Patient Compliance With Electronic Patient Reported Outcomes Following Shoulder Arthroscopy

Makhni, Eric C.; Higgins, John D.; Hamamoto, Jason T.; Cole, Brian J.; Romeo, Anthony A.; Verma, Nikhil N.

doi:10.1016/j.arthro.2017.06.016

Cited by 28 publications

(35 citation statements)

References 11 publications

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“…Six-hundred twenty-eight patients undergoing TKA were registered for the EPRA, but only 201 patients had completed both the preoperative and 12-week postoperative surveys necessary to be included in the analysis. This response rate is on par with reported rates after total joint replacement and other orthopaedic procedures [39] , [40] . The capture rate also fails to account for reasons that patients may have been unable to otherwise complete the surveys.…”

Section: Discussionsupporting

confidence: 57%

Payer type does not impact patient-reported outcomes after primary total knee arthroplasty

et al. 2019

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Background There is a paucity of literature assessing whether payer type has an impact on postoperative patient-reported outcomes (PROs) after total knee arthroplasty (TKA). The aim of this study was to comparatively evaluate TKA PROs among patients with commercial and Medicare insurance. Methods We conducted a single-center, retrospective review of patients operated between January 2017 and March 2018. Knee Disability and Osteoarthritis Outcome Score Junior (KOOS-Jr) and Veterans RAND 12 Health Survey (VR-12) Physical Component (VR-12 PCS) and Mental Component (VR-12 MCS) PRO scores were collected prospectively at baseline and 12 weeks postoperatively via an electronic patient rehabilitation application. Univariable and multivariable linear regressions were utilized to assess the effects of patient insurance type on PRO. Results In total, 193 TKA candidates had commercial (n = 91) or Medicare (n = 102) as their primary payer type. Demographic variables including age, gender, body mass index, and race varied significantly between the cohorts ( P < .05). Length of stay and discharge disposition also varied significantly ( P < .05). When compared with commercial payers, Medicare beneficiaries demonstrated a 4.13 ± 2.06 increase in Knee Disability and Osteoarthritis Outcome Score JR. scores at baseline ( P < .05). However, after adjusting for patient-specific demographic and perioperative variables, all PROs recorded in this study were similar between the 2 payer groups at baseline and 12 weeks postoperatively ( P > .05). Furthermore, ΔPRO scores from baseline to 12 weeks were also similar ( P > .05). Conclusions After adjusting for patient-specific variables, PROs are similar at baseline and 12 weeks postoperatively between commercial and Medicare cohorts. For TKA candidates with similar baseline demographics, surgeons can expect similar perioperative PROs regardless of insurance type.

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Section: Discussionsupporting

confidence: 57%

Payer type does not impact patient-reported outcomes after primary total knee arthroplasty

et al. 2019

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“…Another recent study assessed the collection of traditional shoulder PROs from surgical patients using a combination of email notifications with in-clinic data collection and found a compliance rate of 94%, although the response rate decreased significantly throughout postoperative follow-up. 22 These studies show that the routine collection of PROMIS scores exhibits similarly high rates of compliance when compared with the routine electronic collection of legacy PROs.…”

Section: Discussionmentioning

confidence: 86%

Feasibility of PROMIS CAT Administration in the Ambulatory Sports Medicine Clinic With Respect to Cost and Patient Compliance: A Single-Surgeon Experience

Lizzio

Blanchett

Borowsky

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background:Pay-for-performance reimbursement models are becoming increasingly popular, but the implementation of a routine patient-reported outcome (PRO) collection system places additional burden on both the patient and the provider. The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed in an effort to make PRO collection more practical and efficient, but providers may be reluctant to embrace a transition to a PROMIS-based clinical outcome registry.Hypothesis:PROMIS can be successfully incorporated into daily clinical practice, with an overall patient compliance rate of 80%.Study Design:Cross-sectional study; Level of evidence, 3.Methods:As part of routine practice, all patients presenting to a single surgeon’s sports medicine clinic for an appointment were asked to complete a series of PROMIS computerized adaptive tests (CATs), including PROMIS Physical Function, Physical Function–Upper Extremity, Pain Interference, and Depression subscales. Overall compliance was calculated by dividing the number of survey sets completed by the number of eligible clinic visits. Compliance rates were further assessed by patient age, type of clinic visit, and location of injury. Costs associated with this system of routine PRO collection were categorized as start-up or maintenance costs.Results:From August 7, 2017, to December 8, 2017, there were 581 patients (1109 clinic encounters) who met inclusion criteria for the study. Of the 1109 clinic encounters, there was an overall compliance rate of 91.3% (1013/1109 visits during which the patient completed the entire PROMIS survey set). Overall, the full survey set consisted of a mean 15.3 questions and took a mean of 2.6 minutes to complete. Patients who were aged ≥62 years had a significantly lower compliance rate (81.8%; P < .0001) than each of the younger patient quartiles. When analyzing patients by the most common locations of injury (elbow, shoulder, hip, knee), the compliance rate for completing PROMIS was significantly higher for the hip than for the shoulder (95.1% vs 88.9%, respectively; P = .02). The cost of establishing a PROMIS-based registry using our project design and workflow was estimated at $2045, whereas the monthly maintenance cost was $1000.Conclusion:The routine electronic collection of PROMIS scores in the ambulatory orthopaedic clinic resulted in a compliance rate of over 90%, although older patients were generally less compliant than younger patients. Our system of data collection is practical and efficient in a high-volume orthopaedic clinic and places minimal financial burden on the provider.

