{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T13:04:40Z","timestamp":1792587880814,"version":"4.5.0"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>The PROMIS-29 questionnaire assesses general aspects of physical and mental health that may be relevant to surgical recovery. Although this tool has been endorsed by expert consensus for use in perioperative care, evidence regarding its psychometric performance in this context is limited. This study aimed to assess the content validity, internal consistency, construct validity, and responsiveness of PROMIS-29 as a measure of recovery after colorectal surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>\n                      This study was conducted according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines. A cohort of adult patients undergoing elective colorectal resection at two academic hospitals in Canada completed the PROMIS-29 questionnaire preoperatively and weekly until postoperative week (POW) 4. Physical Health Summary (PHS) and Mental Health Summary (MHS) scores were derived from PROMIS-29 t-scores (higher = better health status). Content validity was assessed by comparing PROMIS-29 items against a previously reported conceptual framework of recovery after abdominal surgery. Internal consistency was assessed using Cronbach \u03b1. Construct validity was assessed by testing\n                      <jats:italic toggle=\"yes\">a priori<\/jats:italic>\n                      hypotheses that PROMIS-29 scores would be better in patients: (1) with shorter length of stay (\u22644 days); (2) without 30-day complications; (3) undergoing minimally invasive surgery; and (4) without a new stoma. Responsiveness was examined by hypothesizing that PROMIS-29 scores would follow the expected recovery trajectory\u2014showing an initial postoperative decline followed by gradual improvement toward preoperative levels. Consistent with PROMIS guidelines, a minimal important difference of 3 points was used as the criterion for confirming hypotheses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>A total of 282 patients were included (mean\u00b1SD age 59\u00b116 years; 48% female; 78% minimally invasive; 19% with stoma; median [IQR] hospital stay 3 [1-6] days). PROMIS-29 items covered 36% of health domains considered important by patients in the conceptual framework, indicating limited content validity. Internal consistency across PROMIS domains was acceptable, with Cronbach \u03b1 ranging from 0.81 to 0.98. Construct validity of PHS and MHS was limited, with 0 of 4 predefined hypotheses supported on POW1 and only 1 to 2 hypotheses supported in subsequent weeks (mean difference between groups \u22653). Responsiveness was supported until POW2 (mean difference between timepoints \u22653), but not after.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Despite demonstrating adequate internal consistency, PROMIS-29 has limited content validity, construct validity, and responsiveness within the first 4 weeks after colorectal surgery. These findings suggest that PROMIS-29 may not fully capture patients\u2019 recovery experiences, underscoring the need for psychometrically sound PROMs tailored to the context of perioperative care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1213\/ane.0000000000007995","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T18:00:43Z","timestamp":1772128843000},"page":"955-965","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Psychometric Assessment of PROMIS-29 as a Measure of Recovery After Colorectal Surgery: A Prospective Cohort Study"],"prefix":"10.1213","volume":"143","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3573-2578","authenticated-orcid":false,"given":"Francesca","family":"Fermi","sequence":"first","affiliation":[{"name":"Department of Surgery, McGill University, Montreal, Quebec, Canada"},{"name":"Perioperative Care and Outcomes Research (PCOR) Lab, McGill University, Montreal, Quebec, Canada"},{"name":"Centre for Outcomes Research and Evaluation (CORE), Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samin","family":"Shirzadi","sequence":"additional","affiliation":[{"name":"Perioperative Care and Outcomes Research (PCOR) Lab, McGill University, Montreal, Quebec, Canada"},{"name":"Centre for Outcomes Research and Evaluation (CORE), Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghadeer","family":"Olleik","sequence":"additional","affiliation":[{"name":"Department of Surgery, McGill University, Montreal, Quebec, Canada"},{"name":"Perioperative Care and Outcomes Research (PCOR) Lab, McGill University, Montreal, Quebec, Canada"},{"name":"Centre for Outcomes Research and Evaluation (CORE), Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxime Lapointe","family":"Gagner","sequence":"additional","affiliation":[{"name":"Department of Surgery, McGill University, Montreal, Quebec, Canada"},{"name":"Perioperative Care and Outcomes Research (PCOR) Lab, McGill University, Montreal, Quebec, Canada"},{"name":"Centre for Outcomes Research and Evaluation (CORE), Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Nguyen-Powanda","sequence":"additional","affiliation":[{"name":"Department