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Measurement of quality of recovery using the QoR-40:a quantitative systematic review
Academic Board of Anaesthesia and Perioperative Medicine, Monash University, Clayton VIC, Australia; Biostatistics Unit, Department of Epidemiology and Preventive Medicine, Monash University, Clayton VIC, Australia.
Academic Board of Anaesthesia and Perioperative Medicine, Department of Epidemiology and Preventive Medicine, Monash University,Clayton VIC, Australia; Department of Anaesthesia and Perioperative Medicine, Alfred Hospital, Melbourne Vic, Australia.
Biostatistics Unit, Department of Epidemiology and Preventive Medicine, Monash University, Clayton VIC, Australia.
Department of Anaesthesia and Perioperative Medicine, Alfred Hospital, Melbourne Vic, Australia.
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2013 (English)In: British Journal of Anaesthesia, ISSN 0007-0912, E-ISSN 1471-6771, Vol. 111, no 2, p. 161-169Article in journal (Refereed) Published
Abstract [en]

Background.Several rating scales have been developed to measure quality of recovery aftersurgery and anaesthesia, but the most extensively used is the QoR-40, a 40-itemquestionnaire that provides a global score and subscores across five dimensions: patientsupport, comfort, emotions, physical independence, and pain. It has been evaluated in avariety of settings, but its overall psychometric properties (validity, reliability, ease of use,and interpretation) and clinical utility are uncertain.

Methods.We undertook a quantitative systematic review of studies evaluatingpsychometric properties of the QoR-40. Data were combined in meta-analyses usingrandom effects models. This resulted in a total sample of 3459 patients from 17 studiesoriginating in nine countries.

Results.We confirmed content, construct, and convergent [pooled r¼0.58, 95% confidenceinterval (CI): 0.51–0.65] validity. Reliability was confirmed by excellent intraclass correlation(pooleda¼0.91, 95% CI: 0.88–0.93), test–retest reliability (pooled r¼0.90, 95% CI: 0.86–0.92), and inter-rater reliability (intraclass correlation¼0.86). The clinical utility of theQoR-40 instrument was supported by high patient recruitment into evaluation studies(97%), and an excellent completion and return rate (97%). The mean time to completethe QoR-40 was 5.1 (95% CI: 4.4–5.7) min.

Conclusions.The QoR-40 is a widely used and extensively validated measure of quality ofrecovery. The QoR-40 is a suitable measure of postoperative quality of recovery in arange of clinical and research situations.Keywords:health status; meta-analysis; outcomes

Place, publisher, year, edition, pages
2013. Vol. 111, no 2, p. 161-169
Keywords [en]
health status, meta-analysis, outcomes
National Category
Anesthesiology and Intensive Care
Research subject
Anaesthesiology; Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-33344DOI: 10.1093/bja/aet014ISI: 000322337900007PubMedID: 23471753Scopus ID: 2-s2.0-84880516900OAI: oai:DiVA.org:oru-33344DiVA, id: diva2:691274
Available from: 2014-01-27 Created: 2014-01-27 Last updated: 2018-09-07Bibliographically approved

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Nilsson, Ulrica

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School of Health and Medical Sciences, Örebro University, Sweden
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