Publications by authors named "A L Geissler"

Background: Public reporting is crucial to enhance transparency, accountability, and informed provider choice. Therefore, providing accessible and reliable information on provider performance and activities is key for all healthcare areas and the utilization of information by patients, providers and related audiences.

Objective: This study provides an extensive analysis of public reporting websites across nine high income countries, focusing on five healthcare areas, and aims to understand how these websites support patients in making informed choices about healthcare providers.

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Article Synopsis
  • The study focuses on calculating minimal important changes (MICs) for the EQ-5D-3L index score improvements after hip and knee replacements, using a large dataset to assess patient-reported outcome measures.
  • A retrospective analysis of data from over 500,000 surgeries revealed that MICs varied based on patient characteristics like pre-operative health status, depression, and sex.
  • Results indicated that patients with worse pre-operative scores needed larger MICs to notice improvement, with knee replacement patients generally requiring smaller MICs than those undergoing hip replacements.
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Background: While the effectiveness of patient-reported outcome measures (PROMs) as an intervention to impact patient pathways has been established for cancer care, it is unknown for other indications. We assessed the cost-effectiveness of a PROM-based monitoring and alert intervention for early detection of critical recovery paths following hip and knee replacement.

Methods And Findings: The cost-effectiveness analysis (CEA) is based on a multicentre randomised controlled trial encompassing 3,697 patients with hip replacement and 3,110 patients with knee replacement enrolled from 2019 to 2020 in 9 German hospitals.

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Background: Radical prostatectomies can be performed using open retropubic, laparoscopic, or robot-assisted laparoscopic surgery. The literature shows that short-term outcomes (in particular, inpatient complications) differ depending on the type of procedure. To date, these differences have only been examined and confirmed in isolated cases based on national routine data.

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Background: A clinical dashboard is a data-driven clinical decision support tool visualizing multiple key performance indicators in a single report while minimizing time and effort for data gathering. Studies have shown that including patient-reported outcome measures (PROMs) in clinical dashboards supports the clinician's understanding of how treatments impact patients' health status, helps identify changes in health-related quality of life at an early stage, and strengthens patient-physician communication.

Objective: This study aims to determine design components for clinical dashboards incorporating PROMs to inform software producers and users (ie, physicians).

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