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Orientador(es)
Resumo(s)
RESUMO - Introdução: Durante muito tempo os sistemas de saúde não consideraram a perceção dos utentes sobre os resultados em saúde. Para analisar o impacto da cirurgia do ombro é necessário complementar os resultados tradicionais com os relatos dos utentes. O objetivo deste estudo foi avaliar os resultados em saúde da cirurgia do ombro em termos de qualidade de vida, perceção de saúde, dor e funcionalidade.
Metodologia: Foi realizado um estudo quantitativo, de coorte retrospetivo, com avaliação telefónica dos períodos pré e pós-operatórios. Foram utilizados dados clínicos, o EQ-5Q-5D e o Score ASES. Foi caracterizada a população (n=116) de utentes operados ao ombro em 2024 numa Unidade Local de Saúde em Portugal. Os relatos foram recolhidos telefonicamente (n=27). Realizou-se uma análise descritiva e inferencial da amostra para detetar relações estatisticamente significativas.
Resultados: A qualidade de vida relacionada com a saúde teve uma variação média positiva de 0,38 (DP 0,27). A perceção de saúde teve uma melhoria média de 15,7% (DP 16,49). A dor teve uma redução média de 5,04 unidades (DP=3,92). A função teve uma melhoria média de 15,18 unidades (DP 9,34). O Score ASES melhorou uma média de 52,35% (DP=32,73). Não foram detetadas relações estatisticamente significativas entre variáveis.
Conclusão: Verificaram-se melhorias clinicamente relevantes nos desfechos avaliados, independentemente das condições sociodemográficas ou clínicas. Tais resultados revelam o impacto positivo da cirurgia do ombro, o que demonstra a importância de integrar PROMs na prática clínica e na atividade do administrador hospitalar.
ABSTRACT - Introduction: For a long time, healthcare systems have not considered users' perceptions of health outcomes. To analyse the impact of shoulder surgery, traditional outcomes must be complemented with user reports. The object of this study was to evaluate the health outcomes of shoulder surgery in terms of quality of life, health perception, pain, and functionality. Methods: A quantitative, retrospective cohort study was carried out, with telephonic assessment of the pre- and post-operative periods. Clinical data, EQ-5Q-5D and ASES score were used. The population (n=116) of patients who underwent shoulder surgery in 2024 at a Local Health Unit in Portugal was represented. Reports were collected by means of telephone interviews (n=27). A descriptive and inferential analysis of the sample was performed to detect statistically significant relationships. Results: Health-related quality of life had a positive average variation of 0.38 (SD 0.27). Health perception improved by an average of 15.7% (SD 16.49). Pain decreased by an average of 5.04 units (SD=3.92). Function improved by an average of 15.18 units (SD 9.34). The ASES score improved by an average of 52.35% (SD=32.73). No statistically significant relationships between variables were detected. Conclusion: Clinically relevant improvements were observed in the outcomes assessed, regardless of socio-demographic or clinical conditions. Such results demonstrate the positive impact of shoulder surgery, highlighting the importance of integrating PROMs into clinical practice and hospital management practices.
ABSTRACT - Introduction: For a long time, healthcare systems have not considered users' perceptions of health outcomes. To analyse the impact of shoulder surgery, traditional outcomes must be complemented with user reports. The object of this study was to evaluate the health outcomes of shoulder surgery in terms of quality of life, health perception, pain, and functionality. Methods: A quantitative, retrospective cohort study was carried out, with telephonic assessment of the pre- and post-operative periods. Clinical data, EQ-5Q-5D and ASES score were used. The population (n=116) of patients who underwent shoulder surgery in 2024 at a Local Health Unit in Portugal was represented. Reports were collected by means of telephone interviews (n=27). A descriptive and inferential analysis of the sample was performed to detect statistically significant relationships. Results: Health-related quality of life had a positive average variation of 0.38 (SD 0.27). Health perception improved by an average of 15.7% (SD 16.49). Pain decreased by an average of 5.04 units (SD=3.92). Function improved by an average of 15.18 units (SD 9.34). The ASES score improved by an average of 52.35% (SD=32.73). No statistically significant relationships between variables were detected. Conclusion: Clinically relevant improvements were observed in the outcomes assessed, regardless of socio-demographic or clinical conditions. Such results demonstrate the positive impact of shoulder surgery, highlighting the importance of integrating PROMs into clinical practice and hospital management practices.
Descrição
Palavras-chave
Avaliação de Resultados da Assistência ao Paciente Medidas de Resultados Relatados pelo Paciente Cirurgia do ombro Administração Hospitalar Cuidados de Saúde Baseados em Valores Patient outcome assessment Patient Reported Outcome Measures Shoulder surgery Hospital Administration Value-Based Health Care
Contexto Educativo
Citação
Editora
Universidade Nova de Lisboa, Escola Nacional de Saúde Pública