title: Perioperative trajectory of patient reported symptoms: a pilot study in gynecologic oncology patients.
abstract: OBJECTIVE
  With the growing focus on patient-centered care, patient reported outcomes (PROs) are becoming an important component to clinical trials and quality metrics. The objective of this study was to pilot the collection of patient reported symptom burden in women undergoing surgery in a gynecologic oncology practice.
  
  
  METHODS
  Perioperative patient reported symptom burden was measured for women undergoing laparotomy on the gynecologic oncology service at the University of Texas MD Anderson Cancer Center. Symptoms were assessed using the M.D. Anderson Symptom Inventory (MDASI-OC), a 27 item tool validated for use in patients with ovarian cancer. The MDASI-OC was administered as a preoperative baseline, daily while admitted to the hospital after surgery, twice a week on the first week after discharge and then weekly until 8 weeks postoperatively.
  
  
  RESULTS
  29 patients were evaluable. Seventy-five percent of patients had a diagnosis of ovarian cancer. Of those patients, half underwent a primary debulking surgery and the other half had neoadjuvant chemotherapy prior to interval cytoreductive surgery. In the postoperative inpatient setting, the five symptoms with the highest overall burden were fatigue, pain, abdominal pain, dry mouth and drowsiness. Longitudinal change of the top 5 symptoms during hospitalization did not show any significant difference between those who had neoadjuvant chemotherapy and those who did not.
  
  
  CONCLUSIONS
  The collection of longitudinal PROs to assess symptom burden is feasible in patients undergoing gynecologic oncology surgery. Patient reported outcomes are a crucial component of patient-centered research and the longitudinal collection and analysis of symptom burden can allow for more meaningful comparisons of surgical technique and perioperative care.
authors: The University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1). Electronic address: lmeyer@mdanderson.org.
authors: Larissa A
authors: LA
authors: Meyer
authors: The University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1).
authors: Alpa M
authors: AM
authors: Nick
authors: The University of Texas MD Anderson Cancer Center, Department of Symptom Research, USA.
authors: Qiuling
authors: Q
authors: Shi
authors: The University of Texas MD Anderson Cancer Center, Department of Symptom Research, USA.
authors: Xin Shelley
authors: XS
authors: Wang
authors: The University of Texas MD Anderson Cancer Center, Department of Symptom Research, USA.
authors: Loretta
authors: L
authors: Williams
authors: The University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1).
authors: Tremaine
authors: T
authors: Brock
authors: The University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1).
authors: Maria D
authors: MD
authors: Iniesta
authors: The University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1).
authors: Kelly
authors: K
authors: Rangel
authors: The University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1).
authors: Karen H
authors: KH
authors: Lu
authors: The University of Texas MD Anderson Cancer Center, Department of Gynecologic Oncology and Reproductive Medicine, USA(1).
authors: Pedro T
authors: PT
authors: Ramirez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017281:Cost of Illness; D005260:Female; D005500:Follow-Up Studies; D006305:Health Status Indicators; D006801:Humans; D007044:Hysterectomy; D016014:Linear Models; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000601:surgery*; D010052:Ovariectomy; D063868:Patient Outcome Assessment; D010865:Pilot Projects; D011183:Postoperative Complications / Q000175:diagnosis* / Q000453:epidemiology; D011446:Prospective Studies; D011788:Quality of Life; D058994:Salpingectomy; D057566:Self Report; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Patient reported outcomes; Surgery; Symptom burden
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