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Implementing custom PRO and NPS tools in private practice: balancing simplicity and clinical value in a retrospective
Paul Bonilla1, Juan Pablo Flanagan2, Anesu Murambadoro1
1University of Texas Rio Grande Valley School of Medicine, 1201 West University Drive, EMEBL 1.117, Edinburg, 78539-2909, TX, UK.
Journal of Patient-Reported Outcomes
|June 9, 2026
Summary
A brief surgical recovery survey effectively tracked patient outcomes, showing significant improvements in pain and function. This abbreviated approach offers a practical alternative to lengthy PROMs in private practice settings.
Area of Science:
- Surgical Outcomes Research
- Patient-Reported Outcome Measures (PROMs)
- Healthcare Management
Background:
- Private surgical practices often face resource limitations and lack dedicated research staff.
- Traditional lengthy validated PROMs may be impractical for routine outcome tracking in such settings.
- Developing abbreviated surveys is crucial for efficient post-surgical recovery monitoring.
Purpose of the Study:
- To evaluate an abbreviated custom survey as a practical alternative to lengthy PROMs.
- To assess the survey's utility in tracking post-surgical recovery in a resource-limited private practice.
- To determine if the survey can capture statistically significant changes in patient outcomes.
Main Methods:
- Retrospective analysis of prospectively collected patient-reported outcome surveys.
- Surveys administered preoperatively and 120 days postoperatively via email.
- Included 101 patients undergoing Carpal Tunnel Release (CTR), meniscectomy, Total Knee Replacement (TKR), or hernia repair, with matched pre- and post-operative data.
- Statistical analysis using paired t-tests with Shapiro-Wilk normality testing (α=0.001).
Main Results:
- Significant improvements observed in post-surgical numerical pain scores for CTR, meniscectomy, TKR, and Total Hip Replacement (THR).
- Similar positive trends noted in patient-reported functionality and disruptive stress scores.
- A Net Promoter Score (NPS) of 88.2 was calculated, with 400 promoters, 26 passives, and 13 detractors.
Conclusions:
- A brief, self-administered survey can effectively capture statistically significant improvements in post-surgical pain, function, and stress.
- The survey serves as a practical tool for outcome tracking in private practices with limited research infrastructure.
- While NPS and work metrics are valuable adjuncts, they should complement other PROMs for comprehensive outcome assessment.
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