Patients Undergoing Ileoanal Pouch Surgery Experience a Constellation of Symptoms and Consequences Representing a Unique Syndrome: A Report from the Patient-Reported Outcomes After Pouch Surgery (PROPS) Delphi Consensus Study

BACKGROUND: Functional outcomes after ileoanal pouch creation have been studied; however, there is great variability in how relevant outcomes are defined and reported. More importantly, the perspective of patients has not been represented in deciding which outcomes should be the focus of research.

OBJECTIVE: The primary aim was to create a patient-centered definition of core symptoms that should be included in future studies of pouch function.

DESIGN: This was a Delphi consensus study.

SETTING: Three rounds of surveys were used to select high-priority items. Survey voting was followed by a series of online patient consultation meetings used to clarify voting trends. A final online consensus meeting with representation from all 3 expert panels was held to finalize a consensus statement.

PATIENTS: Expert stakeholders were chosen to correlate with the clinical scenario of the multidisciplinary team that cares for pouch patients, including patients, colorectal surgeons, and gastroenterologists or other clinicians.

MAIN OUTCOME MEASURES: A consensus statement was the main outcome.

RESULTS: One hundred ninety-five patients, 62 colorectal surgeons, and 48 gastroenterologists or nurse specialists completed all 3 Delphi rounds. Fifty-three patients participated in online focus groups. One hundred sixty-one stakeholders participated in the final consensus meeting. On conclusion of the consensus meeting, 7 bowel symptoms and 7 consequences of undergoing ileoanal pouch surgery were included in the final consensus statement.

LIMITATIONS: The study was limited by online recruitment bias.

CONCLUSIONS: This study is the first to identify key functional outcomes after pouch surgery with direct input from a large panel of ileoanal pouch patients. The inclusion of patients in all stages of the consensus process allowed for a true patient-centered approach in defining the core domains that should be focused on in future studies of pouch function. See Video Abstract at https://links.lww.com/DCR/B571.

Files

Metadata

Work Title Patients Undergoing Ileoanal Pouch Surgery Experience a Constellation of Symptoms and Consequences Representing a Unique Syndrome: A Report from the Patient-Reported Outcomes After Pouch Surgery (PROPS) Delphi Consensus Study
Access
Open Access
Creators
  1. P M Cavallaro
  2. N S Fearnhead
  3. I P Bissett
  4. M S Brar
  5. T E Cataldo
  6. R Clarke
  7. P Denoya
  8. A Elder
  9. K B Gecse
  10. S Hendren
  11. S Holubar
  12. Nimalan Jeganathan
  13. P Myrelid
  14. B A Norton
  15. S D Wexner
  16. L A Wilson
  17. K Zaghiyan
  18. L Bordeianou
Keyword
  1. Ileoanal pouch
  2. Inflammatory bowel disease
  3. Patient reported outcomes
  4. Ulcerative colitis
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. Annals of Surgery
Publication Date July 2021
Publisher Identifier (DOI)
  1. https://doi.org/10.1097/DCR.0000000000002099
Deposited July 20, 2022

Versions

Analytics

Collections

This resource is currently not in any collection.

