Patient-reported symptoms at discharge and risk of complications after gynecologic surgery

作者全名："Wang, Xin Shelley; Ramirez, Pedro T.; Shi, Qiuling; Kamal, Mona; Garcia-Gonzalez, Araceli; Iniesta, Maria D.; Cleeland, Charles S.; Meyer, Larissa A."

作者地址："[Wang, Xin Shelley; Shi, Qiuling; Kamal, Mona; Garcia-Gonzalez, Araceli; Cleeland, Charles S.] Univ Texas MD Anderson Canc Ctr Houston, Dept Symptom Res, Houston, TX 77030 USA; [Ramirez, Pedro T.; Iniesta, Maria D.; Meyer, Larissa A.] MD Anderson Canc Ctr, Dept Gynecol Oncol & Reprod Med, Houston, TX USA; [Shi, Qiuling] Chongqing Med Univ, Chongqing, Peoples R China"

通信作者："Wang, XS (通讯作者)，Univ Texas MD Anderson Canc Ctr Houston, Dept Symptom Res, Houston, TX 77030 USA."

来源：INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000896824100001

JCR分区：Q1

影响因子：4.1

年份：2023

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期号：　

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文献类型：Article; Early Access

关键词：carcinoma; postoperative care; postoperative period

摘要："ObjectiveCurrent gaps in knowledge limit clinicians from fully implementing patient-reported outcomes in routine post-operative care. MethodsThis prospective study assessed symptoms via the gynecologic module of the MD Anderson Symptom Inventory (MDASI-PeriOp-GYN) in patients who underwent open laparotomy. ResultsAt discharge, patient-reported moderate to severe (>= 4 on a 0-10 scale) abdominal bloating or abdominal cramping, combined with length of stay of >= 4 days, were found to be associated with a higher risk of 30-day post-operative grade II-IV complications by the Clavien-Dindo system (all p values <0.01). Also, length of stay of >= 4 days and moderate to severe urinary urgency at discharge were found to be associated with the need for re-admission (all p values <0.01). ConclusionThis study defined the clinically meaningful symptoms that related to the risk of developing important complications after discharge from major open gynecological surgery.These findings support the integration of assessment of patient-reported outcomes into patient-centered post-operative care."

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