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Patient Reported Outcome Measures (PROMs) after total hip- and knee replacement surgery evaluated by the Postoperative Recovery Profile questionnaire (PRP): improving clinical quality and person-centeredness
Acute Pain Nurse, Department of Anesthesiology and Intensive Care, Örebro University Hospital, Örebro, Sweden.
Statistician, Statistical and Epidemiology Unit, Örebro University Hospital, Örebro, Sweden.
Faculty of Health and Society, Malmö University, Malmö and Skåne University Hospital, Sweden.
Örebro University, Swedish Business School at Örebro University.ORCID iD: 0000-0001-7210-1925
2012 (English)In: The International Journal of Person Centered Medicine, ISSN 2043-7730, E-ISSN 2043-7749, Vol. 2, no 3, 368-376 p.Article in journal (Refereed) Published
Abstract [en]

Rationale and aims: The importance of evaluating postoperative recovery with consideration to the patient’s perspectivehas been emphasized. The aim of this study was to demonstrate how the recovery-specific Postoperative Recovery Profile(PRP) questionnaire can be used to evaluate patient-reported outcome measures (PROMs) after hip- and knee replacementin the enhancement of clinical quality and the person-centeredness of clinical services. Method: Patients undergoing primary total knee- and hip replacement were eligible for this longitudinal follow-up study. The participants completed the PRP questionnaire on repeated occasions. In this paper, data from Day 3 and Month 1 afterdischarge were used. The change in recovery, between the two measurement occasions, on item-, dimensional- and globallevels, both for each patient and for the group, were evaluated. Results: A total number of 75 patients were included. One month after discharge the median PRP score was 13 (partly recovered) out of 19. Recovery changes towards lower levels of problems/difficulties were shown in both item-, dimensional- and global levels of recovery month 1 after discharge, as compared with Day 3. The group of patients washomogenous in change. Conclusions: We demonstrated that the PRP questionnaire can be used to evaluate postoperative recovery after hip- andknee replacement surgery on item-, dimensional- and global levels. Data from each recovery level can be useful for quality development and in informing increases in the person-centeredness of clinical services. The global population scores can beused to evaluate treatment effect on a group of patients. It can also be used to define endpoints in follow-up studies.

Place, publisher, year, edition, pages
Buckingham, United Kingdom: University of Buckingham Press , 2012. Vol. 2, no 3, 368-376 p.
Keyword [en]
Arthroplasty, clinical quality, measurement, outcome, person-centeredness, postoperative recovery, questionnaire
National Category
Medical and Health Sciences Orthopedics
Research subject
Health and Medical Care Research
Identifiers
URN: urn:nbn:se:oru:diva-42105OAI: oai:DiVA.org:oru-42105DiVA: diva2:782185
Available from: 2015-01-20 Created: 2015-01-20 Last updated: 2016-07-01Bibliographically approved

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http://www.ijpcm.org/index.php/IJPCM/article/view/250Patient Reported Outcome Measures (PROMs) after total hip- and knee replacement surgery evaluated by the Postoperative Recovery Profile questionnaire (PRP) – improving clinical quality and person-centeredness

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Allvin, RenéeKling, Anna-MariaSvensson, Elisabeth
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