Yonkus JA, Thiels CA, Skaran P, et al. - As patient reported outcomes (PROs) capture perioperative fatigue, pain, and quality of life and affect outcomes in gastrointestinal surgery, researchers here compared patients undergoing colorectal operations for neoplastic vs non-neoplastic processes for peri-operative PROs. They prospectively enrolled 192 patients undergoing colectomy (median age: 54 years; 44% female); among these, 88 (46%) underwent colectomy for neoplasia. Diagnosis was identified influencing peri-operative PROs in patients undergoing colorectal surgery. Pre-operatively, significantly more pain, fatigue, and QOL deficits were reported among non-neoplasia patients vs neoplasia patients. Observations suggest a positive predictive value of early severe pain and fatigue for complications.

• Patient reported outcomes can be used in peri-operative settings to guide care teams.

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  Patient reported outcomes vary based on indication for surgery.

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  Patient reported outcomes assist in predicting complications.