{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T18:13:19Z","timestamp":1788459199751,"version":"build-2803163510"},"reference-count":53,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background\/Objectives: Complete postoperative recovery increasingly occurs after hospital discharge, particularly in the context of enhanced recovery after surgery (ERAS) programmes. However, patient-reported experience during the transition from hospital to home after digestive surgery remains poorly characterized. This study aimed to evaluate patient-reported experience and to explore its associations with perceived quality of recovery at discharge, surgical complexity, postoperative complications, and unplanned healthcare utilization. Methods: This study analyzed a prospective observational cohort of 361 adult patients undergoing elective digestive surgery at a tertiary care center. Patient-reported experience was assessed using an ad hoc structured questionnaire administered at discharge and 30 days later, covering discharge readiness, information, expectations, and support needs. Quality of recovery was assessed using the QoR-15 at discharge. Results: At discharge, 71% of patients reported feeling ready for discharge, whereas 41% agreed that they would have needed a longer hospital stay. At 30 days, 87% reported sufficient home-care information, 69% reported that recovery had met their expectations, 35% perceived discharge as premature, and 23% reported need to contact the hospital. Several ST-PREM domains assessed at discharge or during 30-day follow-up were associated with QoR-15 scores at discharge, with differences exceeding the 6-point minimal clinically important difference (MCID). No consistent differences in patient-reported experience were observed according to surgical complexity. Patients with postoperative complications or emergency department attendance reported less favorable recovery-related experience domains. Conclusions: Most patients reported favorable experiences during the hospital-to-home transition. However, a clinically relevant subgroup reported uncertainty, perceived premature discharge, or need for post-discharge support. Combining patient-reported experience measures with QoR-15 may help provide a more comprehensive evaluation of early postoperative recovery.<\/jats:p>","DOI":"10.3390\/jcm15176775","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:45:13Z","timestamp":1788241513000},"page":"6775","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Discharge Readiness and Patient Experience in the Hospital-to-Home Transition After Digestive Surgery"],"prefix":"10.3390","volume":"15","author":[{"given":"Fernando","family":"Dana","sequence":"first","affiliation":[{"name":"Anesthesiology Department, Hospital Clinic of Barcelona, 08036 Barcelona, Spain"},{"name":"Universitat de Barcelona (UB), 08007 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Sebio-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3 Cl\u00ednic for Biomedical Research-August Pi I Sunyer Biomedical Research Institute (FCRB-IDIBAPS), University of Barcelona, 08036 Barcelona, Spain"},{"name":"Physical Medicine and Rehabilitation Department, Hospital Clinic of Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7330-9621","authenticated-orcid":false,"given":"Rub\u00e8n","family":"Gonz\u00e1lez-Colom","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3 Cl\u00ednic for Biomedical Research-August Pi I Sunyer Biomedical Research Institute (FCRB-IDIBAPS), University of Barcelona, 08036 Barcelona, Spain"},{"name":"Biomedical Research Networking Center on Respiratory Diseases (CIBERES), 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"Tena","sequence":"additional","affiliation":[{"name":"Anesthesiology Department, Hospital Clinic of Barcelona, 08036 Barcelona, Spain"},{"name":"Universitat de Barcelona (UB), 08007 Barcelona, Spain"},{"name":"Fundaci\u00f3 Cl\u00ednic for Biomedical Research-August Pi I Sunyer Biomedical Research Institute (FCRB-IDIBAPS), University of Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Capit\u00e1n","sequence":"additional","affiliation":[{"name":"Anesthesiology Department, Hospital Clinic of Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dulce","family":"Momblan","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery, Hospital Clinic of Barcelona, 08006 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5816-998X","authenticated-orcid":false,"given":"Eva","family":"Rivas","sequence":"additional","affiliation":[{"name":"Anesthesiology Department, Hospital Clinic of Barcelona, 08036 Barcelona, Spain"},{"name":"Universitat de Barcelona (UB), 08007 Barcelona, Spain"},{"name":"Fundaci\u00f3 Cl\u00ednic for Biomedical Research-August Pi I Sunyer Biomedical Research Institute (FCRB-IDIBAPS), University of Barcelona, 08036 Barcelona, Spain"},{"name":"Biomedical Research Networking Center on Respiratory Diseases (CIBERES), 28029 Madrid, Spain"},{"name":"Outcomes