Evaluation of postoperative recovery: past, present and future

Postgrad Med J. 2023 Jul 21;99(1174):808-814. doi: 10.1136/postgradmedj-2022-141652.

Abstract

Postoperative recovery, as a window to observe perioperative treatment effect and patient prognosis, is a common outcome indicator in clinical research and has attracted more and more attention of surgeons and anaesthesiologists. Postoperative recovery is a subjective, multidimensional, long-term, complex process, so it is unreasonable to only use objective indicators to explain it. Currently, with the widespread use of patient-reported outcomes, various scales become the primary tools for assessing postoperative recovery. Through systematic search, we found 14 universal recovery scales, which have different structures, contents and measurement properties, as well as their own strengths and weaknesses. We also found that it is urgently necessary to perform further researches and develop a scale that can serve as the gold universal standard to evaluate postoperative recovery. In addition, with the rapid development of intelligent equipment, the establishment and validation of electronic scales is also an interesting direction.

Keywords: adult surgery; public health; quality in health care; rehabilitation medicine.

MeSH terms

  • Forecasting*
  • Humans
  • Prognosis