Perioperative Medicine  |   September 2016
Methodologic Considerations for Collecting Patient-reported Outcomes from Unselected Surgical Patients
Author Notes
  • From the Department of Anesthesiology, Institute of Quality Improvement, Research and Informatics (INQUIRI), Washington University School of Medicine, St. Louis, Missouri (D.L.H., A.B.A., M.S.A., T.S.W., S.M., M.B., P.C., A.S.); Department of Surgery, Washington University School of Medicine, St. Louis, Missouri (A.W.); and Wright State University and Premier Health Clinical Trials Research Alliance, Miami Valley Hospital, Dayton, Ohio (B.A.B.).
  • Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are available in both the HTML and PDF versions of this article. Links to the digital files are provided in the HTML text of this article on the Journal’s Web site (www.anesthesiology.org).
    Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are available in both the HTML and PDF versions of this article. Links to the digital files are provided in the HTML text of this article on the Journal’s Web site (www.anesthesiology.org).×
  • Submitted for publication October 27, 2015. Accepted for publication June 1, 2016.
    Submitted for publication October 27, 2015. Accepted for publication June 1, 2016.×
  • Address correspondence to Dr. Sharma: Department of Anesthesiology, Washington University School of Medicine, Campus Box 8054, 660 S. Euclid Avenue, St. Louis, Missouri 63110. sharmanu@anest.wustl.edu. Information on purchasing reprints may be found at www.anesthesiology.org or on the masthead page at the beginning of this issue. Anesthesiology’s articles are made freely accessible to all readers, for personal use only, 6 months from the cover date of the issue.
Article Information
Perioperative Medicine / Clinical Science / Pain Medicine / Quality Improvement
Perioperative Medicine   |   September 2016
Methodologic Considerations for Collecting Patient-reported Outcomes from Unselected Surgical Patients
Anesthesiology 9 2016, Vol.125, 495-504. doi:10.1097/ALN.0000000000001217
Anesthesiology 9 2016, Vol.125, 495-504. doi:10.1097/ALN.0000000000001217
Abstract

Background: The impact of surgery on health is only appreciated long after hospital discharge. Furthermore, patients’ perceptions of postoperative health are not routinely ascertained. The authors instituted the Systematic Assessment and Targeted Improvement of Services Following Yearlong Surgical Outcomes Surveys (SATISFY-SOS) registry to evaluate patients’ postoperative health based on patient-reported outcomes (PROs).

Methods: This article describes the methods of establishing the SATISFY-SOS registry from an unselected surgical population, combining perioperative PROs with information from electronic medical records. Patients enrolled during their preoperative visit were surveyed at enrollment, 30 days, and 1-yr postoperatively. Information on PROs, including quality of life, return to work, pain, functional status, medical complications, and cognition, was obtained from online, mail, or telephone surveys.

Results: Using structured query language, 44,081 patients were identified in the electronic medical records as having visited the Center for Preoperative Assessment and Planning for preoperative assessment between July 16, 2012, and June 15, 2014, and 20,719 patients (47%) consented to participate in SATISFY-SOS. Baseline characteristics and health status were similar between enrolled and not enrolled patients. The response rate for the 30-day survey was 62% (8% e-mail, 73% mail, and 19% telephone) and for the 1-yr survey was 71% (13% e-mail, 78% mail, and 8% telephone).

Conclusions: SATISFY-SOS demonstrates the feasibility of establishing a PRO registry reflective of a busy preoperative assessment center population, without disrupting clinical workflow. Our experience suggests that patient engagement, including informed consent and multiple survey modalities, enhances PROs collection from a large cohort of unselected surgical patients. Initiatives like SATISFY-SOS could promote quality improvement, enable efficient perioperative research, and facilitate outcomes that matter to surgical patients.