Research Consortium, Houston, TX 77030, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6921-630X","authenticated-orcid":false,"given":"Marina","family":"Roger","sequence":"additional","affiliation":[{"name":"Anesthesiology Department, Hospital Clinic of Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0293-7285","authenticated-orcid":false,"given":"Paula","family":"Isern","sequence":"additional","affiliation":[{"name":"Department Nutrition and Clinical Dietetics, Hospital Clinic of Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Su\u00e1rez","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Department, Hospital Clinic of Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1205-3997","authenticated-orcid":false,"given":"Adelaida","family":"Zabalegui","sequence":"additional","affiliation":[{"name":"Universitat de Barcelona (UB), 08007 Barcelona, Spain"},{"name":"Fundaci\u00f3 Cl\u00ednic for Biomedical Research-August Pi I Sunyer Biomedical Research Institute (FCRB-IDIBAPS), University of Barcelona, 08036 Barcelona, Spain"},{"name":"Subdivision of Research and Teaching in Nursing, Hospital Clinic of Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7163-8090","authenticated-orcid":false,"given":"Graciela","family":"Mart\u00ednez-Pall\u00ed","sequence":"additional","affiliation":[{"name":"Anesthesiology Department, Hospital Clinic of Barcelona, 08036 Barcelona, Spain"},{"name":"Fundaci\u00f3 Cl\u00ednic for Biomedical Research-August Pi I Sunyer Biomedical Research Institute (FCRB-IDIBAPS), University of Barcelona, 08036 Barcelona, Spain"},{"name":"Biomedical Research Networking Center on Respiratory Diseases (CIBERES), 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.jss.2025.06.039","article-title":"Surgical Outcomes Through the Patient\u2019s Eyes: A Scoping Review of Patient-Reported Outcome Measures in Surgery","volume":"313","author":"Alanezi","year":"2025","journal-title":"J. Surg. Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"468","DOI":"10.7861\/clinmed.2019-0292","article-title":"Pathway redesign: Putting patients ahead of professionals","volume":"19","author":"Grocott","year":"2019","journal-title":"Clin. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.surg.2014.03.024","article-title":"Short-stay surgery: What really happens after discharge?","volume":"156","author":"Tran","year":"2014","journal-title":"Surgery"},{"key":"ref_4","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":"ref_5","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1001\/jamasurg.2016.4952","article-title":"Enhanced Recovery After Surgery: A Review","volume":"152","author":"Ljungqvist","year":"2017","journal-title":"JAMA Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1016\/j.clnu.2010.01.004","article-title":"The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: A meta-analysis of randomized controlled trials","volume":"29","author":"Varadhan","year":"2010","journal-title":"Clin. Nutr."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.1007\/s00268-013-2416-8","article-title":"Enhanced Recovery Program in Colorectal Surgery: A Meta-analysis of Randomized Controlled Trials","volume":"38","author":"Greco","year":"2014","journal-title":"World J. Surg."},{"key":"ref_8","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. Anesth.\/J. Can. d\u2019Anesth."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1007\/s12630-015-0508-7","article-title":"The importance of postoperative quality of recovery: Influences, assessment, and clinical and prognostic implications","volume":"63","author":"Bowyer","year":"2016","journal-title":"Can. J. Anesth.\/J. Can. d\u2019Anesth."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1822","DOI":"10.1001\/archinte.166.17.1822","article-title":"The Care Transitions Intervention","volume":"166","author":"Coleman","year":"2006","journal-title":"Arch. Intern. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1111\/anae.13312","article-title":"Postoperative recovery and outcomes\u2014What are we measuring and for whom?","volume":"71","author":"Bowyer","year":"2016","journal-title":"Anaesthesia"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.bpa.2018.06.001","article-title":"The patient\u2019s surgical journey and consequences of poor recovery","volume":"32","author":"Royse","year":"2018","journal-title":"Best Pract. Res. Clin. Anaesthesiol."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Yeatts, D., Tiwari, C., Coleman, S., Yeatts, M., and Sobering, K. (2025). A Qualitative Study of Unplanned Hospital Readmissions: Patient Perspectives on Their Hospital to Home Transition. Nurs. Rep., 15.","DOI":"10.3390\/nursrep15060192"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1418","DOI":"10.1056\/NEJMsa0803563","article-title":"Rehospitalizations among Patients in the Medicare Fee-for-Service Program","volume":"360","author":"Jencks","year":"2009","journal-title":"N. Engl. J. