104, USA., Golden KE; Mixed Methods Research Lab, University of Pennsylvania, Philadelphia, PA, USA., Weissler JM; Division of Plastic Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Perelman School of Medicine, 2nd Floor Wright-Saunders Building, 51 N. 39th Street, Philadelphia, PA, 19104, USA., Lanni MA; Division of Plastic Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Perelman School of Medicine, 2nd Floor Wright-Saunders Building, 51 N. 39th Street, Philadelphia, PA, 19104, USA., Bauder AR; Division of Plastic Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Perelman School of Medicine, 2nd Floor Wright-Saunders Building, 51 N. 39th Street, Philadelphia, PA, 19104, USA., Cakouros B; Mixed Methods Research Lab, University of Pennsylvania, Philadelphia, PA, USA., Enriquez F; Division of Plastic Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Perelman School of Medicine, 2nd Floor Wright-Saunders Building, 51 N. 39th Street, Philadelphia, PA, 19104, USA., Broach R; Division of Plastic Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Perelman School of Medicine, 2nd Floor Wright-Saunders Building, 51 N. 39th Street, Philadelphia, PA, 19104, USA., Barg FK; Mixed Methods Research Lab, University of Pennsylvania, Philadelphia, PA, USA.; Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA, USA., Schapira MM; Division of General Internal Medicine, University of Pennsylvania, Philadelphia, PA, USA., Fischer JP; Division of Plastic Surgery, Department of Surgery, Penn Presbyterian Medical Center, University of Pennsylvania, Perelman School of Medicine, 2nd Floor Wright-Saunders Building, 51 N. 39th Street, Philadelphia, PA, 19104, USA. John.Fischer2@uphs.upenn.edu.
المصدر: The patient [Patient] 2018 Apr; Vol. 11 (2), pp. 225-234.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Adis, Springer International Country of Publication: New Zealand NLM ID: 101309314 Publication Model: Print Cited Medium: Internet ISSN: 1178-1661 (Electronic) Linking ISSN: 11781653 NLM ISO Abbreviation: Patient Subsets: MEDLINE
أسماء مطبوعة: Publication: Auckland : Adis, Springer International
Original Publication: Chester, UK : Wolters Kluwer Health/Adis
مواضيع طبية MeSH: Patient Reported Outcome Measures* , Patient Satisfaction*, Hernia, Ventral/*surgery, Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Patient Care Team ; Qualitative Research ; Reproducibility of Results
مستخلص: Background: Current hernia patient-reported outcome (PRO) measures were developed without patient input, greatly impairing their content validity.
Objective: The purpose of this study was to develop a conceptual model for PRO measures for ventral hernia (VH) patients.
Methods: Fifteen semi-structured, concept elicitation interviews and two focus groups employing nominal group technique were conducted with VH patients. Patients were recruited between November 2015 and July 2016 over the telephone from a five-surgeon patient cohort at our institution. Iterative thematic analysis identified domains. Reliability and validation were achieved using inter-rater reliability checks and triangulation.
Results: Seven framework domains were established: (1) expectations; (2) self and others; (3) surgeon and surgical team; (4) sensation; (5) function; (6) appearance; and (7) overall satisfaction. Overall patient satisfaction was associated with two themes: (1) provider-patient relationship; and (2) patient assessment of post-repair improvement.
Conclusions: VH patients experience a profoundly broad range of reactions to VH repair. A patient-informed PRO instrument that addresses the spectrum of patient-identified outcomes can guide practice, optimizing care targeting VH patients' needs.
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تواريخ الأحداث: Date Created: 20170901 Date Completed: 20181029 Latest Revision: 20181113
رمز التحديث: 20240628
DOI: 10.1007/s40271-017-0275-3
PMID: 28856605
قاعدة البيانات: MEDLINE
الوصف
تدمد:1178-1661
DOI:10.1007/s40271-017-0275-3