Predictors of Low Patient-Reported Outcomes Response Rates in the California Joint Replacement Registry
Section snippets
Material and Methods
The population for this prospective, observational study included 6861 patients enrolled in a statewide registry (CJRR) between 2011 and 2014; 7 TJA patients with malignant neoplasms or pathological fracture were excluded from the study population. The CJRR consists of 71 surgeons from 13 different hospitals within California. Preoperative, 3-month and 1-year postoperative PROMs were administered and collected by physician offices as long as the implant remained in place. The PROM protocol
Results
The bi-variable analysis indicated that patient age, race, ASA class, several preoperative comorbidities (i.e. immunocompromised status, obesity, hypertension, history of myocardial infarction and venous thromboembolism, and coronary artery disease), type of surgery (TKA vs. THA), and surgeon’s TJA volume were significantly associated with lower PROM completion rates at preoperative and follow-ups time points (Table 1, P < 0.05). In addition, patient discharge disposition, postoperative
Discussion
Our study has four major findings: (1) The multivariable logistic regression models identified patient and provider factors with strong predictive power for PROM completion preoperatively and at 3-months and 1-year post-operatively. Lower PROM completion rates in CJRR were associated with specific patient demographic and clinical conditions. (2) Preoperative PROM completion was the most important predictive factor for both short-term (3-month) and longer-term (1-year) PROM completion, and the
Acknowledgements
We appreciate the help in manuscript preparation by Kate Chenok.
References (15)
- et al.
Barriers to completion of patient reported outcome measures
J Arthroplasty
(2013) - et al.
Registries collecting level-I through IV data: Institutional and multicenter use
J Bone Joint Surg Am
(2014) - et al.
Education attainment is associated with patient-reported outcomes: Findings from the Swedish Hip Arthroplasty Register
Clin Orthop Relat Res
(2014) - et al.
Health-related quality of life after knee replacement
J Bone Joint Surg Am
(1998) - et al.
Advances in orthopaedic outcomes research
J Surg Orthop Adv
(2008) - et al.
Joint registry update- Joint replacement registries in the United States: A new paradigm
J Bone Joint Surg Am
(2014) Patient-Centered Outcomes Research Institute
Cited by (31)
Factors associated with completion of patient surveys 1 year after bariatric surgery
2021, Surgery for Obesity and Related DiseasesPreparing for an Era of Episode-Based Care in Total Joint Arthroplasty
2021, Journal of Arthroplasty
One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work. For full disclosure statements refer to http://dx.doi.org/10.1016/j.arth.2015.06.029.