Identification of Domains Relevant to Health-Related Quality of Life in Patients Undergoing Major Surgery

This study examined themes relevant to health-related quality of life as identified by patients undergoing major surgery and by health care providers. Semi-structured interviews were conducted with 52 patients undergoing major abdominal, cardiac, orthopedic, thoracic, or vascular surgical procedures...

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Bibliographic Details
Published in:Quality of life research 2006-06, Vol.15 (5), p.841-854
Main Authors: Morris, Daniel B., Wilson, Keith G., Clinch, Jennifer J., Ammerman, Darcy J., Fergusson, Dean, Graham, Ian D., Porath, Army J., Offman, Alia, Boland, Isabelle, Watters, James, Hébert, Paul C.
Format: Article
Language:English
Subjects:
Aged
Content analysis
Exercise
Female
General Surgery
Health care
Health care quality
Health Personnel - psychology
Humans
Instrument Development and Evaluation
Interviews as Topic
Male
Medical personnel
Middle Aged
Ontario
Orthopedics
Patients - psychology
Quality of Life
Questionnaires
Surgery
Surgical procedures
Surgical specialties
Thematic analysis
Wellbeing
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Summary:This study examined themes relevant to health-related quality of life as identified by patients undergoing major surgery and by health care providers. Semi-structured interviews were conducted with 52 patients undergoing major abdominal, cardiac, orthopedic, thoracic, or vascular surgical procedures and 33 health professionals from various disciplines. A total of 58 themes were identified by content analysis. These themes were categorized into 6 domains. These were: physical well-being (14 themes), emotional well-being (13 themes), concern about quality of care (12 themes), social well-being (12 themes), cognitive preparation (4 themes), and spiritual well-being (3 themes). In general, we found that most aspects of health-related quality of life were common across various major surgical procedures and between patients and health care providers. However, when we examined the coverage of these themes in seven commonly-used health-related quality of life instruments, we found that many of the most frequently mentioned themes were not assessed with the available measures. A new evaluative instrument tailored to patients undergoing major surgery may therefore be warranted.
ISSN:0962-9343
1573-2649
DOI:10.1007/s11136-005-5506-8