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

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

Publikationsverlauf

Eingereicht: 23. Juni 2020

Angenommen: 17. Dezember 2020

Artikel online veröffentlicht:
05. Februar 2021

• References

• 1 Novak EJ, Vail TP, Bozic KJ. Advances in orthopaedic outcomes research. J Surg Orthop Adv 2008; 17 (03) 200-203
• 2 Ayers DC. Implementation of patient-reported outcome measures in total knee arthroplasty. J Am Acad Orthop Surg 2017; 25 (Suppl. 01) S48-S50
• 3 Phillips AW, Reddy S, Durning SJ. Improving response rates and evaluating nonresponse bias in surveys: AMEE Guide No. 102. Med Teach 2016; 38 (03) 217-228
• 4 Whiting PS, Greenberg SE, Thakore RV. et al. What factors influence follow-up in orthopedic trauma surgery?. Arch Orthop Trauma Surg 2015; 135 (03) 321-327
• 5 Coleman MM, Medford-Davis LN, Atassi OH, Siler-Fisher A, Reitman CA. Injury type and emergency department management of orthopaedic patients influences follow-up rates. J Bone Joint Surg Am 2014; 96 (19) 1650-1658
• 6 Sajak PMJ, Aneizi A, Gopinath R. et al. Factors associated with early postoperative survey completion in orthopaedic surgery patients. J Clin Orthop Trauma 2020; 11 (Suppl. 01) S158-S163
• 7 Henn III RF, Dubina AG, Jauregui JJ, Smuda MP, Tracy JK. The Maryland Orthopaedic Registry (MOR): design and baseline characteristics of a prospective registry. J Clin Orthop Trauma 2017; 8 (04) 301-307
• 8 Fekete C, Segerer W, Gemperli A, Brinkhof MWG. SwiSCI Study Group. Participation rates, response bias and response behaviours in the community survey of the Swiss Spinal Cord Injury Cohort Study (SwiSCI). BMC Med Res Methodol 2015; 15: 80
• 9 Peytchev A. Consequences of survey nonresponse. Ann Am Acad Pol Soc Sci 2013; 645: 88-111
• 10 Williams DR. Race, socioeconomic status, and health. The added effects of racism and discrimination. Ann N Y Acad Sci 1999; 896: 173-188
• 11 Lowry R, Kann L, Collins JL, Kolbe LJ. The effect of socioeconomic status on chronic disease risk behaviors among US adolescents. JAMA 1996; 276 (10) 792-797
• 12 Schamber EM, Takemoto SK, Chenok KE, Bozic KJ. Barriers to completion of patient reported outcome measures. J Arthroplasty 2013; 28 (09) 1449-1453
• 13 Greene ME, Rolfson O, Nemes S, Gordon M, Malchau H, Garellick G. Education attainment is associated with patient-reported outcomes: findings from the Swedish Hip Arthroplasty Register. Clin Orthop Relat Res 2014; 472 (06) 1868-1876
• 14 Patel J, Lee JH, Li Z, SooHoo NF, Bozic K, Huddleston III JI. Predictors of low patient-reported outcomes response rates in the California Joint Replacement Registry. J Arthroplasty 2015; 30 (12) 2071-2075
• 15 Bedeir YH, Hasselfeld KA, Kuechly HA. et al. Risk factors associated with ACL registry compliance: can we predict who will follow-up?. Eur J Orthop Surg Traumatol 2019; 29 (03) 645-650
• 16 McCarthy M, Mallett K, Abola M, Vassallo S, Nguyen J. Hospital for special surgery ACL registry: 2-year outcomes suggest low revision and return to OR rates. HSS J 2017; 13 (02) 119-127
• 17 Makhni EC, Higgins JD, Hamamoto JT, Cole BJ, Romeo AA, Verma NN. Patient compliance with electronic patient reported outcomes following shoulder arthroscopy. Arthroscopy 2017; 33 (11) 1940-1946
• 18 Nadarajah V, Glazier E, Miller K. et al. Evaluation of preoperative pain using PROMIS pain interference in knee surgery patients. J Knee Surg 2020; 33 (09) 875-883
• 19 Cotter EJ, Hannon CP, Locker P. et al. Male sex, decreased activity level, and higher BMI associated with lower completion of patient-reported outcome measures following ACL reconstruction. Orthop J Sports Med 2018; 6 (03) 2325967118758602