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.
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
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
280
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...)
usual conventional follow-up according to routine care (modified QoR-15f score will be administered to all patients at visit 0 and Day 35).
EBER Manon
Strasbourg, France
Evaluate the effectiveness of a perioperative follow-up integrating the patient's point of view in osteoarticular surgery compared to a classic postoperative management
Evolution of a modified version of the French Quality-Of-Recovery 15 score (QoR-15f) between the intraoperative consultation and D35 postoperative
Time frame: Inclusion (Day 0), Day 1, Day 3, Day 14, Day 28 and Day 35
Describe postoperative functional recovery after osteoarticular surgery
Isolated and dimensional changes in the 15 items of the QoR-15f score from intraoperative consultation to postoperative D35.
Time frame: 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
Number of medical and paramedical consultations and number of hospitalization days between hospital discharge and D35 postoperative
Time frame: 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
Opioid consommation at D35 postoperative
Time frame: Day 35
Evaluate the safety
postoperative complication rate to postoperative D35
Time frame: Inclusion (Day 0), Day 1, Day 3, Day 14, Day 28 and Day 35]
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