Patient Satisfaction, Patient-Reported Outcomes, and Quality
Patient-reported outcomes (PROs) can capture outcomes patients care about most including satisfaction, improved physical and emotional function, and quality of life. Traditionally, surgical outcomes have focused on complication and morbidity rates, with the surgeon assuming patients will infer rates of desirable outcomes from inverse calculations. Metabolic and bariatric surgery has now become so safe that focusing on the risk of morbidity and mortality is not inclusive enough in the discussion surrounding the risks and benefits of bariatric surgery. In this chapter, we will give an overview of PROs and patient-reported outcome measures (PROMs) and describe several of the validated metrics available to assess different domains of quality that are relevant to metabolic and bariatric surgical patients. We will assess available metrics for patient experience, recovery, and quality of life that is both general and disease-specific as it pertains to patients with obesity. We will also briefly present a Patient-Centered Outcomes Research Institute funded project that includes nationwide implementation of PROMS in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) data collection program.
KeywordsPatient-reported outcomes Patient-reported outcome measures Patient satisfaction Quality of life HCAHPS Quality metrics Value-based medicine Enhanced recovery
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