Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Feb 8;36(4):240-251.
doi: 10.1055/s-0043-1761607. eCollection 2023 Jul.

Patient-Reported Outcomes in Colorectal Surgery

Marianna Maspero  1 , Tracy Hull  1
Affiliations
Review

Patient-Reported Outcomes in Colorectal Surgery

Marianna Maspero et al. Clin Colon Rectal Surg. .

Abstract

Given the increased life expectancy and improvements in the treatment of colorectal patients, the success of a treatment course can no longer be determined only by objective outcomes. Health care providers ought to take into consideration the impact an intervention will have on the quality of life of patients. Endpoints that take into account the patient's perspective are defined as patient-reported outcomes (PROs). PROs are assessed through patient-reported outcome measures (PROMs), usually in the form of questionnaires. PROs are especially important in colorectal surgery, whose procedures can often be associated with some degree of postoperative functional impairment. Several PROMs are available for colorectal surgery patients. However, while some scientific societies have offered recommendations, there is no standardization in the field and PROMs are seldom implemented in clinical practice. The routine use of validated PROMs can guarantee that functional outcomes are followed over time; this way, they can be addressed in case of worsening. This review will provide an overview of the most commonly used PROMs in colorectal surgery, both generic and disease specific, as well as a summary of the available evidence in support of their routine utilization.

Keywords: colorectal surgery; patient-reported outcome measures; patient-reported outcomes.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Assessment criteria for patient reported outcomes from the FDA guidance “Patient-Reported Outcome Measures: Use in Medical Product Development to Support Labeling Claims.”
Fig. 2
Fig. 2
Current diagnostic criteria for ileoanal pouch syndrome and additional items.
Fig. 3
Fig. 3
Domains contained in the Initial Measurement of Patient-Reported Pelvic Floor Complaints (IMPACT) tool.
Fig. 4
Fig. 4
Decision-making process for the routine implementation of patient-reported outcomes in clinical practice.
See this image and copyright information in PMC

References

    1. Kuenzig M E, Manuel D G, Donelle J, Benchimol E I. Life expectancy and health-adjusted life expectancy in people with inflammatory bowel disease. CMAJ. 2020;192(45):E1394–E1402. - PMC - PubMed
    1. Soerjomataram I, Thong M SY, Ezzati M, Lamont E B, Nusselder W J, van de Poll-Franse L V. Most colorectal cancer survivors live a large proportion of their remaining life in good health. Cancer Causes Control. 2012;23(09):1421–1428. - PMC - PubMed
    1. Kluetz P G, Slagle A, Papadopoulos E J. Focusing on core patient-reported outcomes in cancer clinical trials: symptomatic adverse events, physical function, and disease-related symptoms. Clin Cancer Res. 2016;22(07):1553–1558. - PubMed
    1. Porter M E. What is value in health care? N Engl J Med. 2010;363(26):2477–2481. - PubMed
    1. Steele S R.(2013). Complications, considerations, and consequences of colorectal surgeryThe Surgical clinics of North America,9301xv–xvi.https://doi.org/10.1016/j.suc.2012.10.001 - PubMed