• Best Pract Res Clin Anaesthesiol · Sep 2018

    Review

    The patient's surgical journey and consequences of poor recovery.

    • Colin F Royse.
    • Department of Surgery, The University of Melbourne, Australia; Department of Anaesthesia and Pain Medicine, The Royal Melbourne Hospital, Australia. Electronic address: colin.royse@unimelb.edu.au.
    • Best Pract Res Clin Anaesthesiol. 2018 Sep 1; 32 (3-4): 253-258.

    AbstractQuality of recovery is a multidimensional construct that affects individual patients in different ways and during different time periods. The evaluation of quality of recovery requires patient-reported outcome measurement tools that are sensitive in detecting change with time and are preferably objective rather than subjective by nature. Current surgical outcomes are still predominantly focused on the avoidance of complications and reduced cost. The new era of 'value-based care' implies that outcomes of importance to the patient should be a vital metric in determining quality of surgical care. However, it is critical to maintain the high standards of surgical safety and cost containment as we move forward to address value-based care. An apparently successful surgery can result in poor recovery outcomes such as cognitive decline, persistent pain, reduced functional ability, loss of independence or inability to return to work. The special edition of Best Practice will focus on the multidimensional construct of quality of recovery, how to measure it and how it may apply in different populations.Copyright © 2018 Elsevier Ltd. All rights reserved.

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