of Surgery, McGill University, Montreal, Quebec, Canada"},{"name":"Perioperative Care and Outcomes Research (PCOR) Lab, McGill University, Montreal, Quebec, Canada"},{"name":"Centre for Outcomes Research and Evaluation (CORE), Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elahe","family":"Khorasani","sequence":"additional","affiliation":[{"name":"Department of Surgery, McGill University, Montreal, Quebec, Canada"},{"name":"Perioperative Care and Outcomes Research (PCOR) Lab, McGill University, Montreal, Quebec, Canada"},{"name":"Centre for Outcomes Research and Evaluation (CORE), Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christos","family":"Mousoulis","sequence":"additional","affiliation":[{"name":"Department of Surgery, McGill University, Montreal, Quebec, Canada"},{"name":"Perioperative Care and Outcomes Research (PCOR) Lab, McGill University, Montreal, Quebec, Canada"},{"name":"Centre for Outcomes Research and Evaluation (CORE), Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicol\u00f2","family":"Pecorelli","sequence":"additional","affiliation":[{"name":"Division of Pancreatic Surgery, Pancreas Translational & Clinical Research Center, San Raffaele Scientific Institute, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marylise","family":"Boutros","sequence":"additional","affiliation":[{"name":"Department of Surgery, McGill University, Montreal, Quebec, Canada"},{"name":"Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, McGill University, Montreal, Quebec, Canada"},{"name":"Centre for Outcomes Research and Evaluation (CORE), Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liane S.","family":"Feldman","sequence":"additional","affiliation":[{"name":"Department of Surgery, McGill University, Montreal, Quebec, Canada"},{"name":"Centre for Outcomes Research and Evaluation (CORE), Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio F.","family":"Fiore","sequence":"additional","affiliation":[{"name":"Department of Surgery, McGill University, Montreal, Quebec, Canada"},{"name":"Perioperative Care and Outcomes Research (PCOR) Lab, McGill University, Montreal, Quebec, Canada"},{"name":"Centre for Outcomes Research and Evaluation (CORE), Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Collaborators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"R1-20261020","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1001\/archsurg.2012.358","article-title":"Laparoscopic colorectal surgery.","volume":"147","author":"Kang","year":"2012","journal-title":"Arch Surg"},{"key":"R2-20261020","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1007\/s00268-018-4844-y","article-title":"Guidelines for perioperative care in elective colorectal surgery: Enhanced Recovery After Surgery (ERAS\u00ae) Society recommendations: 2018.","volume":"43","author":"Gustafsson","year":"2019","journal-title":"World J Surg"},{"key":"R3-20261020","doi-asserted-by":"crossref","first-page":"e164681","DOI":"10.1001\/jamasurg.2016.4681","article-title":"Associations of specific postoperative complications with outcomes after elective colon resection.","volume":"152","author":"Scarborough","year":"2017","journal-title":"JAMA Surg"},{"key":"R4-20261020","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1016\/j.jamcollsurg.2008.06.138","article-title":"Prioritizing quality improvement in general surgery.","volume":"207","author":"Schilling","year":"2008","journal-title":"J Am Coll Surg"},{"key":"R5-20261020","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1016\/j.jamcollsurg.2004.05.280","article-title":"Functional independence after major abdominal surgery in the elderly.","volume":"199","author":"Lawrence","year":"2004","journal-title":"J Am Coll Surg"},{"key":"R6-20261020","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1097\/SLA.0b013e3181b672bc","article-title":"The Better Colectomy Project.","volume":"250","author":"Arriaga","year":"2009","journal-title":"Ann Surg"},{"key":"R7-20261020","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.ejso.2020.01.003","article-title":"Functional recovery in senior adults undergoing surgery for colorectal cancer: Assessment tools and strategies to preserve functional status.","volume":"46","author":"Ghignone","year":"2020","journal-title":"Eur J Surg Oncol"},{"key":"R8-20261020","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1002\/bjs.9324","article-title":"Systematic review of outcomes used to evaluate enhanced recovery after surgery.","volume":"101","author":"Neville","year":"2014","journal-title":"Br J Surg"},{"key":"R9-20261020","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.surg.2013.10.002","article-title":"What does it really mean to \u201crecover\u201d from an operation?","volume":"155","author":"Lee","year":"2014","journal-title":"Surgery"},{"key":"R10-20261020","doi-asserted-by":"crossref","first-page":"2583","DOI":"10.1007\/s11136-015-1008-5","article-title":"How well are we measuring postoperative \u201crecovery\u201d after abdominal surgery?","volume":"24","author":"Lee","year":"2015","journal-title":"Qual Life