MDASI Hepatectomy Perioperative Symptoms Module
The MD Anderson Symptom Inventory for measuring perioperative symptoms in patients undergoing hepatectomy for liver malignancy (MDASI-PeriOp-Hep) is a disease- and treatment-specific MDASI module. Use the MDASI-PeriOp-Hep to assess the severity of symptoms experienced by patients undergoing hepatectomy for liver cancer and the interference with daily living caused by these symptoms.
Along with the core MDASI¡¯s 13 symptom items and 6 interference items, the MDASI-PeriOp-Hep also assesses 5 symptoms relevant to hepatectomy perioperative care.
| Core MDASI Symptom Items | Hepatectomy Perioperative Symptom Items | MDASI Interference Items |
|---|---|---|
| Pain | Incisional tightness | Relations with other people |
| Fatigue | Constipation | Enjoyment of life |
| Nausea | Muscle weakness, instability, or vertigo | Mood |
| Disturbed sleep | Abdominal cramping | Walking |
| Distress (feeling upset) | Abdominal boating, tightness, or fullness | Activity |
| Shortness of breath | Work (including housework) | |
| Difficulty remembering | ||
| Lack of appetite | ||
| Drowsiness | ||
| Dry mouth | ||
| Sadness | ||
| Vomiting | ||
| Numbness/tingling |
MDASI-PeriOp-Hep Features
- Purpose: To assess the severity of multiple perioperative symptoms in patients undergoing hepatectomy for liver malignancy and the impact of these symptoms on daily functioning
- Population: Patients with symptoms caused by hepatectomy for liver malignancy
- Assessment areas: Severity of multiple symptoms and the impact of symptoms on daily functioning during the last 24 hours
- Method: Self-report or interview with research staff; paper-and-pencil or electronic data entry
- Time required: Five minutes or less
- Scoring: Please see the MDASI User Guide
- Reliability: Cronbach alpha reliability ranges from 0.86 to 0.90
View the MDASI-PeriOp-Hep (click to enlarge)
MDASI-PeriOp-Hep Language Translations
Don't see a language you need? Contact us at symptomresearch@mdanderson.org.
| Psychometrically and Linguistically Validated | Linguistically Validated |
|---|---|
| English |
MDASI User Guide
In response to the for the pharmaceutical industry on the use of patient-reported outcomes measures in medical product development to support labeling claims, we have prepared a MDASI User Guide to document the development and psychometric properties of the MDASI and its modules, including the MDASI-AML/MDS. The User Guide addresses the recommendations in the FDA guidance and establishes the MDASI's adequacy as a measure to support medical product claims.
Request a copy of the MDASI User Guide.
Selected MDASI-PeriOp-Hep References
Validation
Wang XS, Shi Q, Williams LA, et al. Eur J Oncol Nurs 52:101959, 2021.
Cleeland CS, Mendoza TR, Wang XS, et al. Cancer 89:1634-1646, 2000.
Clinical Application
Zhang X, Zhang H, Zhang Z, et al. Patient Prefer Adherence 17:3033-3043, 2023.
Lillemoe HA, Marcus RK, Kim BJ, et al. Ann Surg Oncol 26(13):4548-4555, 2019.
Order the MDASI-PeriOp-Hep
Use our convenient online form to order the MDASI-PeriOp-Hep for use in your clinical research, clinical practice, funded and non-funded academic research, commercial research, or reproduction in educational materials or other publications.
Did You Know?
Electronic data capture offers several benefits:
- Allows symptom monitoring when the patient is away from the hospital
- Is convenient for patients, who can choose web access, personalized patient portals, or smartphones to access questionnaires
- Minimizes missing data, especially in longitudinal studies
- Provides accurate, real-time symptom data at expected time points
- Generates immediate feedback, potentially allowing caregivers to address severe symptoms more effectively
The MDASI-PeriOp-Hep is a valid, reliable, concise tool for measuring symptom severity and functional interference in patients undergoing liver surgery. Having a procedure-specific tool like the MDASI-PeriOp-Hep is desirable when integrating patient-reported outcomes in perioperative patient care.
Vijaya Gottumukkala, M.D.
Professor, Anesthesiology & Perioperative Medicine
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