Computer assisted outcomes research in orthopedics: total joint replacement

Area of Science:

• Orthopedic Surgery
• Health Outcomes Research
• Quality of Life Measurement

Background:

• Historically, patient-reported quality of life has been overlooked in orthopedic surgery outcomes.
• A growing emphasis exists on utilizing validated instruments like the SF-36 to assess patient-perceived quality of life.

Purpose of the Study:

• To present results from a large orthopedic practice database on patient-reported outcomes.
• To demonstrate the benefits of implementing a patient outcomes program.
• To encourage further research in orthopedic outcomes measurement.

Main Methods:

• Utilized computerized data entry via touch screen technology for cost-effectiveness and user-friendliness.
• Analyzed data from patients undergoing hip or knee arthroplasty.

Main Results:

• Patients undergoing hip or knee arthroplasty showed statistically significant improvements in seven of eight SF-36 domains within 3 months post-surgery.
• Continued statistically significant improvements were observed between 6 and 12 months after surgery.
• Detailed data presentation highlights the advantages of a patient outcomes program.

Conclusions:

• Patient outcomes programs effectively track improvements in quality of life after orthopedic procedures.
• Touch screen technology offers a practical method for collecting patient data.
• Further investigation into outcomes measurement in orthopedics is warranted.