Implementing a Scientifically Valid, Cost-Effective, and Scalable Data Collection System at Point of Care

Cleveland, Ome; Piuzzi, Nicolás S.; Strnad, Greg; Brooks, Peter J.; Hettrich, Carolyn M.; Higuera-Rueda, Carlos A.; Iannotti, Joseph P.; Kattan, Michael W.; Molloy, Robert; Lynch, T. Sean; Milinovich, Alex; Ricchetti, Eric T.; Rosneck, James; Schickendantz, Mark S.; Spindler, Kurt P.

doi:10.2106/jbjs.18.00767

Cited by 94 publications

(29 citation statements)

References 18 publications

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“…In addition, mortality and patient-reported outcome measures are recorded up to one year postoperatively. These parameters are collected using Research Electronic Data Capture (REDCap) software [18].…”

Section: Study Populationmentioning

confidence: 99%

Neighborhood Socioeconomic Disadvantages Associated With Prolonged Lengths of Stay, Nonhome Discharges, and 90-Day Readmissions After Total Knee Arthroplasty

Khlopas

Grits

Sax

et al. 2022

The Journal of Arthroplasty

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Section: Study Populationmentioning

confidence: 99%

Neighborhood Socioeconomic Disadvantages Associated With Prolonged Lengths of Stay, Nonhome Discharges, and 90-Day Readmissions After Total Knee Arthroplasty

Khlopas

Grits

Sax

et al. 2022

The Journal of Arthroplasty

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“…Patients completed a health assessment utilizing branching logic on the day of surgery and at least 1 year postoperatively through OrthoMiDaS Episode of Care (OME), our department’s prospective outcomes collection system. 4 Data were stored in a REDCap database (Vanderbilt University). For patients undergoing shoulder surgery, the baseline assessment included 3 validated PROMs: the PSS, SANE, and ASES questionnaire.…”

Section: Methodsmentioning

confidence: 99%

What Are the Predictors of Poor Patient-Reported Outcomes After Shoulder Instability Surgery?

Bayomy

Schickendantz

Briskin

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Prospectively collected responses to Patient Acceptable Symptom State (PASS) questions after shoulder instability surgery are limited. Responses to these outcome measures are imperative to understanding their clinical utility. Purpose/Hypothesis: The purpose of this study was to evaluate which factors predict unfavorable patient-reported outcomes after shoulder instability surgery, including “no” to the PASS question. We hypothesized that poor outcomes would be associated with male adolescents, bone loss, combined labral tears, and articular cartilage injuries. Study Design: Cohort study; Level of evidence, 2. Methods: Patients aged ≥13 years undergoing shoulder instability surgery were included in point-of-care data collection at a single institution across 12 surgeons between 2015 and 2017. Patients with anterior-inferior labral tears were included, and those with previous ipsilateral shoulder surgery were excluded. Demographics, American Shoulder and Elbow Surgeons (ASES) and Single Assessment Numeric Evaluation (SANE) scores, and surgical findings were obtained at baseline. ASES and SANE scores, PASS responses, and early revision surgery rates were obtained at a minimum of 1 year after the surgical intervention. Regression analyses were performed. Results: A total of 234 patients met inclusion criteria, of which 176 completed follow-up responses (75.2%). Nonresponders had a younger age, greater frequency of glenoid bone loss, fewer combined tears, and more articular cartilage injuries ( P < .05). Responders’ mean age was 25.1 years, and 22.2% were female. Early revision surgery occurred in 3.4% of these patients, and 76.1% responded yes to the PASS question. A yes response correlated with a mean 25-point improvement in the ASES score and a 40-point improvement in the SANE score. On multivariate analysis, combined labral tears (anterior-inferior plus superior or posterior tears) were associated with greater odds of responding no to the PASS question, while both combined tears and injured capsules were associated with lower ASES and SANE scores ( P < .05). Sex, bone loss, and grade 3 to 4 articular cartilage injuries were not associated with variations on any patient-reported outcome measure. Conclusion: Patients largely approved of their symptom state at ≥1 year after shoulder instability surgery. A response of yes to the PASS question was given by 76.1% of patients and was correlated with clinically and statistically significant improvements in ASES and SANE scores. Combined labral tears and injured capsules were negative prognosticators across patient-reported outcome measures, whereas sex, bone loss, and cartilage injuries were not.

