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RACS ASC 2025
Measuring What Matters: PROMs in Percutaneous Cholecystostomy Outcomes: A Western Australian Perspective
Verbal Presentation
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Verbal Presentation

4:06 pm

03 May 2025

Meeting Room C4.4

THE DAVID FLETCHER AWARD FOR CLINICAL RESEARCH IN HPB SURGERY

Disciplines

HPB Surgery

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Presentation Description

Institution: Fiona Stanley Hospital - WA, Australia

Purpose: Managing difficult gallbladders in high-risk patients often necessitates percutaneous cholecystostomy (PCT), a procedure with variable outcomes influenced by patient demographics and healthcare logistics. This study explores how the Western Australian PCT cohort differs from the CHOCOLATE study population and outlines a framework for integrating patient-reported outcome measures (PROMs) to enhance outcome evaluation. Methodology: A mixed-methods survey integrating PROMs into routine follow-up for PCT patients. Survey design utilising Qualtrics was informed by a literature review. The questionnaires assess domains such as symptom control, quality of life, and functional recovery. Data collection will occur via text messages, email reminders, and phone calls to ensure robust participation. And data collection is anonymised in a password-protected Excel sheet. This methodology addresses logistical challenges unique to geographically isolated regions. Results: Preliminary findings suggest the Western Australian cohort differs significantly from the CHOCOLATE study population, particularly in logistical constraints and case complexity. The addition of PROMs is expected to provide granular insights into recovery trajectories, patient satisfaction, and unmet needs. The data will complement clinical metrics, offering a more holistic understanding of PCT outcomes in this unique population. Conclusion: Incorporating PROMs into evaluating PCT outcomes represents a paradigm shift towards patient-centered care. By addressing gaps in current assessment frameworks, this approach will provide invaluable data for tailoring interventions, improving follow-up strategies, and shaping policies for high-risk cohorts in Western Australia and beyond.
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Authors

Dr Shabnam Islam - , Dr Oscar Aldridge -