Analysis of factors associated with patient-reported outcome (PRO) score completion rate one year after shoulder surgeries
Background: Patient-reported outcome measurements (PROMs) are important metrics for monitoring improvements following shoulder surgery. Despite the easy accessibility of electronic PROM surveys, completion rates vary, and factors predictive of survey completion for patients enrolled in medical surve...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638323002220 |
| _version_ | 1797345909734899712 |
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| author | Paul V. Romeo, BS Aidan G. Papalia, BS Matthew G. Alben, BS Luilly Vargas, MD Joseph D. Zuckerman, MD Mandeep S. Virk, MD |
| author_facet | Paul V. Romeo, BS Aidan G. Papalia, BS Matthew G. Alben, BS Luilly Vargas, MD Joseph D. Zuckerman, MD Mandeep S. Virk, MD |
| author_sort | Paul V. Romeo, BS |
| collection | DOAJ |
| description | Background: Patient-reported outcome measurements (PROMs) are important metrics for monitoring improvements following shoulder surgery. Despite the easy accessibility of electronic PROM surveys, completion rates vary, and factors predictive of survey completion for patients enrolled in medical survey follow-up after shoulder surgery remain largely unknown. The purpose of this study is to investigate survey completion rates for common shoulder procedures and identify factors predictive of PROM completion at one-year postoperatively. We hypothesize that the response rate to shoulder PROMs may vary by the shoulder procedure type after surgery. Methods: Patients undergoing total shoulder arthroplasty (TSA), rotator cuff repair (RCR), and instability surgery (Latarjet procedure [LP], and arthroscopic Bankart repair [ABR]) from 2019 to 2021 were prospectively enrolled. Each patient was administered PROM surveys via email preoperatively and at 2-weeks, 6-weeks, 3-months, 6-months, and 12-months following surgery. Demographics and socioeconomic characteristics were collected from our institutional database. The primary outcome studied was survey completion rate by procedure. Multivariable logistic regression was performed to identify factors predictive of completing 12-month follow-up. Results: A total of 514 (251 TSA, 194 RCR, and 69 instability surgery (35 LP, 34 ABR)) patients with an average age of 58 ± 15 years were included in this study. Overall, the 12-month survey completion rate for all procedures was 57.2%. TSA had the highest completion rate (64.9%), followed by RCR (52.1%), ABR (44.2%), and LP (42.9%). ABR and LP demonstrated more than a 50% drop in survey response at 2 weeks, and the RCR cohort demonstrated an increased attrition in survey response at the 6-month mark. Patients who completed the 12-month follow-up survey were older [61 ± 14 vs. 54 ± 17; P < .001], less frequently self-identified as Hispanic [13% vs. 23%; P = .009], less frequently single [32% vs. 44%; P = .008], and most frequently classified as the American Society of Anesthesiology [ASA] score II [65%, P = .001]. Conclusion: Postoperative PROM survey completion rates vary significantly among commonly performed shoulder procedures during the first year after surgery. Hispanic ethnicity and younger age were all predictive of a lower propensity, and the TSA procedure is predictive of higher odds for PROM survey completion at the 12-month follow-up. |
| first_indexed | 2024-03-08T11:24:36Z |
| format | Article |
| id | doaj.art-488edf8b1b2d4d4eafc78746b0d75094 |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-03-08T11:24:36Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj.art-488edf8b1b2d4d4eafc78746b0d750942024-01-26T05:35:18ZengElsevierJSES International2666-63832024-01-0181204211Analysis of factors associated with patient-reported outcome (PRO) score completion rate one year after shoulder surgeriesPaul V. Romeo, BS0Aidan G. Papalia, BS1Matthew G. Alben, BS2Luilly Vargas, MD3Joseph D. Zuckerman, MD4Mandeep S. Virk, MD5Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USADivision of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USADivision of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USADivision of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USADivision of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USACorresponding author: Mandeep S. Virk, MD, Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, 246 East 20th Street, New York, NY 10003, USA.; Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USABackground: Patient-reported outcome measurements (PROMs) are important metrics for monitoring improvements following shoulder surgery. Despite the easy accessibility of electronic PROM surveys, completion rates vary, and factors predictive of survey completion for patients enrolled in medical survey follow-up after shoulder surgery remain largely unknown. The purpose of this study is to investigate survey completion rates for common shoulder procedures and identify factors predictive of PROM completion at one-year postoperatively. We hypothesize that the response rate to shoulder PROMs may vary by the shoulder procedure type after surgery. Methods: Patients undergoing total shoulder arthroplasty (TSA), rotator cuff repair (RCR), and instability surgery (Latarjet procedure [LP], and arthroscopic Bankart repair [ABR]) from 2019 to 2021 were prospectively enrolled. Each patient was administered PROM surveys via email preoperatively and at 2-weeks, 6-weeks, 3-months, 6-months, and 12-months following surgery. Demographics and socioeconomic characteristics were collected from our institutional database. The primary outcome studied was survey completion rate by procedure. Multivariable logistic regression was performed to identify factors predictive of completing 12-month follow-up. Results: A total of 514 (251 TSA, 194 RCR, and 69 instability surgery (35 LP, 34 ABR)) patients with an average age of 58 ± 15 years were included in this study. Overall, the 12-month survey completion rate for all procedures was 57.2%. TSA had the highest completion rate (64.9%), followed by RCR (52.1%), ABR (44.2%), and LP (42.9%). ABR and LP demonstrated more than a 50% drop in survey response at 2 weeks, and the RCR cohort demonstrated an increased attrition in survey response at the 6-month mark. Patients who completed the 12-month follow-up survey were older [61 ± 14 vs. 54 ± 17; P < .001], less frequently self-identified as Hispanic [13% vs. 23%; P = .009], less frequently single [32% vs. 44%; P = .008], and most frequently classified as the American Society of Anesthesiology [ASA] score II [65%, P = .001]. Conclusion: Postoperative PROM survey completion rates vary significantly among commonly performed shoulder procedures during the first year after surgery. Hispanic ethnicity and younger age were all predictive of a lower propensity, and the TSA procedure is predictive of higher odds for PROM survey completion at the 12-month follow-up.http://www.sciencedirect.com/science/article/pii/S2666638323002220Response rateSurvey completionNonresponse biasPatient-reported outcomesSurvey responsivenessPatient follow-up |
| spellingShingle | Paul V. Romeo, BS Aidan G. Papalia, BS Matthew G. Alben, BS Luilly Vargas, MD Joseph D. Zuckerman, MD Mandeep S. Virk, MD Analysis of factors associated with patient-reported outcome (PRO) score completion rate one year after shoulder surgeries JSES International Response rate Survey completion Nonresponse bias Patient-reported outcomes Survey responsiveness Patient follow-up |
| title | Analysis of factors associated with patient-reported outcome (PRO) score completion rate one year after shoulder surgeries |
| title_full | Analysis of factors associated with patient-reported outcome (PRO) score completion rate one year after shoulder surgeries |
| title_fullStr | Analysis of factors associated with patient-reported outcome (PRO) score completion rate one year after shoulder surgeries |
| title_full_unstemmed | Analysis of factors associated with patient-reported outcome (PRO) score completion rate one year after shoulder surgeries |
| title_short | Analysis of factors associated with patient-reported outcome (PRO) score completion rate one year after shoulder surgeries |
| title_sort | analysis of factors associated with patient reported outcome pro score completion rate one year after shoulder surgeries |
| topic | Response rate Survey completion Nonresponse bias Patient-reported outcomes Survey responsiveness Patient follow-up |
| url | http://www.sciencedirect.com/science/article/pii/S2666638323002220 |
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