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“…Data were electronically collected via tablet by the OME system (OrthoMiDaS Episode of Care) and stored in a Research Electronic Data Capture database (REDCap) managed by the hospital's Musculoskeletal Outcomes Research Center. 7 On the day of surgery, a mean data collection time of 6 minutes per patient was observed, and complete preoperative data were collected on 94% of patients undergoing hip arthroscopy during the study period.…”

Section: Patient Selection and Data Collectionmentioning

confidence: 99%

Effect of Baseline Mental Health on 1-Year Outcomes After Hip Arthroscopy: A Prospective Cohort Study

Lynch

Oak

Cossell

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: Patient factors, including mental health, sex, and smoking, have been found to be more predictive of preoperative hip pain and function than intra-articular findings during hip arthroscopy for femoroacetabular impingement (FAI); however, little is known about how these factors may influence patients’ postoperative outcomes. Hypothesis: We hypothesized that lower patient-reported mental health scores would be significant risk factors for worse patient-reported outcomes (PROs) 1 year after arthroscopic hip surgery for FAI and that baseline intra-articular pathology would fail to demonstrate an association with outcomes 1 year after FAI surgery. Study Design: Cohort study; Level of evidence, 2. Methods: A prospective cohort of patients undergoing hip arthroscopy for FAI were electronically enrolled. Baseline and 1-year follow-up PROs were collected, including Hip disability and Osteoarthritis Outcome Score for pain (HOOS-Pain), HOOS–Physical Function Short Form (HOOS-PS), and Veterans RAND 12-Item Health Survey–Mental Component Score (VR-12 MCS). Intra-articular operative findings and treatment were documented at the time of surgery. Proportional odds logistic regression models were built for 1-year outcomes (HOOS-Pain, HOOS-PS, and VR-12 MCS). Risk factors included patient characteristics and intraoperative anatomic and pathologic findings. Results: Overall, 494 patients underwent hip arthroscopy for FAI, and 385 (78%) were evaluated at 1 year with at least 1 PRO. The median patient age was 33 years, mean body mass index was 25.5 kg/m2, and 72% were female. Multivariable analysis demonstrated that better baseline HOOS-Pain, HOOS-PS, and VR-12 MCS were significantly associated with improvement in the 1-year scores for each PRO. Higher VR-12 MCS was significantly associated with better 1-year HOOS-Pain and HOOS-PS, while current and former smokers had worse 1-year outcomes than those who never smoked. In ranking each variable’s relative importance, baseline HOOS-Pain and HOOS-PS and baseline VR-12 MCS were identified as the strongest predictors of 1-year HOOS-Pain and HOOS-PS in our multivariable model. Conclusion: During hip arthroscopy for FAI, patient factors, including baseline hip pain and function, mental health, and smoking, were independently associated with 1-year PROs of hip pain and function, while intra-articular pathology such as the presence of labral tear and its treatment, tear size, tear location, and anchors placed were not independently associated.

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Implementing a Scientifically Valid, Cost-Effective, and Scalable Data Collection System at Point of Care

Cited by 94 publications

References 18 publications

Neighborhood Socioeconomic Disadvantages Associated With Prolonged Lengths of Stay, Nonhome Discharges, and 90-Day Readmissions After Total Knee Arthroplasty

Neighborhood Socioeconomic Disadvantages Associated With Prolonged Lengths of Stay, Nonhome Discharges, and 90-Day Readmissions After Total Knee Arthroplasty

What Are the Predictors of Poor Patient-Reported Outcomes After Shoulder Instability Surgery?

Effect of Baseline Mental Health on 1-Year Outcomes After Hip Arthroscopy: A Prospective Cohort Study

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