ArticleThe British journal of surgery2025
Development of a patient-reported outcome measure for gastrointestinal recovery after surgery (PRO-diGI).
Article in The British journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Safety and efficacy of gastrointestinal motility agents following elective colorectal surgery: a systematic review and meta-analysis of randomised controlled trials.International journal of colorectal disease · 2025Pooled it
- Adhesive small bowel obstruction in the virgin abdomen: comparable phenotype, divergent management.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Defining Recovery After Gastrectomy: Insights from Longitudinally Collected Patient-Reported Outcomes.Annals of surgical oncology · 2026Article
- A conceptual roadmap towards precision emergency surgery in adhesional small bowel obstruction.The British journal of surgery · 2026Article
- Impact of surgery and complications on GI recovery after SBO: Insights from the SnapSBO cohort.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- Dogma, data, and decision-making: a history of treatment for small-bowel obstruction.World journal of emergency surgery : WJES · 2026Review
- Management and outcome variability in hernia-related small bowel obstruction: insights from the SnapSBO study.BJS open · 2025Observational
- Management and outcome variability in hernia-related small bowel obstruction: insights from the SnapSBO study.BJS open · 2025Observational
- SBO ACTION: conservative Small Bowel Obstruction management in the Absence of standard ConTrast agents ON outcomes.The British journal of surgery · 2025Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundAfter major abdominal surgery, patients may experience significant gastrointestinal dysfunction, including postoperative ileus. Many clinical tools are used to measure this dysfunction, but there is no patient-reported outcome measure (PROM) specific to this group. The aim of this study was to develop a new PROM for this common condition.
methodsA four-stage approach was undertaken. Stage 1 used semi-structured interviews with 29 patients to explore experiences of gastrointestinal recovery and develop a draft questionnaire. Stage 2 solicited feedback from 18 patients and 15 clinical experts on the face validity of the proposed tool using the Questionnaire on Questionnaires (QQ-10). Stage 3 recruited 297 patients to complete the questionnaire. Principal component analysis reduced the items and identified the domain structure. Test-retest reliability and a pilot assessment of responsiveness were assessed in stage 4 in a sample of 100 patients and in a sample of 68 patients respectively.
resultsThe interviews generated 26 subthemes across gastrointestinal recovery and general well-being. An initial questionnaire containing 44 items was developed. The QQ-10 demonstrated high value and low burden, supporting face validity. Tests to reduce the items and identify the domain structure resulted in a 15-item questionnaire across four domains (nausea, eating, well-being, and bowels). Test-retest reliability showed intraclass correlation coefficient values ≥0.7 for all domains. Pilot responsiveness was demonstrated through differences in pre- and post-surgical scores.
conclusionPRO-diGI is a PROM for gastrointestinal dysfunction after major abdominal surgery that shows good psychometric properties and demonstrates face validity, reliability, and responsiveness. This now needs external validation to facilitate broader implementation.
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