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1001\/jamainternmed.2014.1608","article-title":"Preventing 30-Day Hospital Readmissions","volume":"174","author":"Leppin","year":"2014","journal-title":"JAMA Intern. Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1001\/jamasurg.2021.1557","article-title":"Understanding the Meaning of Recovery to Patients Undergoing Abdominal Surgery","volume":"156","author":"Rajabiyazdi","year":"2021","journal-title":"JAMA Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1097\/00005650-200503000-00007","article-title":"Assessing the Quality of Preparation for Posthospital Care from the Patients Perspective","volume":"43","author":"Coleman","year":"2005","journal-title":"Med. Care"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2477","DOI":"10.1056\/NEJMp1011024","article-title":"What Is Value in Health Care?","volume":"363","author":"Porter","year":"2010","journal-title":"N. Engl. J. Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1097\/ACM.0000000000003122","article-title":"Defining and Implementing Value-Based Health Care: A Strategic Framework","volume":"95","author":"Teisberg","year":"2020","journal-title":"Acad. Med."},{"key":"ref_20","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":"ref_21","doi-asserted-by":"crossref","first-page":"j816","DOI":"10.1136\/bmj.j816","article-title":"Measuring what matters to patients","volume":"356","author":"Coulter","year":"2017","journal-title":"BMJ"},{"key":"ref_22","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","volume":"23","author":"Black","year":"2014","journal-title":"BMJ Qual. Saf."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e220326","DOI":"10.1001\/jamahealthforum.2022.0326","article-title":"Selecting and Implementing Patient-Reported Outcome and Experience Measures to Assess Health System Performance","volume":"3","author":"Bull","year":"2022","journal-title":"JAMA Health Forum"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"e260692","DOI":"10.1001\/jamanetworkopen.2026.0692","article-title":"Recovery Experiences of Older Adults and Their Caregivers After Major Elective Noncardiac Surgery","volume":"9","author":"Toledano","year":"2026","journal-title":"JAMA Netw. Open"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1097\/00005650-199603000-00003","article-title":"A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity","volume":"34","author":"Ware","year":"1996","journal-title":"Med. Care"},{"key":"ref_26","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","volume":"118","author":"Stark","year":"2013","journal-title":"Anesthesiology"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.jss.2014.02.016","article-title":"A comparison of the validity of two indirect utility instruments as measures of postoperative recovery","volume":"190","author":"Lee","year":"2014","journal-title":"J. Surg. Res."},{"key":"ref_28","unstructured":"Agency for Healthcare Research and Quality (2026, July 02). CAHPS Surgical Care Survey, Available online: https:\/\/www.ahrq.gov\/cahps\/surveys-guidance\/surgical\/index.html."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1093\/intqhc\/mzh074","article-title":"The Patient Experiences Questionnaire: Development, validity and reliability","volume":"16","author":"Pettersen","year":"2004","journal-title":"Int. J. Qual. Health Care"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1891\/jnm-v14i3a002","article-title":"Psychometric Properties of the Readiness for Hospital Discharge Scale","volume":"14","author":"Weiss","year":"2006","journal-title":"J. Nurs. Meas."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"13","DOI":"10.5334\/ijic.2443","article-title":"Development and Validation of an Instrument for Assessing Patient Experience of Chronic Illness Care","volume":"16","author":"Mira","year":"2016","journal-title":"Int. J. Integr. Care"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"zraf156","DOI":"10.1093\/bjsopen\/zraf156","article-title":"Impact of prehabilitation on patient-perceived quality of recovery after surgery: Prospective cohort study","volume":"10","author":"Dana","year":"2025","journal-title":"BJS Open"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Dana, F., Sebio-Garc\u00eda, R., Gonz\u00e1lez-Colom, R., Tena, B., Capitan, D., Momblan, D., Campero, B., Garc\u00eda, E., Rivas, E., and Zabalegui, A. (2026). Predictive value of QoR-15 scores at hospital discharge for unplanned healthcare utilization after elective surgery: A prospective observational study. Am. J. Surg., in press.","DOI":"10.1016\/j.amjsurg.2026.117103"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"105568","DOI":"10.1016\/j.ijnurstu.2026.105568","article-title":"Beyond clinical metrics\u2014Complete early recovery of patient-identified activities of daily living after surgery: A prospective observational study","volume":"181","author":"Dana","year":"2026","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1186\/s41687-024-00791-z","article-title":"Top 100 most cited articles on Patient Reported Experience Measures (PREM): Insights and perspectives","volume":"8","author":"Attar","year":"2024","journal-title":"J. Patient Rep. Outcomes"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/j.amjsurg.2022.11.009","article-title":"Validation and cross-cultural adaptation of the postoperative quality of recovery 15 (QoR-15) questionnaire for Spanish-speaking patients: A prospective cohort study","volume":"225","year":"2023","journal-title":"Am. J. Surg."