Res"},{"key":"R11-20261020","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1007\/s12630-014-0263-1","article-title":"What outcomes are important in the assessment of Enhanced Recovery After Surgery (ERAS) pathways?","volume":"62","author":"Feldman","year":"2015","journal-title":"Can J Anaesth"},{"key":"R12-20261020","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1016\/j.jval.2015.08.006","article-title":"Clinical outcome assessments: conceptual foundation\u2014Report of the ISPOR Clinical Outcomes Assessment\u2013Emerging Good Practices for Outcomes Research Task Force.","volume":"18","author":"Walton","year":"2015","journal-title":"Value Health"},{"key":"R13-20261020","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1097\/SLA.0000000000002415","article-title":"How do we value postoperative recovery?","volume":"267","author":"Fiore","year":"2018","journal-title":"Ann Surg"},{"key":"R15-20261020","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/1477-7525-11-210","article-title":"The case for an international patient-reported outcomes measurement information system (PROMIS\u00ae) initiative.","volume":"11","author":"Alonso","year":"2013","journal-title":"Health Qual Life Outcomes"},{"key":"R16-20261020","first-page":"S53","article-title":"The promise of PROMIS: using item response theory to improve assessment of patient-reported outcomes.","volume":"23","author":"Fries","year":"2005","journal-title":"Clin Exp Rheumatol"},{"key":"R17-20261020","doi-asserted-by":"crossref","first-page":"1874","DOI":"10.1213\/ANE.0000000000002758","article-title":"American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on patient-reported outcomes in an enhanced recovery pathway.","volume":"126","author":"Abola","year":"2018","journal-title":"Anesth Analg"},{"key":"R20-20261020","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1007\/s00464-024-11322-8","article-title":"Opioid use patterns following discharge from elective colorectal surgery: a prospective cohort study.","volume":"39","author":"Olleik","year":"2025","journal-title":"Surg Endosc"},{"key":"R21-20261020","doi-asserted-by":"crossref","first-page":"e812","DOI":"10.1097\/SLA.0000000000004962","article-title":"Enhanced Recovery 2.0 \u2013 Same day discharge with mobile app follow-up after minimally invasive colorectal surgery.","volume":"276","author":"Lee","year":"2022","journal-title":"Ann Surg"},{"key":"R22-20261020","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications.","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann Surg"},{"key":"R23-20261020","doi-asserted-by":"crossref","first-page":"1885","DOI":"10.1007\/s11136-018-1842-3","article-title":"PROMIS-29 v2.0 profile physical and mental health summary scores.","volume":"27","author":"Hays","year":"2018","journal-title":"Qual Life Res"},{"key":"R24-20261020","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1016\/j.jclinepi.2010.02.006","article-title":"The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes.","volume":"63","author":"Mokkink","year":"2010","journal-title":"J Clin Epidemiol"},{"key":"R25-20261020","doi-asserted-by":"crossref","first-page":"2665","DOI":"10.1007\/s00464-019-07044-x","article-title":"Development of a conceptual framework of recovery after abdominal surgery.","volume":"34","author":"Alam","year":"2020","journal-title":"Surg Endosc"},{"key":"R27-20261020","doi-asserted-by":"crossref","first-page":"2431","DOI":"10.1007\/s11136-014-0691-y","article-title":"Mapping the content of the Patient-Reported Outcomes Measurement Information System (PROMIS\u00ae) using the International Classification of Functioning, Disability and Health.","volume":"23","author":"Tucker","year":"2014","journal-title":"Qual Life Res"},{"key":"R28-20261020","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1007\/s11136-018-1829-0","article-title":"COSMIN methodology for evaluating the content validity of patient-reported outcome measures: a Delphi study.","volume":"27","author":"Terwee","year":"2018","journal-title":"Qual Life Res"},{"key":"R29-20261020","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.jclinepi.2006.03.012","article-title":"Quality criteria were proposed for measurement properties of health status questionnaires.","volume":"60","author":"Terwee","year":"2007","journal-title":"J Clin Epidemiol"},{"key":"R30-20261020","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1097\/SLA.0000000000006020","article-title":"Validation of the PROMIS-29 questionnaire as a measure of recovery after pancreatic surgery.","volume":"278","author":"Pecorelli","year":"2023","journal-title":"Ann Surg"},{"key":"R31-20261020","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.jval.2012.11.005","article-title":"Quality of life in the first 6 weeks following laparoscopic and open colorectal surgery.","volume":"16","author":"Dowson","year":"2013","journal-title":"Value Health"},{"key":"R32-20261020","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1007\/s11136-010-9606-8","article-title":"The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study.","volume":"19","author":"Mokkink","year":"2010","journal-title":"Qual Life