Sajak Patrick Mj, Aneizi Ali, Gopinath Rohan, Nadarajah Vidushan, Burt Cameran, Ventimiglia Dominic, Akabudike Ngozi, Zhan Min, Henn R Frank
Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
J Clin Orthop Trauma. 2020 Feb;11(Suppl 1):S158-S163. doi: 10.1016/j.jcot.2019.07.007. Epub 2019 Jul 19.
To determine factors associated with survey compliance 2-weeks postoperatively.
1269 patients age 17-years and older participating in the Maryland Orthopaedic Registry from August 2015-March 2018 were administered a baseline questionnaire preoperatively and emailed a follow-up questionnaire 10-days postoperatively. Demographics were self-reported and medical records reviewed for relevant medical history.
609 patients (48.0%) completed both the baseline and 2-week surveys. A decreased likelihood of 2-week survey completion was seen in patients who identified as black, smokers, patients without a college education, patients who were unmarried, unemployed, had a lower income, or covered by government-sponsored insurance (p < 0.05). Other preoperative variables significantly associated with decreased likelihood of completion included surgery on the right side, upper extremity surgery, preoperative opioid use, no specific injury leading to surgery, lower preoperative expectations, depression and fatigue symptoms, and worse pain, function, and activity scores (p < 0.05). Multivariable analysis confirmed race, operative extremity, education, insurance status, smoking, activity level, and pain scores were independent predictors of survey completion.
Several demographic and preoperative variables are associated with survey completion 2-weeks post-orthopaedic surgery. The results provide insight into patient populations that may be targeted in order to assure higher survey compliance and improve analysis of patient-reported outcomes.
确定术后2周时与调查依从性相关的因素。
2015年8月至2018年3月参与马里兰骨科登记处研究的1269名17岁及以上患者在术前接受了基线问卷调查，并在术后10天通过电子邮件发送了一份随访问卷。人口统计学信息由患者自行报告，并查阅病历以了解相关病史。
609名患者（48.0%）完成了基线调查和2周调查。在被认定为黑人、吸烟者、未接受过大学教育者、未婚、失业、收入较低或由政府资助保险覆盖的患者中，2周调查完成的可能性降低（p<0.05）。其他与完成可能性降低显著相关的术前变量包括右侧手术、上肢手术、术前使用阿片类药物、无导致手术的特定损伤、术前期望较低、抑郁和疲劳症状以及较差的疼痛、功能和活动评分（p<0.05）。多变量分析证实种族、手术肢体、教育程度、保险状况、吸烟、活动水平和疼痛评分是调查完成情况的独立预测因素。
骨科手术后2周的调查完成情况与若干人口统计学和术前变量相关。研究结果为确定可能需要重点关注的患者群体提供了依据，以确保更高的调查依从性并改善对患者报告结果的分析。
