Factors Associated With Patient-Reported Outcome Measure Noncompletion One Year After Total Joint Arthroplasty: A...

Area of Science:

• Orthopedic Surgery
• Health Services Research

Background:

• Patient-reported outcome measures (PROMs) are crucial for assessing surgical success after total hip or knee arthroplasty (THA/TKA).
• Medicare quality reporting mandates 1-year PROMs, yet completion rates remain suboptimal.
• Identifying factors associated with PROM noncompletion is essential for improving data capture.

Purpose of the Study:

• To identify factors associated with noncompletion of 1-year postoperative PROMs following THA/TKA.
• To inform strategies for enhancing PROM completion rates in arthroplasty patients.

Main Methods:

• Retrospective cohort study of adult THA/TKA patients (2021-2023).
• Evaluation of Hip Disability and Osteoarthritis Outcome Score for Joint Replacement (HOOS-JR) and Knee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS-JR) completion rates.
• Regression analyses to assess associations between demographic, clinical, socioeconomic factors and 1-year PROM noncompletion.

Main Results:

• 1-year PROM completion rates increased from 16.7% to 44.1% (HOOS-JR) and 21.6% to 48.3% (KOOS-JR) over three years.
• Inactive patient portal use was the strongest predictor of noncompletion (HOOS-JR OR 5.85, KOOS-JR OR 3.28).
• Preoperative opioid use and higher Social Vulnerability Index (for TKA) were also associated with noncompletion.

Conclusions:

• Inactive patient portal use and preoperative opioid use are significant predictors of 1-year PROM noncompletion after THA/TKA.
• Socioeconomic vulnerability impacts TKA PROM completion, suggesting procedure-specific challenges.
• Targeted interventions focusing on modifiable factors are needed to improve longitudinal PROM data collection in arthroplasty registries.