Feasibility of automated registration of Patient-Reported Outcome Measures (PROMs) for inguinal hernia surgery : a single-centre pilot study - Scorecard - MDSpire
Clinical Scorecard: Automated Collection of Patient-Reported Outcome Measures for Inguinal Hernia Surgery: A Single-Centre Pilot Study of Feasibility
At a Glance
Category
Detail
Condition
Clinical topic addressed by the source article: Automated Collection of Patient-Reported Outcome Measures for Inguinal Hernia Surgery
Key Mechanisms
Automated email invitations prompt patients to complete brief patient-reported outcome measures at predetermined intervals; responses are synchronized with the electronic medical record.
Target Population
Population described in the source article.
Care Setting
Care setting described in the source article.
Key Highlights
The pilot assessed feasibility of automated PROMs collection without healthcare personnel involvement or added administrative burden.
The primary objective was to establish the response rate at each follow-up time point.
PROMs covered pain, return to work and exercise, hernia recurrence, and satisfaction with treatment.
Questionnaires used concise, fixed, and dynamic questions to limit burden and tailor length to patient responses.
The analysis excluded emergency repairs, procedures other than TEP or Lichtenstein repair, and patients who missed a preoperative or postoperative invitation.
Guideline-Based Recommendations
Diagnosis
Management
TEP repair was the preferred approach except when contraindications included recurrent hernia after TEP, prior preperitoneal surgery, or inability to undergo general anaesthesia.
Patients were instructed to avoid strenuous activity during the first postoperative week and to use paracetamol for pain of any intensity.
Monitoring & Follow-up
The system sent automated email invitations for PROMs at predetermined intervals and synchronized responses with the electronic medical record.
The PROMs assessed pain, return to work and exercise, recurrence, and treatment satisfaction.
Risks
The article states that clinical data lack the patient perspective on chronic postoperative inguinal pain and hernia recurrence.
Patients treated emergently were excluded because they could not complete the baseline questionnaire before surgery.
Patient & Prescribing Data
Adults undergoing elective TEP or Lichtenstein mesh repair; emergency cases and patients without both preoperative and postoperative invitation opportunities were excluded.
TEP used general anaesthesia and a 10 × 15 cm heavyweight, microporous, nonabsorbable polypropylene mesh. Lichtenstein repair used spinal anaesthesia and a 6 × 11 cm lightweight, macroporous, partially absorbable polypropylene mesh. Discharge was generally on the day of surgery unless adverse events prevented it.
Clinical Best Practices
The study used brief PROMs questionnaires sent at predetermined intervals and synchronized responses with the electronic medical record.
The study reports telephone follow-up 6 to 8 weeks after surgery.
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