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

Gornall, B. F. (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, Australia
Myles, Paul S. (författare)
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
Smith, C. L. (författare)
Biostatistics Unit, Department of Epidemiology and Preventive Medicine, Monash University, Clayton VIC, Australia
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Burke, J. A. (författare)
Department of Anaesthesia and Perioperative Medicine, Alfred Hospital, Melbourne Vic, Australia
Leslie, K. (författare)
Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Melbourne Vic, Australia
Pereira, M. J. (författare)
Department of Anaesthesia, Central Lisbon Hospital Center, Lisbon, Portugal
Bost, J. E. (författare)
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
Kluivers, K. B. (författare)
Department of Obstetrics and Gynecology, Nijmegen Medical Centre, Radboud University, Nijmegen, The Netherlands
Nilsson, Ulrica, 1960- (författare)
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
Tanaka, V. (författare)
Department of Anesthesiology, Nara Medical University, Kashihara, Japan
Forbes, A. (författare)
Biostatistics Unit, Department of Epidemiology and Preventive Medicine, Monash University, Clayton VIC, Australia
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 (creator_code:org_t)
Elsevier BV, 2013
2013
Engelska.
Ingår i: British Journal of Anaesthesia. - : Elsevier BV. - 0007-0912 .- 1471-6771. ; 111:2, s. 161-169
Relaterad länk:
http://bjanaesthesia...
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https://urn.kb.se/re...
https://doi.org/10.1...
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  • Forskningsöversikt (refereegranskat)
Abstract Ämnesord
Stäng  
  • 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

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)

Nyckelord

health status
meta-analysis
outcomes
Anestesiologi
Anaesthesiology
Nursing Science
Vårdvetenskap

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