The impact of patient safety incidents during hip and knee replacements on patients' health related quality of life: a before and after study using longitudinal data linked to patient-reported outcome measures

作者全名："Xiao, Mimi; Kristensen, Sren Rud; Marti, Joachim; Mossialos, Elias"

作者地址："[Xiao, Mimi] Chongqing Med Univ, Sch Publ Hlth, Dev Res Ctr Med Sci & Soc, Chongqing, Peoples R China; [Kristensen, Sren Rud] Univ Southern Denmark, DaCHE, Dept Publ Hlth, Odense, Denmark; [Kristensen, Sren Rud; Marti, Joachim] Imperial Coll London, Inst Global Hlth Innovat, Ctr Hlth Policy, Patient Safety Translat Res Ctr, London, England; [Mossialos, Elias] London Sch Econ & Polit Sci, Dept Hlth Policy, London, England; [Marti, Joachim] Univ Lausanne, Dept Epidemiol & Hlth Syst, Hlth Econ & Policy Unit, Ctr Primary Care & Publ Hlth Unisante, Lausanne, Switzerland"

通信作者："Xiao, M (通讯作者)，Chongqing Med Univ, Sch Publ Hlth, Dev Res Ctr Med Sci & Soc, Chongqing 400016, Peoples R China."

来源：INTERNATIONAL JOURNAL OF SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001023362600003

JCR分区：Q1

影响因子：12.5

年份：2023

卷号：109

期号：5

开始页：1085

结束页：1093

文献类型：Article

关键词：difference in difference; patient-reported outcome measures; patient safety incidents

摘要："Background: The burden of patient safety incidents (PSIs) is often characterized by their impact on mortality, morbidity, and treatment costs. Few studies have attempted to estimate the impact of PSIs on patients' health-related quality of life (HRQoL) and the studies that have made such estimates primarily focus on a narrow set of incidents. The aim of this paper is to estimate the impact of PSIs on HRQoL of patients undergoing elective hip and knee surgery in England. Patients and methods: A unique linked longitudinal data set consisting of patient-reported outcome measures for patients with hip and knee replacements linked to Hospital Episode Statistics (HES) collected between 2013/14 and 2016/17 was examined. Patients with any of nine US Agency for Healthcare Research and Quality (AHRQ) PSI indicators were identified. HRQoL was measured using the general EuroQol five dimensions questionnaire (EQ-5D) before and after surgery. Exploiting the longitudinal structure of the data, exact matching was combined with difference in differences to estimate the impact of experiencing a PSI on HRQoL and its individual dimensions, comparing HRQoL improvements after surgery in similar patients with and without a PSI in a retrospective cohort study. This design compares the change in HRQoL before and after surgery in patients who experience a PSI to those who do not. Results: The sample comprised 190 697 and 204 649 observations for patients undergoing hip replacement and knee replacement respectively. For six out of nine PSIs, patients who experienced a PSI reported improvements in HRQoL that were 14-23% lower than those who did not experience a PSI during surgery. Those who experienced a PSI were also more likely to report worse health states after surgery than those without a PSI on all five dimensions of HRQoL. Conclusion: PSIs are associated with a substantial negative impact on patients' HRQoL."

基金机构：National Institute for Health Research (NIHR) Imperial Patient Safety Translational Research Centre [PSTRC-2016-004]; Humanities and Social Sciences Research Project of Chongqing Education Commission [22SKGH068]

基金资助正文："This work was funded and supported by the National Institute for Health Research (NIHR) Imperial Patient Safety Translational Research Centre (grant number PSTRC-2016-004], the Humanities and Social Sciences Research Project of Chongqing Education Commission (No. 22SKGH068), Development Research Center of Medical Science & Society-Chongqing Key Research Base of Humanities and Social Sciences."