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  • Gornall, B. F.Academic Board of Anaesthesia and Perioperative Medicine, Monash University, Clayton VIC, Australia; Biostatistics Unit, Department of Epidemiology and Preventive Medicine, Monash University, Clayton VIC, Australia (författare)

Measurement of quality of recovery using the QoR-40:a quantitative systematic review

  • Artikel/kapitelEngelska2013

Förlag, utgivningsår, omfång ...

  • Elsevier BV,2013
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:oru-33344
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-33344URI
  • https://doi.org/10.1093/bja/aet014DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:for swepub-publicationtype

Anmärkningar

  • Background.Several rating scales have been developed to measure quality of recovery aftersurgery and anaesthesia, but the most extensively used is the QoR-40, a 40-itemquestionnaire that provides a global score and subscores across five dimensions: patientsupport, comfort, emotions, physical independence, and pain. It has been evaluated in avariety of settings, but its overall psychometric properties (validity, reliability, ease of use,and interpretation) and clinical utility are uncertain.Methods.We undertook a quantitative systematic review of studies evaluatingpsychometric properties of the QoR-40. Data were combined in meta-analyses usingrandom effects models. This resulted in a total sample of 3459 patients from 17 studiesoriginating in nine countries.Results.We confirmed content, construct, and convergent [pooled r¼0.58, 95% confidenceinterval (CI): 0.51–0.65] validity. Reliability was confirmed by excellent intraclass correlation(pooleda¼0.91, 95% CI: 0.88–0.93), test–retest reliability (pooled r¼0.90, 95% CI: 0.86–0.92), and inter-rater reliability (intraclass correlation¼0.86). The clinical utility of theQoR-40 instrument was supported by high patient recruitment into evaluation studies(97%), and an excellent completion and return rate (97%). The mean time to completethe QoR-40 was 5.1 (95% CI: 4.4–5.7) min.Conclusions.The QoR-40 is a widely used and extensively validated measure of quality ofrecovery. The QoR-40 is a suitable measure of postoperative quality of recovery in arange of clinical and research situations.Keywords:health status; meta-analysis; outcomes

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Myles, Paul S.Academic Board of Anaesthesia and Perioperative Medicine, Department of Epidemiology and Preventive Medicine, Monash University,Clayton VIC, Australia; Department of Anaesthesia and Perioperative Medicine, Alfred Hospital, Melbourne Vic, Australia (författare)
  • Smith, C. L.Biostatistics Unit, Department of Epidemiology and Preventive Medicine, Monash University, Clayton VIC, Australia (författare)
  • Burke, J. A.Department of Anaesthesia and Perioperative Medicine, Alfred Hospital, Melbourne Vic, Australia (författare)
  • Leslie, K.Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Melbourne Vic, Australia (författare)
  • Pereira, M. J.Department of Anaesthesia, Central Lisbon Hospital Center, Lisbon, Portugal (författare)
  • Bost, J. E.Biostatistics and Clinical and Translational Science, University of Pittsburgh, Pittsburgh PA, USA; Center for Research on Health Care (CRHC) Data Cente, University of Pittsburgh, Pittsburgh PA, USA (författare)
  • Kluivers, K. B.Department of Obstetrics and Gynecology, Nijmegen Medical Centre, Radboud University, Nijmegen, The Netherlands (författare)
  • Nilsson, Ulrica,1960-Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Anaesthesia and Intensive Care, Centre for Health Care Sciences, Örebro University Hospital, Örebro, Sweden; Centre for Health Care, Örebro University Hospital, Örebro, Sweden,Perioperativ omvårdnad(Swepub:oru)uann (författare)
  • Tanaka, V.Department of Anesthesiology, Nara Medical University, Kashihara, Japan (författare)
  • Forbes, A.Biostatistics Unit, Department of Epidemiology and Preventive Medicine, Monash University, Clayton VIC, Australia (författare)
  • Academic Board of Anaesthesia and Perioperative Medicine, Monash University, Clayton VIC, Australia; Biostatistics Unit, Department of Epidemiology and Preventive Medicine, Monash University, Clayton VIC, AustraliaAcademic Board of Anaesthesia and Perioperative Medicine, Department of Epidemiology and Preventive Medicine, Monash University,Clayton VIC, Australia; Department of Anaesthesia and Perioperative Medicine, Alfred Hospital, Melbourne Vic, Australia (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:British Journal of Anaesthesia: Elsevier BV111:2, s. 161-1690007-09121471-6771

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