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Current Challenges in Using Patient-Reported Outcomes for Surgical Care and Performance Measurement Everybody Wants to Hear From the Patient, but Are We Ready to Listen?

Karl Y. Bilimoria, MD, MS1,2,3; David Cella, PhD3; Zeeshan Butt, PhD1,3
[+] Author Affiliations
1Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
2Northwestern Institute for Comparative Effectiveness Research in Oncology (NICER Onc), Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, Illinois
3Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
JAMA Surg. 2014;149(6):505-506. doi:10.1001/jamasurg.2013.5285.
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There is growing interest in the use of patient-reported outcomes (PROs) in clinical care and for measuring performance, particularly for surgical care. PROs complement traditional clinical outcomes of morbidity and mortality and capture the patient’s perspective regarding the operation. For example, does a patient’s pain and mobility improve after a knee replacement? Does a patient’s sexual function remain intact after rectal cancer surgery? PROs may be more important to patients and caregivers than many traditional outcomes, and they may serve as a basis for truly patient-centered care.

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