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“…And there is also a de ciency of objective indicators for the evaluation of patients' compliance [15]. Moreover, due to the lack of necessary communication methods, the patient's compliance in the late period of exercise decreases and the long-term prognosis becomes worse.…”

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confidence: 99%

The Efficacy and Safety of Utilizing Mobile Phone–Based Programs and Motion-Capture Devices for Telerehabilitation After Arthroscopic Repair of Rotator Cuff Tear: Study Protocol for a Randomized Controlled Trial

Zhang

Hou

et al. 2020

Preprint

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Background: Rotator cuff tear is one of the most common diseases in orthopedics, which seriously affects the quality of patients’ lives. And the arthroscopic repair of rotator cuff has recently become more and more popular. Systematic rehabilitation makes great significance for improving the prognosis of postoperative patients. Yet, the traditional outpatient rehabilitation is hard to popularize in developing countries like China due to the limitation of traffic and geography. Given this, we plan to develop a telerehabilitation system to facilitate doctors' remote guidance on patients' rehabilitation.Methods/design: Our study is a single-center, prospective randomized controlled trial. 124 patients who underwent arthroscopic rotator cuff repair will be recruited for the study. They will be randomly divided into 2 groups (62 cases in each group) based on the stratification factors of the operator, operation and preoperative diagnosis. The patients in the control group will get clinic and booklet based rehabilitation treatment after operation. However, patients in the experimental group will receive mobile phone and motion-capture device based programs for telerehabilitation after surgery. The primary outcome will be measured by the American Shoulder and Elbow Surgeons (ASES). Secondary outcomes include the Range of motion (ROM), Visual Analogue Scales (VAS), EuroQol-5 Dimension health questionnaire (EQ-5D), University of California at Los Angeles（UCLA）and the retear rate.Discussion: We hypothesize that patients who utilized mobile phone and motion-capture device based telerehabilitation will benefit more in the range of motion and shoulder function than those who received outpatient and manual based rehabilitation. If the hypothesize was confirmed, we could facilitate telerehabilitation for doctors and overcome the geographical and traffic limitations of traditional clinical based rehabilitation.Trial registration: ChiCTR.org.cn, ChiCTR2000030150, Registered on 24 February 2020

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Patient Compliance With Electronic Patient Reported Outcomes Following Shoulder Arthroscopy

Cited by 28 publications

References 11 publications

Payer type does not impact patient-reported outcomes after primary total knee arthroplasty

Payer type does not impact patient-reported outcomes after primary total knee arthroplasty

Feasibility of PROMIS CAT Administration in the Ambulatory Sports Medicine Clinic With Respect to Cost and Patient Compliance: A Single-Surgeon Experience

The Efficacy and Safety of Utilizing Mobile Phone–Based Programs and Motion-Capture Devices for Telerehabilitation After Arthroscopic Repair of Rotator Cuff Tear: Study Protocol for a Randomized Controlled Trial

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Patient Compliance With Electronic Patient Reported Outcomes Following Shoulder Arthroscopy

Cited by 28 publications

References 11 publications

Payer type does not impact patient-reported outcomes after primary total knee arthroplasty

Payer type does not impact patient-reported outcomes after primary total knee arthroplasty

Feasibility of PROMIS CAT Administration in the Ambulatory Sports Medicine Clinic With Respect to Cost and Patient Compliance: A Single-Surgeon Experience

The Efficacy and Safety of Utilizing Mobile Phone–Based&nbsp;Programs and Motion-Capture Devices for Telerehabilitation After Arthroscopic Repair of Rotator Cuff Tear: Study Protocol for a Randomized Controlled Trial

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The Efficacy and Safety of Utilizing Mobile Phone–Based Programs and Motion-Capture Devices for Telerehabilitation After Arthroscopic Repair of Rotator Cuff Tear: Study Protocol for a Randomized Controlled Trial