Personalized Perioperative Care Based on Patient Reported Outcomes Measures (SUPPORT)
Personalized Perioperative Care Based on Patient Reported Outcomes Measures: Randomized Controlled Trial Based on the QoR-15
In the perioperative setting, Patient Reported Outcomes Measures (PROMs) are important for both patients and clinicians.
Reliable PROMs, like the Quality Of Recovery 15 (QoR-15) questionnaire, are available for patients experiencing surgery. These PROMs are significantly used as endoints for clinical interventions assessment. These PROMs may also be considered to monitor and assess patient health status as part of enhanced recovery after surgery pathway.
However data about the efficacy of PROMs-based perioperative clinical follow up are lacking.
The clinical hypothesis is that a PROMs (QoR-15) based perioperative clinical care is more efficient that the usual care non based on the QoR-15.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The study is a multicenter randomized controlled trial comparing 2 groups:
- A control group, including the usual conventional follow-up by the surgeon and the attending physician.
- An experimental group including, in addition to the usual conventional follow-up, the follow-up by nurses specialized in the evaluation of the PROMs using the french version of the QoR-15 questionnaire.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: EBER Manon, Mme
- Phone Number: +33368765377
- Email: manon.eber@chru-strasbourg.fr
Study Contact Backup
- Name: NOLL Eric, MD
- Phone Number: +333 88 12 70 76
- Email: Eric.noll@chru-strasbourg.fr
Study Locations
-
-
-
Strasbourg, France
- EBER Manon
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- adult patient
- Benefiting from an osteo-articular surgery
- Subject affiliated to a social health insurance plan
- Able to understand the objectives and risks of the research and to give a dated and signed informed consent
Exclusion Criteria:
- Inability to administer the QoR-15f questionnaire (cognitive impairment, language barrier)
- Subject under court protection
- Subject under guardianship or curatorship
- Patient whose rehabilitation will be performed in a secondary hospital
- Patient having already benefited from a previous follow-up by the OPTIMISTE team
- Patient included in a therapeutic trial that may impact postoperative quality of recovery.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Experimental group: OPTIMISTIC follow-up
follow-up by nurses specialized in collecting the patient's point of view concerning his or her state of health, in addition to the usual conventional follow-up according to routine care directive interviews carried out preoperatively and at Days 1, 3, 14 and 28 postoperatively (modified QoR-15f score, PROMS...)
|
follow-up by nurses specialized in collecting the patient's point of view concerning his or her state of health, in addition to the usual conventional follow-up according to routine care directive interviews carried out preoperatively and at Days 1, 3, 14 and 28 postoperatively (modified QoR-15f score, PROMS...)
|
|
Active Comparator: Control group: Usual conventional follow-up
usual conventional follow-up according to routine care (modified QoR-15f score will be administered to all patients at visit 0 and Day 35).
|
usual conventional follow-up according to routine care (modified QoR-15f score will be administered to all patients at visit 0 and Day 35).
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Evaluate the effectiveness of a perioperative follow-up integrating the patient's point of view in osteoarticular surgery compared to a classic postoperative management
Time Frame: Inclusion (Day 0), Day 1, Day 3, Day 14, Day 28 and Day 35
|
Evolution of a modified version of the French Quality-Of-Recovery 15 score (QoR-15f) between the intraoperative consultation and D35 postoperative
|
Inclusion (Day 0), Day 1, Day 3, Day 14, Day 28 and Day 35
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Describe postoperative functional recovery after osteoarticular surgery
Time Frame: Inclusion (Day 0), Day 1, Day 3, Day 14, Day 28 and Day 35
|
Isolated and dimensional changes in the 15 items of the QoR-15f score from intraoperative consultation to postoperative D35.
|
Inclusion (Day 0), Day 1, Day 3, Day 14, Day 28 and Day 35
|
|
Describe the consequences of a perioperative follow-up that integrates the patient's point of view on the patient pathway
Time Frame: Day 1, Day 3, Day 14, Day 28 and Day 35
|
Number of medical and paramedical consultations and number of hospitalization days between hospital discharge and D35 postoperative
|
Day 1, Day 3, Day 14, Day 28 and Day 35
|
|
Evaluate the effectiveness of perioperative monitoring that incorporates the patient's perspective on reducing postoperative opioid use
Time Frame: Day 35
|
Opioid consommation at D35 postoperative
|
Day 35
|
|
Evaluate the safety
Time Frame: Inclusion (Day 0), Day 1, Day 3, Day 14, Day 28 and Day 35]
|
postoperative complication rate to postoperative D35
|
Inclusion (Day 0), Day 1, Day 3, Day 14, Day 28 and Day 35]
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: EBER Manon, Mme, CHRU Strasbourg
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 8801 (Other Identifier: Fred Hutch/University of Washington Cancer Consortium)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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