Department of Orthopedics, Henry Ford Health System, Detroit, Michigan, U.S.A..
Department of Sports Medicine, Rush University Medical Center, Chicago, Illinois, U.S.A.
Arthroscopy. 2017 Nov;33(11):1940-1946. doi: 10.1016/j.arthro.2017.06.016. Epub 2017 Sep 27.
To determine the patient compliance in completing electronically administered patient-reported outcome (PRO) scores following shoulder arthroscopy, and to determine if dedicated research assistants improve patient compliance.
Patients undergoing arthroscopic shoulder surgery from January 1, 2014, to December 31, 2014, were prospectively enrolled into an electronic data collection system with retrospective review of compliance data. A total of 143 patients were included in this study; 406 patients were excluded (for any or all of the following reasons, such as incomplete follow-up, inaccessibility to the order sets, and inability to complete the order sets). All patients were assigned an order set of PROs through an electronic reporting system, with order sets to be completed prior to surgery, as well as 6 and 12 months postoperatively. Compliance rates of form completion were documented. Patients who underwent arthroscopic anterior and/or posterior stabilization were excluded.
The average age of the patients was 53.1 years, ranging from 20 to 83. Compliance of form completion was highest preoperatively (76%), and then dropped subsequently at 6 months postoperatively (57%) and 12 months postoperatively (45%). Use of research assistants improved compliance by approximately 20% at each time point. No differences were found according to patient gender and age group. Of those completing forms, a majority completed forms at home or elsewhere prior to returning to the office for the clinic visit.
Electronic administration of PRO may decrease the amount of time required in the office setting for PRO completion by patients. This may be mutually beneficial to providers and patients. It is unclear if an electronic system improves patient compliance in voluntary completion PRO. Compliance rates at final follow-up remain a concern if data are to be used for establishing quality or outcome metrics.
Level IV, case series.
确定接受肩关节镜检查的患者在完成电子患者报告结局（PRO）评分方面的依从性，并确定专门的研究助理是否能提高患者的依从性。
2014 年 1 月 1 日至 12 月 31 日期间，前瞻性纳入接受关节镜肩关节手术的患者进入电子数据采集系统，并回顾性分析依从性数据。本研究共纳入 143 例患者；排除了 406 例患者（由于任何或所有以下原因，如随访不完整、无法获取医嘱集以及无法完成医嘱集）。所有患者均通过电子报告系统分配了一组 PRO 问卷，要求在术前以及术后 6 个月和 12 个月完成。记录完成表格的依从率。排除接受关节镜下前侧和/或后侧稳定术的患者。
患者的平均年龄为 53.1 岁，年龄范围为 20 岁至 83 岁。术前完成表格的依从率最高（76%），随后在术后 6 个月（57%）和 12 个月（45%）时下降。每个时间点使用研究助理都能使依从率提高约 20%。患者性别和年龄组之间无差异。完成表格的患者中，大多数在返回诊所就诊前在家或其他地方完成表格。
PRO 的电子管理可能会减少患者在办公室完成 PRO 的时间。这对提供者和患者都是有益的。目前尚不清楚电子系统是否能提高患者自愿完成 PRO 的依从性。如果要将数据用于建立质量或结果指标，则最终随访时的依从率仍令人担忧。
IV 级，病例系列。
