Improving quality of perioperative care depends on reliable measurement of clinically important and patient-centred data, that will allow collaborative decision-making between patient and clinician. The use of digital health tools to share person-centric data with the aim of improving quality of care is encouraged by the World Health Organization Global Strategy on Digital Health. With virtual and online communication becoming a universal feature of modern life, there is a promising opportunity to engage patients and clinicians in perioperative data collection using digital health platforms. The Perioperative Shared Health Record (PSHR), developed by Safe Surgery South Africa, provides the opportunity to capture standardised patient-centric postoperative outcomes measures, like Quality of Recovery (QOR), Health Related Quality of Life (HRQOL), the WHO Disability Assessment Schedule (WHODAS). These are all standardised measures and questionnaires, which have been recommended by working groups focused on the patient's experience after surgery. The PSHR enables sharing of data between the surgical patient and his/her clinical team (surgeons and anaesthetists).
Adult patients presenting for any surgical procedure at South African hospitals during the specified study period.
Patients unable to provide consent to participation.
Patients whose legal guardian is unable to provide consent to participation (if applicable).
Patients unable to nominate next-of-kin, guardian of or a person of their choice, as their representative during follow-up.
To enable a patient-centred approach, patients will be invited to participate in the study by a member of the clinical team responsible for their care. Initially, clinical teams in the South African private health care sector will be approached. In later phases of the study, recruitment will include eligible patients in the South African public health care sector.
Cohort
Prospective
Public or Private Sector Patients
Other interventionNo intervention will be done. Two groups of patients will be recruited: patients receiving surgery in the Private Healthcare Sector, and patients receiving surgery in the Public Healthcare Sector
To describe the relationship between preoperative and 6-month postoperative health-related quality of life in South African surgical patients.
Health Related Quality of Life, measured with the EQ-5D-5L score, preoperatively and at 6 months postoperatively
To describe the relationship between patient comorbidities, surgical characteristics and postoperative patient- reported outcomes measures (quality of recovery, health-related quality of life).
Quality of recovery (QoR) preoperatively and at 24-48 hours postoperatively
To assess data quality (accuracy) of the adapted patient-reported POMS by comparison with completed provider POMS.
Amended Postoperative Morbidity Survey (POMS) postoperatively after 5 days
To compare data quality (completeness) for patient-reported outcomes and provider POMS between public and private sector settings.
POMS recorded by surgeon at discharge from hospital after surgical procedure
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Sefako Makgatho Health Sciences University
Lead sponsor
Medical Research Council, South Africa
Collaborator
University of Cape Town
Collaborator
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