SP1.03 Developing a PROM (Patient Reported Outcome Measure) for the British Hernia Society Registry using a modified Delphi Study

Aim The British Hernia Society (BHS) Registry collects prospective clinical and operative data combined with subjective long-term outcomes direct from the patient via a patient reported outcome measure (PROM). This presentation describes the development of a bespoke composite PROM for use in the Registry. Methods A comprehensive list of candidate outcomes was generated by detailed review of existing validated PROMS. These were reviewed iteratively by the patient representatives on the BHS board and 14 further items were generated (n=106 total candidates). A modified Delphi survey using a 9-point Likert scale to rank the importance of outcomes was undertaken. 8 patients and 14 hernia surgeons were surveyed. Items rated as high importance by more than 70% of participants were shortlisted for inclusion in the PROM. Results Seventeen items were deemed of high importance and included in the final PROM. These cover the domains: pain, activities of daily living, satisfaction with hernia repair, and satisfaction with the surgical team/consent/follow up. The final PROM was discussed with the patient representatives to ensure it was patient-focused and appropriately simple to complete. Conclusion A new and bespoke PROM for use in the BHS Registry has been designed in conjunction with patients and hernia surgeons. Patients who are entered into the Registry will also be consented to complete the PROM, which will be delivered at specific time points. After six months it will be assessed to ensure that it continues to meet the needs of both patients and clinicians.