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Loss to patient-reported outcome measure follow-up after hip arthroplasty and knee arthroplasty: patient satisfaction, associations with non-response, and maximizing returns
AIMS: The aim of this study was to determine satisfaction rates after hip and knee arthroplasty in patients who did not respond to postoperative patient-reported outcome measures (PROMs), characteristics of non-responders, and contact preferences to maximize response rates. METHODS: A prospective co...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The British Editorial Society of Bone & Joint Surgery
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9044084/ https://www.ncbi.nlm.nih.gov/pubmed/35357243 http://dx.doi.org/10.1302/2633-1462.34.BJO-2022-0013.R1 |
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author | Ross, Lauren A. O'Rourke, Sara C. Toland, Gemma MacDonald, Deborah J. Clement, Nick D. Scott, Chloe E. H. |
author_facet | Ross, Lauren A. O'Rourke, Sara C. Toland, Gemma MacDonald, Deborah J. Clement, Nick D. Scott, Chloe E. H. |
author_sort | Ross, Lauren A. |
collection | PubMed |
description | AIMS: The aim of this study was to determine satisfaction rates after hip and knee arthroplasty in patients who did not respond to postoperative patient-reported outcome measures (PROMs), characteristics of non-responders, and contact preferences to maximize response rates. METHODS: A prospective cohort study of patients planned to undergo hip arthroplasty (n = 713) and knee arthroplasty (n = 737) at a UK university teaching hospital who had completed preoperative PROMs questionnaires, including the EuroQol five-dimension health-related quality of life score, and Oxford Hip Score (OHS) and Oxford Knee Score (OKS). Follow-up questionnaires were sent by post at one year, including satisfaction scoring. Attempts were made to contact patients who did not initially respond. Univariate, logistic regression, and receiver operator curve analysis was performed. RESULTS: At one year, 667 hip patients (93.5%) and 685 knee patients (92.9%) had undergone surgery and were alive. No response was received from 151/667 hip patients (22.6%), 83 (55.0%) of whom were ultimately contacted); or from 108/685 knee patients (15.8%), 91 (84.3%) of whom were ultimately contacted. There was no difference in satisfaction after arthroplasty between initial non-responders and responders for hips (74/81 satisfied vs 476/516 satisfied; p = 0.847) or knees (81/93 satisfied vs 470/561 satisfied; p = 0.480). Initial non-response and persistent non-response was associated with younger age, higher BMIs, and worse preoperative PROMs for both hip and knee patients (p < 0.050). Being in employment was associated with persistent non-response for hip patients (p = 0.047). Multivariate analysis demonstrated that younger age (p < 0.038), higher BMI (p = 0.018), and poorer preoperative OHS (p = 0.031) were independently associated with persistent non-response to hip PROMs. No independent associations were identified for knees. Using a threshold of > 66.4 years predicted a preference for contact by post (area under the curve 0.723 (95% confidence interval (CI) 0.647 to 0.799; p < 0.001, though this CI crosses the 0.7 limit considered reliable). CONCLUSION: The majority of initial non-responders were ultimately contactable with effort. Satisfaction rates were not inferior in patients who did not initially respond to PROMs. Cite this article: Bone Jt Open 2022;3(4):275–283. |
format | Online Article Text |
id | pubmed-9044084 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The British Editorial Society of Bone & Joint Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-90440842022-05-16 Loss to patient-reported outcome measure follow-up after hip arthroplasty and knee arthroplasty: patient satisfaction, associations with non-response, and maximizing returns Ross, Lauren A. O'Rourke, Sara C. Toland, Gemma MacDonald, Deborah J. Clement, Nick D. Scott, Chloe E. H. Bone Jt Open Arthroplasty AIMS: The aim of this study was to determine satisfaction rates after hip and knee arthroplasty in patients who did not respond to postoperative patient-reported outcome measures (PROMs), characteristics of non-responders, and contact preferences to maximize response rates. METHODS: A prospective cohort study of patients planned to undergo hip arthroplasty (n = 713) and knee arthroplasty (n = 737) at a UK university teaching hospital who had completed preoperative PROMs questionnaires, including the EuroQol five-dimension health-related quality of life score, and Oxford Hip Score (OHS) and Oxford Knee Score (OKS). Follow-up questionnaires were sent by post at one year, including satisfaction scoring. Attempts were made to contact patients who did not initially respond. Univariate, logistic regression, and receiver operator curve analysis was performed. RESULTS: At one year, 667 hip patients (93.5%) and 685 knee patients (92.9%) had undergone surgery and were alive. No response was received from 151/667 hip patients (22.6%), 83 (55.0%) of whom were ultimately contacted); or from 108/685 knee patients (15.8%), 91 (84.3%) of whom were ultimately contacted. There was no difference in satisfaction after arthroplasty between initial non-responders and responders for hips (74/81 satisfied vs 476/516 satisfied; p = 0.847) or knees (81/93 satisfied vs 470/561 satisfied; p = 0.480). Initial non-response and persistent non-response was associated with younger age, higher BMIs, and worse preoperative PROMs for both hip and knee patients (p < 0.050). Being in employment was associated with persistent non-response for hip patients (p = 0.047). Multivariate analysis demonstrated that younger age (p < 0.038), higher BMI (p = 0.018), and poorer preoperative OHS (p = 0.031) were independently associated with persistent non-response to hip PROMs. No independent associations were identified for knees. Using a threshold of > 66.4 years predicted a preference for contact by post (area under the curve 0.723 (95% confidence interval (CI) 0.647 to 0.799; p < 0.001, though this CI crosses the 0.7 limit considered reliable). CONCLUSION: The majority of initial non-responders were ultimately contactable with effort. Satisfaction rates were not inferior in patients who did not initially respond to PROMs. Cite this article: Bone Jt Open 2022;3(4):275–283. The British Editorial Society of Bone & Joint Surgery 2022-03-31 /pmc/articles/PMC9044084/ /pubmed/35357243 http://dx.doi.org/10.1302/2633-1462.34.BJO-2022-0013.R1 Text en © 2022 Author(s) et al. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Arthroplasty Ross, Lauren A. O'Rourke, Sara C. Toland, Gemma MacDonald, Deborah J. Clement, Nick D. Scott, Chloe E. H. Loss to patient-reported outcome measure follow-up after hip arthroplasty and knee arthroplasty: patient satisfaction, associations with non-response, and maximizing returns |
title | Loss to patient-reported outcome measure follow-up after hip arthroplasty and knee arthroplasty: patient satisfaction, associations with non-response, and maximizing returns |
title_full | Loss to patient-reported outcome measure follow-up after hip arthroplasty and knee arthroplasty: patient satisfaction, associations with non-response, and maximizing returns |
title_fullStr | Loss to patient-reported outcome measure follow-up after hip arthroplasty and knee arthroplasty: patient satisfaction, associations with non-response, and maximizing returns |
title_full_unstemmed | Loss to patient-reported outcome measure follow-up after hip arthroplasty and knee arthroplasty: patient satisfaction, associations with non-response, and maximizing returns |
title_short | Loss to patient-reported outcome measure follow-up after hip arthroplasty and knee arthroplasty: patient satisfaction, associations with non-response, and maximizing returns |
title_sort | loss to patient-reported outcome measure follow-up after hip arthroplasty and knee arthroplasty: patient satisfaction, associations with non-response, and maximizing returns |
topic | Arthroplasty |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9044084/ https://www.ncbi.nlm.nih.gov/pubmed/35357243 http://dx.doi.org/10.1302/2633-1462.34.BJO-2022-0013.R1 |
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