{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T17:56:18Z","timestamp":1783101378834,"version":"3.54.6"},"reference-count":31,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,3,9]],"date-time":"2017-03-09T00:00:00Z","timestamp":1489017600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2017,3,9]],"date-time":"2017-03-09T00:00:00Z","timestamp":1489017600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Patient\u2010reported outcomes (PROMs) and post\u2010operative satisfaction have become a growing focus of surgical outcome evaluation and are considered key components of the movement towards patient\u2010centred care. The aim was to compare the association of traditional clinical outcome measures and PROMs with post\u2010surgery satisfaction in cholecystectomy patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients who had undergone elective or emergency cholecystectomy for gallstone disease were sent validated PROM questionnaires, and telephone follow\u2010up was performed in all cases. Categorical data were compared with the Chi\u2010square and Fisher\u2019s exact tests. Satisfaction was investigated using a \u201ctop\u2010box\u201d approach, and multivariable logistic regression was performed for factors significantly (<jats:italic>p<\/jats:italic> &lt; 0.05) associated with satisfaction in univariable analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 234 patients underwent cholecystectomy between 1\u00a0March 2014 and 1\u00a0May 2014, and 147 patients (63%) completed the questionnaire. 104\/147 (71%) reported being \u201cvery satisfied\u201d with their surgical outcome. In univariable analyses, satisfaction showed significant association with an absence of hospital\u2010recorded 30\u2010day complications (OR = 4.11, 95% CI 1.29\u201313.84), but not re\u2010attendance, readmission, or length of stay. In a multiple regression analysis, no traditional clinical outcome measures were associated with satisfaction. By contrast, self\u2010perceived health (OR = 4.04, 95% CI 1.44\u201311.86), the absence of patient\u2010reported wound pain (OR = 6.11, 95% CI 1.83\u201321.74), and a return to normal leisure activities (OR = 11.14, 95% CI 2.61\u201355.26) were associated with satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PROMs are the major determinants of patient satisfaction following cholecystectomy. When assessing outcomes following cholecystectomy, the measurement of clinical outcomes alone is inadequate and should be supplemented by the use of PROMs.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-3917-7","type":"journal-article","created":{"date-parts":[[2017,3,9]],"date-time":"2017-03-09T18:20:09Z","timestamp":1489083609000},"page":"1752-1761","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["The Influence of Clinical and Patient\u2010Reported Outcomes on Post\u2010surgery Satisfaction in Cholecystectomy Patients"],"prefix":"10.1002","volume":"41","author":[{"given":"K. 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