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Electronic in-basket messages for hip and knee arthroplasty patients have surged dramatically, increasing 13-fold from 2017 to 2024. This rapid growth presents a significant, unaddressed administrative burden for surgical practices.

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Area of Science:

  • Orthopedic Surgery
  • Health Informatics
  • Healthcare Administration

Background:

  • Electronic patient messaging systems, often termed 'in-baskets,' are increasingly utilized in healthcare.
  • A significant rise in message volume has created substantial, often uncompensated, administrative workloads for medical staff.
  • The specific impact on high-volume surgical specialties like hip and knee arthroplasty was not well-documented.

Purpose of the Study:

  • To quantify the volume of electronic in-basket messages within a hip and knee arthroplasty group.
  • To analyze the trend of message volume in relation to surgical case volume over a defined period.
  • To highlight the administrative implications of escalating digital patient communication.

Main Methods:

  • Retrospective analysis of electronic in-basket messages from 2017 to 2024.
  • Counting all messages and replies within the total joint arthroplasty division.
  • Correlating message volume with the number of hip and knee arthroplasty procedures performed.

Main Results:

  • In-basket messages increased from 7,783 in 2017 to 105,348 in 2024, a 13-fold escalation.
  • Surgical case volume nearly doubled, while message volume grew disproportionately.
  • A small patient subset (20%) generated a significant majority (59.2%) of all messages.

Conclusions:

  • The exponential growth of in-basket messages in arthroplasty surgery is a novel finding with significant implications.
  • This trend represents an unsustainable increase in clinician workload without clear administrative oversight or compensation.
  • Urgent consideration of technological solutions and dedicated staffing is required to manage this growing obligation.