Young or Old Age and Non-White Race Are Associated With Poor Patient-Reported Outcome Measure Response Compliance After Orthopaedic Surgery
Purpose: To investigate orthopaedic patient compliance with patient-reported outcome measures (PROMs) and identify factors that improve response rates. Methods: Our search strategy comprised a combination of key words and database-specific subject headings for the concepts of orthopaedic surgical pr...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
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| Series: | Arthroscopy, Sports Medicine, and Rehabilitation |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666061X23001682 |
| _version_ | 1797389437868441600 |
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| author | Benjamin Levens, M.D. Brian Sangwook Kim, B.S. Nicholas Aksu, B.S. C. Scott Dorris, M.L.I.S. Steven Svoboda, M.D., Col. (Ret.) Wiemi Douoguih, M.D. James Dreese, M.D. |
| author_facet | Benjamin Levens, M.D. Brian Sangwook Kim, B.S. Nicholas Aksu, B.S. C. Scott Dorris, M.L.I.S. Steven Svoboda, M.D., Col. (Ret.) Wiemi Douoguih, M.D. James Dreese, M.D. |
| author_sort | Benjamin Levens, M.D. |
| collection | DOAJ |
| description | Purpose: To investigate orthopaedic patient compliance with patient-reported outcome measures (PROMs) and identify factors that improve response rates. Methods: Our search strategy comprised a combination of key words and database-specific subject headings for the concepts of orthopaedic surgical procedures, compliance, and PROMs from several research databases from inception to October 11, 2022. Duplicates were removed. A total of 97 studies were included. A table was created for the remaining articles to be appraised and analyzed. The collected data included study characteristics, follow-up/compliance rate, factors that increase/decrease compliance, and type of PROM. Follow-up/compliance rate was determined to be any reported response rate. The range and average used for analysis was based on the highest or lowest number reported in the specific article. Results: The range of compliance reported was 11.3% to 100%. The overall response rate was 68.6%. The average baseline (preoperative/previsit) response rate was 76.6%. Most studies (77%) had greater than 50% compliance. Intervention/reminder of any type (most commonly phone call or mail) resulted in improved compliance from 44.6% to 70.6%. Young and elderly non-White male patients had the lowest compliance rate. When directly compared, phone call (71.5%) resulted in a greater compliance rate than electronic-based (53.2%) or paper-based (57.6%) surveys. Conclusions: The response rates for PROMs vary across the orthopaedic literature. Patient-specific factors, such as age (young or old) and race (non-White), may contribute to poor PROM response rate. Reminders and interventions significantly improve PROM response rates. Clinical Relevance: PROMs are important tools in many aspects of medicine. The data generated from these tools not only provide information about individual patient outcomes but also make hypothesis-driven comparisons possible. Understanding the factors that affect patient compliance with PROMs is vital to our accurate understanding of patient outcomes and the overall advancement of medical care. |
| first_indexed | 2024-03-08T22:56:56Z |
| format | Article |
| id | doaj.art-d007d1a9debe4cfb99a1b72cb36c309f |
| institution | Directory Open Access Journal |
| issn | 2666-061X |
| language | English |
| last_indexed | 2024-03-08T22:56:56Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy, Sports Medicine, and Rehabilitation |
| spelling | doaj.art-d007d1a9debe4cfb99a1b72cb36c309f2023-12-16T06:09:07ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2023-12-0156100817Young or Old Age and Non-White Race Are Associated With Poor Patient-Reported Outcome Measure Response Compliance After Orthopaedic SurgeryBenjamin Levens, M.D.0Brian Sangwook Kim, B.S.1Nicholas Aksu, B.S.2C. Scott Dorris, M.L.I.S.3Steven Svoboda, M.D., Col. (Ret.)4Wiemi Douoguih, M.D.5James Dreese, M.D.6Medstar Union Memorial Hospital, Baltimore, Maryland, U.S.A.; Address correspondence to Benjamin Levens, M.D., 201 E University Pkwy, JPB 400, Baltimore, MD 21218.Georgetown University, Washington, DC, U.S.A.Georgetown University, Washington, DC, U.S.A.Georgetown University, Washington, DC, U.S.A.Medstar Health at Lafayette Centre, Washington, DC, U.S.A.Medstar Health at Lafayette Centre, Washington, DC, U.S.A.Medstar Union Memorial Hospital, Baltimore, Maryland, U.S.A.Purpose: To investigate orthopaedic patient compliance with patient-reported outcome measures (PROMs) and identify factors that improve response rates. Methods: Our search strategy comprised a combination of key words and database-specific subject headings for the concepts of orthopaedic surgical procedures, compliance, and PROMs from several research databases from inception to October 11, 2022. Duplicates were removed. A total of 97 studies were included. A table was created for the remaining articles to be appraised and analyzed. The collected data included study characteristics, follow-up/compliance rate, factors that increase/decrease compliance, and type of PROM. Follow-up/compliance rate was determined to be any reported response rate. The range and average used for analysis was based on the highest or lowest number reported in the specific article. Results: The range of compliance reported was 11.3% to 100%. The overall response rate was 68.6%. The average baseline (preoperative/previsit) response rate was 76.6%. Most studies (77%) had greater than 50% compliance. Intervention/reminder of any type (most commonly phone call or mail) resulted in improved compliance from 44.6% to 70.6%. Young and elderly non-White male patients had the lowest compliance rate. When directly compared, phone call (71.5%) resulted in a greater compliance rate than electronic-based (53.2%) or paper-based (57.6%) surveys. Conclusions: The response rates for PROMs vary across the orthopaedic literature. Patient-specific factors, such as age (young or old) and race (non-White), may contribute to poor PROM response rate. Reminders and interventions significantly improve PROM response rates. Clinical Relevance: PROMs are important tools in many aspects of medicine. The data generated from these tools not only provide information about individual patient outcomes but also make hypothesis-driven comparisons possible. Understanding the factors that affect patient compliance with PROMs is vital to our accurate understanding of patient outcomes and the overall advancement of medical care.http://www.sciencedirect.com/science/article/pii/S2666061X23001682 |
| spellingShingle | Benjamin Levens, M.D. Brian Sangwook Kim, B.S. Nicholas Aksu, B.S. C. Scott Dorris, M.L.I.S. Steven Svoboda, M.D., Col. (Ret.) Wiemi Douoguih, M.D. James Dreese, M.D. Young or Old Age and Non-White Race Are Associated With Poor Patient-Reported Outcome Measure Response Compliance After Orthopaedic Surgery Arthroscopy, Sports Medicine, and Rehabilitation |
| title | Young or Old Age and Non-White Race Are Associated With Poor Patient-Reported Outcome Measure Response Compliance After Orthopaedic Surgery |
| title_full | Young or Old Age and Non-White Race Are Associated With Poor Patient-Reported Outcome Measure Response Compliance After Orthopaedic Surgery |
| title_fullStr | Young or Old Age and Non-White Race Are Associated With Poor Patient-Reported Outcome Measure Response Compliance After Orthopaedic Surgery |
| title_full_unstemmed | Young or Old Age and Non-White Race Are Associated With Poor Patient-Reported Outcome Measure Response Compliance After Orthopaedic Surgery |
| title_short | Young or Old Age and Non-White Race Are Associated With Poor Patient-Reported Outcome Measure Response Compliance After Orthopaedic Surgery |
| title_sort | young or old age and non white race are associated with poor patient reported outcome measure response compliance after orthopaedic surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2666061X23001682 |
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