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Barriers to completion of Patient Reported Outcome Measures
Elizabeth M Schamber1, Steven K Takemoto, Kate Eresian Chenok
1Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California; Keck School of Medicine, University of Southern California, Los Angeles, California.
The Journal of Arthroplasty
|July 30, 2013
Summary
Patient Reported Outcomes Measures (PROMs) completion rates in total joint arthroplasty (TJA) were lower for older, minority, and publicly insured patients. Improving participation is key for representative TJA outcomes research.
Area of Science:
- Orthopedics
- Health Services Research
- Patient-Reported Outcomes
Background:
- Patient Reported Outcomes Measures (PROMs) are crucial for evaluating total joint arthroplasty (TJA) success.
- Underrepresentation of certain demographics in PROMs data can skew surgical outcome assessments.
Purpose of the Study:
- To identify factors associated with lower PROM completion rates in a large cohort of TJA patients.
- To inform strategies for enhancing patient participation in TJA outcomes research.
Main Methods:
- Retrospective analysis of 1997 TJA patients' data from July 2007 to December 2010.
- Statistical comparison of PROM completion rates across various demographic and clinical subgroups.
Main Results:
- Lower completion rates were observed in patients over 75, Hispanic/Black individuals, those with Medicare/Medicaid, and patients undergoing TKA or revision TJA (P<0.05).
- Multiple risk factors significantly compounded reduced participation (P<0.001).
- Introduction of electronic data capture methods correlated with a significant increase in overall participation.
Conclusions:
- Demographic and clinical factors significantly impact PROM completion in TJA.
- Targeted strategies are needed to improve participation among underrepresented groups.
- Electronic data capture may enhance patient engagement in outcomes research.
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