Expert consensus on the selection of postoperative recovery evaluation scale for cardiac surgery patients based on patient-reported outcomes_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 The Expert Group for Cardiac Surgery of National Center for Cardiovascular Quality Control

Department of Cardiac Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, 100037, P. R. China;

Corresponding?author：

The Expert Group for Cardiac Surgery of National Center for Cardiovascular Quality Control, Email: zhengzhe@fuwai.com

Keywords：

Cardiac surgery; patient-reported outcome measures; postoperative recovery; expert consensus

DOI：

10.7507/1007-4848.202501031

Video：

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Cardiac surgery is often associated with significant trauma, which can lead to a suboptimal recovery experience for patients. With advancements in cardiovascular surgical techniques, the rates of surgical mortality and complications have significantly decreased, leading to increased attention on patients' subjective recovery experiences after the surgery. Patient-reported outcomes (PROs) refer to the feedback provided directly by patients regarding their health status, functional abilities, and treatment experiences. Accurate assessment and timely intervention of PROs have become a growing area of interest in the academic community, with improvements in certain PROs showing significant correlations with prognostic benefits. However, there remains controversy regarding which dimensions of PROs should be prioritized in the postoperative recovery of cardiac surgery patients and how to select appropriate evaluation scales for these dimensions. We referenced the research progress both domestically and internationally, combined with clinical practices from around the world, and widely solicited expert opinions to reach a consensus on the evaluation dimensions of postoperative PROs for cardiac surgery patients. This includes the overall recovery status of patients (surgical recovery, quality of life) and its nine dimensions (pain, physiology, sleep, thirst, frailty, activity, cognition, mental health, and social support). This consensus comprehensively considers the application of PROs scales, and introduces 1-3 scales with the widest application and most solid evidence for each dimension, aiming to further standardize the evaluation dimensions of PROs after cardiac surgery in China and the selection of scales for each dimension.

Citation： The Expert Group for Cardiac Surgery of National Center for Cardiovascular Quality Control,. Expert consensus on the selection of postoperative recovery evaluation scale for cardiac surgery patients based on patient-reported outcomes. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2025, 32(4): 427-436. doi: 10.7507/1007-4848.202501031 Copy

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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Expert consensus on the selection of postoperative recovery evaluation scale for cardiac surgery patients based on patient-reported outcomes

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