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Automating Patient-Reported Outcome Measures Following Hand Surgery.

Fady Y Hijji1, Daniel A London2, Andrew D Schneider1

  • 1Department of Orthopedic Surgery, Wright State Boonshoft School of Medicine, Dayton, OH.

The Journal of Hand Surgery
|May 31, 2023
PubMed
Summary
This summary is machine-generated.

Automated electronic patient-reported outcome measures (ePROMs) effectively collect patient data after hand surgery. Incomplete ePROM responses correlated with poorer outcomes and lower satisfaction.

Keywords:
AutomatedQuickDASHhand surgerypatient-reported outcome measurevisual analog scale

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Area of Science:

  • Orthopedic Surgery
  • Health Informatics
  • Patient-Reported Outcomes

Background:

  • Patient-reported outcome measures (PROMs) are increasingly vital in value-based healthcare.
  • Electronic PROMs (ePROMs) offer a promising method for collecting patient metrics.
  • Hand surgery outcomes can be effectively monitored using ePROMs.

Purpose of the Study:

  • To evaluate the response rate of patients undergoing hand surgery who use electronic patient-reported outcome measures (ePROMs).
  • To identify patient characteristics associated with ePROM completion after hand surgery.
  • To assess the clinical utility of ePROMs in hand surgery follow-up.

Main Methods:

  • A HIPAA-compliant web-based system distributed ePROMs (VAS for pain, QuickDASH) to hand surgery patients across five institutions.
  • Eligible patients (≥18 years) received ePROMs at 3, 6, 12, 24, and 52 weeks postoperatively.
  • Patient satisfaction was assessed via a concurrent questionnaire.

Main Results:

  • Of 6458 eligible patients, 70% completed at least one ePROM; 28% completed all five.
  • Incomplete responders had higher baseline QuickDASH scores and worse outcomes (VAS, QuickDASH) throughout follow-up.
  • Incomplete responders were less likely to be satisfied with their surgery and more likely to have workers' compensation insurance.

Conclusions:

  • Automated, email-based ePROM systems are effective for survey distribution in hand surgery.
  • ePROMs show potential for clinical application, especially in outpatient settings.
  • ePROMs enhance the collection of patient metrics, supporting value-based care initiatives.