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分析与患者报告结果 (PRO) 相关因素的分析,肩部手术后一年的完成率

Paul V Romeo¹, Aidan G Papalia¹, Matthew G Alben¹

¹Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA.

JSES international

|February 5, 2024

概括

根据手术类型,肩膀手术后患者报告结果测量 (PROM) 完成率因手术类型而异. 年龄较大和美国麻醉学会得分较高,预测这些关键的手术结果指标的12个月后续率更好.

科学领域:

整形外科手术整形外科手术
患者研究成果研究结果
医疗信息学医疗信息学

背景情况:

患者报告的结果测量 (PROMs) 对于评估肩部手术的有效性至关重要.
了解影响PROM调查完成的因素对于可靠的数据收集至关重要.
目前关于肩膀手术患者PROM完成的预测因素的知识有限.

研究的目的:

为了确定各种肩部手术的调查完成率.
为了确定与完成12个月的术后PROMs相关的因素.
为了测试PROM应答率因肩膀手术类型而异的假设.

主要方法:

预期招募接受全肩关节整形 (TSA),旋转手套修复 (RCR) 和不稳定性手术 (Latarjet手术 [LP],关节镜Bankart修复 [ABR]) 的患者.
在多个时间点 (手术前至12个月术后) 进行电子PROM调查.
多变量后勤回归分析,以确定12个月调查完成的预测因素.

主要成果:

总体而言,12个月PROM完成率为57.2%,其中TSA显示最高 (64.9%),LP显示最低 (42.9%).
在不稳定性程序 (ABR,LP) 的早期观察到显著的磨损,在RCR的6个月后观察到RCR.
年龄较大,非西班牙裔种族,非单身婚姻状况和美国麻醉学会 (ASA) 较高的分数与更高的12个月完成率有关.

结论:

在常见的肩部手术中,术后PROM完成率显著不同.
年龄较小和西班牙裔种族预测PROM完成率较低.
全肩关节整形与12个月PROM完成的几率更高有关.

关键词:

没有响应偏差的偏差.一个承诺,一个承诺.患者的随访情况患者报告的结果响应率响应率响应率调查的完成调查的完成调查响应度调查响应度

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