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Does keeping patients and their health care team informed as to the progress of individual patient postoperative recovery improve patient outcome? A Postoperative Quality of Recovery Score (PostopQRS) Pilot study.

A pilot randomised controlled trial to determine group separation and the feasibility of providing real-time recovery feed-back to patients and their health-care providers to improve patient outcome at week 6 as measured by the Postoperative Quality of Recovery Score (PostopQRS).

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12618001427268
Acronym
RTR-III Pilot
Enrollment
150
Registered
2018-08-27
Start date
2018-09-03
Completion date
2019-06-03
Last updated
2018-09-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Engaging patients in their own recovery after surgery is gaining momentum. A pilot study revealed that participants that received real-time recovery feedback (as a method of patient engagement) had better overall recovery at six weeks after surgery. Health-care providers must also kept informed of each individual patient’s recovery journey, as this alerts them to the patient with suboptimal recovery at the time that it is occurring, which may ultimately improve patient recovery in addition to what occurs when patients alone are informed. We will conduct a pilot trial investigating whether keeping both patients and their treating teams updated as to each patient’s recovery improve ultimate patient outcome. Recovery will be measured by the Postoperative Quality of Recovery Score (PostopQRS). Patients will be randomised to either receive no real-time feedback on their recovery assessment, or for there to be feedback to both patient and their treating health care team. This trial will determine the feasibility of providing both patients and their health teams with recovery data at the time of assessment, and will form the basis of a larger trial assessing the impact of each on the quality of a patient’s recovery journey.

Interventions

Common management principles for all study participants In keeping with a pragmatic trial design, this clinical trial does not specify any aspect of clinical management for the enrolled patients. Perioperative management (surgical type, anaesthesia and ward management) is to be determined by the treating surgeons, anaesthetists and ward staff. All participants will complete a postoperative recovery assessment questionnaire (the PostopQRS) prior to surgery (within 14 days to determine each patien

Common management principles for all study participants In keeping with a pragmatic trial design, this clinical trial does not specify any aspect of clinical management for the enrolled patients. Perioperative management (surgical type, anaesthesia and ward management) is to be determined by the treating surgeons, anaesthetists and ward staff. All participants will complete a postoperative recovery assessment questionnaire (the PostopQRS) prior to surgery (within 14 days to determine each patient's baseline function), and then one, three and seven days, two and six weeks after surgery. Further longer-term follow up will occur at three months after surgery to identify if the effects of the intervention persists beyond the intervention period. The researcher at each site will conduct the PostopQRS with the participant and provide feedback on recovery as described below according to allocation. At the conclusion of the PostopQRS survery but prior to feedback to the patient as to their performance, each patient will complete the sleep survery (PROMIS Sleep Deprivation Short Form 8b). Arm 2: Intervention Group: Real-time feedback to the participant and the healthcare team At the end of each PostopQRS assessment, both the participant and the nominated member of the treating medical team will be informed as to how each patient performed, compared to each preoperative baseline. This will be the surgical consultant or fellow responsible for the surgery. After hospital discharge, the participants general practitioner will also receive the feedback.

Sponsors

Melbourne Health
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Adult participants undergoing major elective surgery -Modified Johns Hopkins scale >2 AND greater than two hours duration, Sufficient English to complete the PostopQRS. Surgery type - include abdominal, thoracic, joint replacement and cancer surgery

Exclusion criteria

Cardiac surgery or cranial neurosurgery. Dementia, intellectual disability or Anticipation of patient death within six weeks of index surgery.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026