Assessing Change in Patient-reported Quality of Life After Elective Surgery: an Observational Comparison Study
Assessing Preoperative Falls as a Predictor for Postoperative Surgical Outcomes
3 other identifiers
observational
17,850
1 country
1
Brief Summary
This study will compare two commonly-used methods for assessing patient-reported quality of life. The first is to assess quality of life before surgery and again after surgery using the same validated scale (ie Veterans Rand 12). The second is simply to ask patients whether or not they think their post-operative quality of life is better, worse, or the same. The investigators hypothesize that the second method may be inaccurate due to cognitive bias.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2014
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2015
CompletedFirst Submitted
Initial submission to the registry
May 11, 2016
CompletedFirst Posted
Study publicly available on registry
May 13, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2016
CompletedFebruary 12, 2019
January 1, 2019
1.7 years
May 11, 2016
February 11, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Agreement between self-reported quality of life measurement (better/same/worse) and validated quality of life measurement (Veterans Rand 12 Item Health Survey)
Up to 4 months
Secondary Outcomes (1)
Minimum detectable difference in quality of life on the VR-12 scale, using self-reported quality of life (better/same/worse) as the anchor
Up to 4 months
Other Outcomes (1)
Change in quality of life across surgical specialties, using both the self-reported (better/same/worse) measure and the validated (VR-12) measure
Up to 4 months
Study Arms (1)
All patients
All patients receive both types of quality of life assessment, thus serving as their own controls.
Interventions
All enrolled patients complete a survey of baseline health during their visit to the preoperative assessment clinic and then complete a follow-up survey approximately 30 days after surgery. The intervention for this study is to compare self-reported quality of life ("How would you rate your quality of life now? (better/same/worse)") to the quantitative change in their VR-12 quality of life scores between the baseline survey and 30-day follow-up survey.
Eligibility Criteria
The target population is all adult patients undergoing elective surgery at Barnes Jewish Hospital who attend the center for preoperative assessment and planning.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Washington University School of Medicinelead
- National Institutes of Health (NIH)collaborator
- National Institute on Aging (NIA)collaborator
Study Sites (1)
Department of Anesthesiology
St Louis, Missouri, 63110, United States
Related Publications (5)
Kazis LE, Miller DR, Skinner KM, Lee A, Ren XS, Clark JA, Rogers WH, Sprio A III, Selim A, Linzer M, Payne SM, Mansell D, Fincke BG. Applications of methodologies of the Veterans Health Study in the VA healthcare system: conclusions and summary. J Ambul Care Manage. 2006 Apr-Jun;29(2):182-8. doi: 10.1097/00004479-200604000-00011.
PMID: 16552327BACKGROUNDSelim AJ, Rogers W, Fleishman JA, Qian SX, Fincke BG, Rothendler JA, Kazis LE. Updated U.S. population standard for the Veterans RAND 12-item Health Survey (VR-12). Qual Life Res. 2009 Feb;18(1):43-52. doi: 10.1007/s11136-008-9418-2. Epub 2008 Dec 3.
PMID: 19051059BACKGROUNDNorman GR, Sloan JA, Wyrwich KW. Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Med Care. 2003 May;41(5):582-92. doi: 10.1097/01.MLR.0000062554.74615.4C.
PMID: 12719681BACKGROUNDWright A, Hannon J, Hegedus EJ, Kavchak AE. Clinimetrics corner: a closer look at the minimal clinically important difference (MCID). J Man Manip Ther. 2012 Aug;20(3):160-6. doi: 10.1179/2042618612Y.0000000001.
PMID: 23904756BACKGROUNDKronzer VL, Jerry MR, Ben Abdallah A, Wildes TS, McKinnon SL, Sharma A, Avidan MS. Changes in quality of life after elective surgery: an observational study comparing two measures. Qual Life Res. 2017 Aug;26(8):2093-2102. doi: 10.1007/s11136-017-1560-2. Epub 2017 Mar 29.
PMID: 28357679DERIVED
Related Links
Study Officials
- PRINCIPAL INVESTIGATOR
Michael S Avidan, MBBCh
Washington University School of Medicine
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Anesthesiology
Study Record Dates
First Submitted
May 11, 2016
First Posted
May 13, 2016
Study Start
January 1, 2014
Primary Completion
October 1, 2015
Study Completion
July 1, 2016
Last Updated
February 12, 2019
Record last verified: 2019-01
Data Sharing
- IPD Sharing
- Will share
De-identified data can be provided upon email request.