Current status of patient-reported outcome measures in vascular surgery

Caitlin W Hicks; Ashley K Vavra; Earl Goldsborough 3rd; Michelle Rebuffatti; Jose Almeida; Yazan M Duwayri; Mounir Haurani; Charles B Ross; Samir K Shah; Paula K Shireman; Christopher J Smolock; Jeniann Yi; Karen Woo

doi:10.1016/j.jvs.2021.05.038

Current status of patient-reported outcome measures in vascular surgery

J Vasc Surg. 2021 Nov;74(5):1693-1706.e1. doi: 10.1016/j.jvs.2021.05.038.

Authors

Affiliations

¹ Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Md.
² Division of Vascular Surgery, Department of Surgery, Northwestern Feinberg School of Medicine, Chicago, Ill.
³ Johns Hopkins University School of Medicine, Baltimore, Md.
⁴ Division of Vascular Surgery, Department of Surgery, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, Calif.
⁵ Miami Vein and Division of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine, Miami, Fl.
⁶ Division of Vascular Surgery and Endovascular Therapy, Emory University, Atlanta, Ga.
⁷ Division of Vascular Diseases and Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
⁸ Vascular Center of Excellence, Piedmont Heart and Vascular Institute, Piedmont Healthcare, Atlanta, Ga.
⁹ Division of Vascular Surgery, University of Florida, Gainesville, Fl.
¹⁰ Division of Vascular and Endovascular Surgery, Long School of Medicine, University of Texas Health San Antonio, Tex; Department of Surgery, South Texas Veterans Health Care System, San Antonio, Tex.
¹¹ Department of Vascular Surgery, Sydell and Arnold Miller Family Heart, Vascular, and Thoracic Institute, The Cleveland Clinic, Cleveland, Ohio.
¹² Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Colorado, Aurora, Colo.
¹³ Division of Vascular Surgery, Department of Surgery, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, Calif. Electronic address: kwoo@mednet.ucla.edu.

Abstract

A previously published review focused on generic and disease-specific patient-reported outcome measures (PROMs) relevant to vascular surgery but limited to arterial conditions. The objective of this project was to identify all available PROMs relevant to diseases treated by vascular surgeons and to evaluate vascular surgeon perceptions, barriers to widespread implementation, and concerns regarding PROMs. We provide an overview of what a PROM is and how they are developed, and summarize currently available PROMs specific to vascular surgeons. We also report results from a survey of 78 Society for Vascular Surgery members serving on committees within the Policy and Advocacy Council addressing the barriers and facilitators to using PROMs in clinical practice. Finally, we report the qualitative results of two focus groups conducted to assess granular perceptions of PROMS and preparedness of vascular surgeons for widespread implementation of PROMs. These focus groups identified a lack of awareness of existing PROMs, knowledge of how PROMs are developed and validated, and clarity around how PROMs should be used by the clinician as main subthemes for barriers to PROM implementation in clinical practice.

Keywords: Patient-reported outcome measures; Patient-reported outcomes; Vascular surgery.

Publication types

Review

MeSH terms

Attitude of Health Personnel
Endovascular Procedures* / adverse effects
Health Knowledge, Attitudes, Practice
Humans
Patient Reported Outcome Measures*
Patient Satisfaction
Peripheral Vascular Diseases / diagnosis
Peripheral Vascular Diseases / physiopathology
Peripheral Vascular Diseases / therapy*
Quality Improvement
Quality Indicators, Health Care
Quality of Life*
Surgeons
Time Factors
Treatment Outcome
Vascular Surgical Procedures* / adverse effects

Grants and funding

K23 DK124515/DK/NIDDK NIH HHS/United States