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J Knee Surg 2022; 35(12): 1320-1325
DOI: 10.1055/s-0041-1723764
Original Article

Preoperative Factors Associated with 2-Year Postoperative Survey Completion in Knee Surgery Patients

Jagannath Kadiyala
1   Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland
,
Tina Zhang 
1   Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland
,
Ali Aneizi
1   Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland
,
Rohan Gopinath
1   Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland
,
Dominic J. Ventimiglia
1   Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland
,
Cameran I. Burt
1   Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland
,
Patrick M.J. Sajak
1   Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland
,
Sean J. Meredith
1   Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland
,
R. Frank Henn III
1   Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland
› Author Affiliations Funding This work was supported by a grant from The James Lawrence Kernan Hospital Endowment Fund, Incorporated.
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Abstract

Patient-reported outcomes, such as the Patient-Reported Outcomes Measurement Information System (PROMIS) measures, have become increasingly valued as measures of treatment. The purpose of the study was to determine preoperative factors associated with survey compliance 2 years after elective knee surgery. Five hundred patients, age 17 years and older, undergoing knee surgery from August 2015 and March 2017 were administered questionnaires preoperatively and 2 years postoperatively. Questionnaires included the International Knee Documentation Committee (IKDC) score, Numeric Pain Scales (NPS), International Physical Activity Questionnaire (IPAQ), and six PROMIS Domains for physical function, pain interference, social satisfaction, fatigue, anxiety, and depression. Three hundred sixty-five patients (73.0%) completed both the preoperative and the 2-year surveys. A decreased likelihood of survey completion was significantly associated with black race, lower income, government-sponsored insurance, smoking, opioid use, fewer previous surgeries, lower expectations, lower PROMIS social satisfaction, higher PROMIS pain interference, and lower IPAQ physical activity. Multivariable logistic regression analysis confirmed that black race and lower IPAQ activity level were independent predictors of lower survey completion at 2-year follow-up with an area under the curve (AUC) of 0.62. A more robust multivariable model that included all variables with p < 0.05 in the bivariate analysis had an AUC of only 0.70. This study identified multiple preoperative factors that were associated with lower survey completion 2 years after elective orthopaedic knee surgery; however, all the factors measured in this study were not strong predictors of survey completion.

Keywords

knee - patient-reported outcomes - PROMIS - survey compliance


Publication History

Received: 23 June 2020

Accepted: 17 December 2020

Article published online:
05 February 2021

© 2021. Thieme. All rights reserved.

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