Res"},{"key":"R34-20261020","doi-asserted-by":"crossref","first-page":"53","DOI":"10.5116\/ijme.4dfb.8dfd","article-title":"Making sense of Cronbach\u2019s alpha.","volume":"2","author":"Tavakol","year":"2011","journal-title":"Int J Med Educ"},{"key":"R35-20261020","doi-asserted-by":"crossref","first-page":"371","DOI":"10.3102\/1076998616687084","article-title":"Multiple imputation under violated distributional assumptions: A systematic evaluation of the assumed robustness of predictive mean matching.","volume":"42","author":"Kleinke","year":"2017","journal-title":"J. Educ. Behav. Stat"},{"key":"R36-20261020","doi-asserted-by":"crossref","first-page":"E928","DOI":"10.21037\/jtd.2016.08.16","article-title":"P value interpretations and considerations.","volume":"8","author":"Thiese","year":"2016","journal-title":"J Thorac Dis"},{"key":"R37-20261020","doi-asserted-by":"crossref","first-page":"2729","DOI":"10.1007\/s11136-021-02925-y","article-title":"Minimal important change (MIC): a conceptual clarification and systematic review of MIC estimates of PROMIS measures.","volume":"30","author":"Terwee","year":"2021","journal-title":"Qual Life Res"},{"key":"R39-20261020","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1186\/s12955-020-01344-w","article-title":"How is the minimal clinically important difference established in health-related quality of life instruments? Review of anchors and methods.","volume":"18","author":"Mouelhi","year":"2020","journal-title":"Health Qual Life Outcomes"},{"key":"R40-20261020","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1111\/jebm.12616","article-title":"Five aspects of research waste in biomedicine: a scoping review.","volume":"17","author":"Rosengaard","year":"2024","journal-title":"J Evid Based Med"},{"key":"R42-20261020","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/j.bja.2017.12.037","article-title":"Standardised Endpoints in Perioperative Medicine (StEP) Group. Standardizing end points for perioperative trials: a systematic review and consensus definitions.","volume":"120","author":"Myles","year":"2018","journal-title":"Br J Anaesth"},{"key":"R43-20261020","doi-asserted-by":"crossref","first-page":"1332","DOI":"10.1097\/ALN.0b013e318289b84b","article-title":"Development and psychometric evaluation of a postoperative quality of recovery score: the QoR-15.","volume":"118","author":"Stark","year":"2013","journal-title":"Anesthesiology"},{"key":"R44-20261020","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1213\/00000539-199901000-00016","article-title":"Development and psychometric testing of a quality of recovery score after general anesthesia and surgery in adults.","volume":"88","author":"Myles","year":"1999","journal-title":"Anesth Analg"},{"key":"R45-20261020","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1136\/bmjqs-2013-002707","article-title":"Relationship between patient-reported experience (PREMs) and patient-reported outcomes (PROMs) in elective surgery: a cross-sectional study.","volume":"23","author":"Black","year":"2014","journal-title":"BMJ Qual Saf"},{"key":"R46-20261020","doi-asserted-by":"crossref","first-page":"e2417310","DOI":"10.1001\/jamanetworkopen.2024.17310","article-title":"Enhanced recovery after surgery guidelines and hospital length of stay, readmission, complications, and mortality: a meta-analysis of randomized clinical trials.","volume":"7","author":"Sauro","year":"2024","journal-title":"JAMA Netw Open"},{"key":"R47-20261020","doi-asserted-by":"crossref","first-page":"e081164","DOI":"10.1136\/bmj-2024-081164","article-title":"Relative efficacy of prehabilitation interventions and their components: systematic review with network and component network meta-analyses of randomised controlled trials.","volume":"388","author":"McIsaac","year":"2025","journal-title":"BMJ"},{"key":"R48-20261020","doi-asserted-by":"crossref","first-page":"8043","DOI":"10.1007\/s00464-023-10289-2","article-title":"Impact of enhanced recovery pathways on patient-reported outcomes after abdominal surgery: a systematic review.","volume":"37","author":"El-Kefraoui","year":"2023","journal-title":"Surg Endosc"},{"key":"R49-20261020","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.bja.2024.01.046","article-title":"Outcomes reported in randomised trials of surgical prehabilitation: a scoping review.","volume":"133","author":"Fleurent-Gr\u00e9goire","year":"2024","journal-title":"Br J Anaesth"}],"container-title":["Anesthesia &amp; Analgesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1213\/ANE.0000000000007995","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T23:00:14Z","timestamp":1792537214000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1213\/ANE.0000000000007995"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,25]]},"references-count":42,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1213\/ane.0000000000007995","relation":{},"ISSN":["0003-2999","1526-7598"],"issn-type":[{"value":"0003-2999","type":"print"},{"value":"1526-7598","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,25]]},"assertion":[{"value":"2025-06-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-12","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}