Qualitative interviews to identify burden of illness, impacts and costs associated with surgical site infections

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Aim: To gather qualitative data from patients on the burden, impacts and costs of surgical site infections (SSI) requiring second surgeries. Patients & methods: Fifteen adults with SSIs from spinal (n = 4), knee replacement (n = 3) or hip replacement (n = 8) surgery participated in a focus group or individual interview. Patients completed the PROMIS Physical Functioning (PF) Short Form 10A (PROMIS-PF). Results: Patients reported impacts within four primary domains: PF/activity-related; social/emotional; financial/employment; and energy/sleep. The mean PROMIS-PF score was 39.3 (standard deviation = 12.1), over one standard deviation below 50, the US norm. Conclusion: SSIs impart a broad and significant impact on patients and their families. These burdens will be important to capture when selecting patient-reported outcome measures for this patient population.

Approximately, 2–3% of all patients undergoing surgery will acquire a surgical site infection (SSI), of which approximately 50% or more occur after discharge [1]. The incidence of SSI varies among different types of surgery; the most recent 2014 data from the European Centre for Disease Control and Prevention reporting 1.1% of hip replacement surgeries, 0.6% of knee replacement surgeries and 0.7% of laminectomy (i.e., spine) surgeries will result in an SSI [2].

Find out more, read the full article in the Journal of Compartive Effectiveness Research.

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