Work History

Version 1
withdrawn

  • Created
  • Added nihms-1776390.pdf
  • Added Creator P M Cavallaro
  • Added Creator N S Fearnhead
  • Added Creator I P Bissett
  • Added Creator M S Brar
  • Added Creator T E Cataldo
  • Added Creator R Clarke
  • Added Creator P Denoya
  • Added Creator A Elder
  • Added Creator K B Gecse
  • Added Creator S Hendren
  • Added Creator S Holubar
  • Added Creator Nimalan Jeganathan
  • Added Creator P Myrelid
  • Added Creator B A Norton
  • Added Creator S D Wexner
  • Added Creator L A Wilson
  • Added Creator K Zaghiyan
  • Added Creator L Bordeianou
  • Published
  • Updated Work Title, Keyword, Description, and 1 more Show Changes
    Work Title
    • Patients Undergoing Ileoanal Pouch Surgery Experience a Constellation of Symptoms and Consequences Representing a Unique Syndrome: A Report from the Patient-Reported Outcomes After Pouch Surgery (PROPS) Delphi Consensus Study.
    • Patients Undergoing Ileoanal Pouch Surgery Experience a Constellation of Symptoms and Consequences Representing a Unique Syndrome: A Report from the Patient-Reported Outcomes After Pouch Surgery (PROPS) Delphi Consensus Study
    Keyword
    • Ileoanal pouch, Inflammatory bowel disease, Patient reported outcomes, Ulcerative colitis
    Description
    • Objective: The primary aim was to create a patient-centered definition of core symptoms that should be included in future studies of pouch function.
    • BACKGROUND: Functional outcomes after ileoanal pouch creation have been studied; however, there is great variability in how relevant outcomes are defined and reported. More importantly, the perspective of patients has not been represented in deciding which outcomes should be the focus of research.
    • Background: Functional outcomes after ileoanal pouch creation have been studied; however, there is great variability in how relevant outcomes are defined and reported. More importantly, the perspective of patients has not been represented in deciding which outcomes should be the focus of research.
    • OBJECTIVE: The primary aim was to create a patient-centered definition of core symptoms that should be included in future studies of pouch function.
    • Methods: Expert stakeholders were chosen to correlate with the clinical scenario of the multidisciplinary team that cares for pouch patients: patients, colorectal surgeons, gastroenterologists/other clinicians. Three rounds of surveys were employed to select high-priority items. Survey voting was followed by a series of online patient consultation meetings used to clarify voting trends. A final online consensus meeting with representation from all 3 expert panels was held to finalize a consensus statement.
    • DESIGN: This was a Delphi consensus study.
    • Results: One hundred ninety-five patients, 62 colorectal surgeons, and 48 gastroenterologists/nurse specialists completed all 3 Delphi rounds. Fifty-three patients participated in online focus groups. One hundred sixty-one stakeholders participated in the final consensus meeting. On conclusion of the consensus meeting, 7 bowel symptoms and 7 consequences of undergoing ileoanal pouch surgery were included in the final consensus statement.
    • SETTING: Three rounds of surveys were used to select high-priority items. Survey voting was followed by a series of online patient consultation meetings used to clarify voting trends. A final online consensus meeting with representation from all 3 expert panels was held to finalize a consensus statement.
    • Conclusions: This study is the first to identify key functional outcomes after pouch surgery with direct input from a large panel of ileoanal pouch patients. The inclusion of patients in all stages of the consensus process allowed for a true patient-centered approach in defining the core domains that should be focused on in future studies of pouch function.
    • PATIENTS: Expert stakeholders were chosen to correlate with the clinical scenario of the multidisciplinary team that cares for pouch patients, including patients, colorectal surgeons, and gastroenterologists or other clinicians.
    • MAIN OUTCOME MEASURES: A consensus statement was the main outcome.
    • RESULTS: One hundred ninety-five patients, 62 colorectal surgeons, and 48 gastroenterologists or nurse specialists completed all 3 Delphi rounds. Fifty-three patients participated in online focus groups. One hundred sixty-one stakeholders participated in the final consensus meeting. On conclusion of the consensus meeting, 7 bowel symptoms and 7 consequences of undergoing ileoanal pouch surgery were included in the final consensus statement.
    • LIMITATIONS: The study was limited by online recruitment bias.
    • CONCLUSIONS: This study is the first to identify key functional outcomes after pouch surgery with direct input from a large panel of ileoanal pouch patients. The inclusion of patients in all stages of the consensus process allowed for a true patient-centered approach in defining the core domains that should be focused on in future studies of pouch function. See Video Abstract at https://links.lww.com/DCR/B571.
    Publication Date
    • 2021-07-01
    • 2021-07
  • Withdrawn
  • Updated