Post-operative HRQOL in Complex Aortic Vascular Patients
Research type
Research Study
Full title
Short and Long term post-operative Health Related Quality of Life of Vascular Patients undergoing Complex Aortic Surgery using an SMS Patient Reported Outcome Measures Tool: A Service Improvement Project
IRAS ID
225710
Contact name
Christine Sathananthan
Contact email
Sponsor organisation
Royal Free Hospital London NHS Foundation Trust
Clinicaltrials.gov Identifier
n/a, n/a
Duration of Study in the UK
1 years, 0 months, 0 days
Research summary
Complex aortic endovascular procedures are performed in high-risk patients. Postoperative morbidity is high however, long term functional outcomes of endovascular techniques are not known but are under investigation. Patient Reported Outcome Measures (PROMS) are used in elective surgery. They are valued by patients, clinicians, and policy-makers, providing valuable information supplementing clinical outcomes, help to inform disease management practices, therapeutic choices, reimbursement decisions, and health policy. Robust evidence exists of text message (SMS) PROMs tools being used in chronic disease conditions. As mobile phone use is increasingly used the older population, using SMS to capture PROMs specific to complex aortic patients allows clinically important information to be captured in real-time and at a clinically relevant time allowing for continuous feedback and improvement.
The Royal Free Perioperative Research Group propose a service improvement project tracking complex aortic patients’ perceptions of post-operative functional improvement, quality of life, and satisfaction with treatment. This study will take place at the Royal Free Hospital, London and include adult patients scheduled to have fenestrated and /or thoracic endovascular aortic aneurysm repairs (FEVAR or TEVAR). Recruitment will be pre-operatively and patients followed up by automated SMS at weeks 6, 12, 26 and 52 following elective major complex aortic surgery.
This initiative aligns with a number of government health and research priorities including the measurement of “success’ for anaesthesia and perioperative care specified by the National Institute of Academic Anaesthesia and the James Lind Alliance Research Priority Setting Partnership. It supports the NHS England’s Five Year Forward View objective of improving patient empowerment and the NHS Outcomes Framework 2016/17 to enhance the Health related quality of life for people living with long term conditions. As a novel approach to PROMs in this patient group, the information gathered will enable continual tailoring of our world-class Vascular service towards patient specific concerns.REC name
East of Scotland Research Ethics Service REC 1
REC reference
17/ES/0049
Date of REC Opinion
9 Jun 2017
REC opinion
Further Information Favourable Opinion