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1111\/anae.14569","article-title":"A review of ASA physical status\u2014Historical perspectives and modern developments","volume":"74","author":"Mayhew","year":"2019","journal-title":"Anaesthesia"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1503\/cmaj.050051","article-title":"A global clinical measure of fitness and frailty in elderly people","volume":"173","author":"Rockwood","year":"2005","journal-title":"Can. Med. Assoc. J."},{"key":"ref_39","unstructured":"National Institute for Health and Care Excellence (2016). Routine Preoperative Tests for Elective Surgery (NICE Guideline 45), National Institute for Health and Care Excellence. Available online: https:\/\/www.nice.org.uk\/guidance\/ng45."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of Surgical Complications: A New Proposal with Evaluation in a Cohort of 6336 Patients and Results of a Survey","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann. Surg."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/SLA.0b013e318296c732","article-title":"The Comprehensive Complication Index: A Novel Continuous Scale to Measure Surgical Morbidity","volume":"258","author":"Slankamenac","year":"2013","journal-title":"Ann. Surg."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"e001570","DOI":"10.1136\/bmjopen-2012-001570","article-title":"A systematic review of evidence on the links between patient experience and clinical safety and effectiveness","volume":"3","author":"Doyle","year":"2013","journal-title":"BMJ Open"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/s13741-017-0065-4","article-title":"Re-designing the pathway to surgery: Better care and added value","volume":"6","author":"Grocott","year":"2017","journal-title":"Perioper. Med."},{"key":"ref_44","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","volume":"7","author":"Sauro","year":"2024","journal-title":"JAMA Netw. Open"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"3806","DOI":"10.1007\/s00464-019-06684-3","article-title":"Does adherence to perioperative enhanced recovery pathway elements influence patient-reported recovery following colorectal resection?","volume":"33","author":"Pecorelli","year":"2019","journal-title":"Surg. Endosc."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"25","DOI":"10.7748\/nr2011.10.19.1.25.c8768","article-title":"Measuring the patient experience","volume":"19","author":"Lees","year":"2011","journal-title":"Nurse Res."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1111\/1475-6773.12092","article-title":"Validation of Patient and Nurse Short Forms of the Readiness for Hospital Discharge Scale and Their Relationship to Return to the Hospital","volume":"49","author":"Weiss","year":"2014","journal-title":"Health Serv. Res."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"3886","DOI":"10.1111\/jan.16071","article-title":"Patient experiences during the planned perioperative care pathway: An integrative review","volume":"80","author":"Bur","year":"2024","journal-title":"J. Adv. Nurs."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"mzae085","DOI":"10.1093\/intqhc\/mzae085","article-title":"Reporting patient experiences within elective perioperative care: A scoping review","volume":"36","author":"Mickan","year":"2024","journal-title":"Int. J. Qual. Health Care"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1097\/ALN.0000000000003977","article-title":"An Updated Minimal Clinically Important Difference for the QoR-15 Scale","volume":"135","author":"Myles","year":"2021","journal-title":"Anesthesiology"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1016\/j.bja.2022.03.009","article-title":"Measurement of quality of recovery after surgery using the 15-item quality of recovery scale: A systematic review and meta-analysis","volume":"128","author":"Myles","year":"2022","journal-title":"Br. J. Anaesth."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.1093\/bjs\/znad167","article-title":"Impact of in-hospital postoperative complications on quality of life up to 12 months after major abdominal surgery","volume":"110","author":"Downey","year":"2023","journal-title":"Br. J. Surg."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.jss.2013.01.032","article-title":"Postoperative complications and implications on patient-centered outcomes","volume":"181","author":"Tevis","year":"2013","journal-title":"J. Surg. 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