Smith Matthew D, Madden Ryan N, Proffitt Michael J, Hartzler Robert U
UT Health San Antonio Long School of Medicine, San Antonio, Texas, U.S.A.
Burkhart Research Institute for Orthopaedics (BRIO), San Antonio, Texas, U.S.A.
Arthrosc Sports Med Rehabil. 2022 Dec 14;5(1):e137-e142. doi: 10.1016/j.asmr.2022.11.004. eCollection 2023 Feb.
To determine patient compliance in completing electronic patient-reported outcome measures (PROMs) following arthroscopic shoulder surgery and identify risk factors for noncompliance.
A retrospective review of compliance data was performed for patients who underwent arthroscopic shoulder surgery by a single surgeon in a private practice setting from June 2017 to June 2019. All patients were enrolled in Surgical Outcomes System (Arthrex) as a part of routine clinical care, and outcome reporting was integrated into our practice electronic medical record. Patient compliance with PROMs was calculated at preoperative, three-month, 6-month, 1-year, and 2-year follow-up time points. Compliance was defined as a complete patient response to each assigned outcome module in the database over time. Logistic regression for compliance at the one-year timepoint was performed to assess for factors associated with survey compliance.
Compliance with PROMs was highest preoperatively (91.1%) and decreased at each subsequent time point. The largest decrease in compliance with PROMs occurred between the preoperative and 3-month follow-up time points. Compliance was 58% at 1 year and 51% at 2 years after surgery. Overall, 36% of patients were compliant at all individual time points. There were no significant predictors of compliance with regard to age, sex, race, ethnicity, or procedure.
Patient compliance with PROMs decreased over time with the lowest percentage of patients completing electronic surveys at the traditional 2-year follow-up for shoulder arthroscopy. In this study, basic demographic factors were not predictive of patient compliance with PROMs.
PROMs are commonly collected after arthroscopic shoulder surgery; however, low patient compliance may affect their utility in research and clinical practice.
确定关节镜下肩部手术后患者完成电子患者报告结局测量（PROMs）的依从性，并识别不依从的风险因素。
对2017年6月至2019年6月在私人诊所由单一外科医生进行关节镜下肩部手术的患者的依从性数据进行回顾性分析。所有患者作为常规临床护理的一部分纳入手术结局系统（Arthrex），结局报告整合到我们的实践电子病历中。在术前、术后3个月、6个月、1年和2年的随访时间点计算患者对PROMs的依从性。依从性定义为随着时间推移患者对数据库中每个指定结局模块的完整回复。对1年时间点的依从性进行逻辑回归分析，以评估与调查依从性相关的因素。
PROMs的依从性在术前最高（91.1%），并在随后的每个时间点下降。PROMs依从性下降最大的情况发生在术前和术后3个月的随访时间点之间。术后1年依从性为58%，术后2年为51%。总体而言，36%的患者在所有个体时间点均依从。在年龄、性别、种族、民族或手术方面，没有显著的依从性预测因素。
随着时间的推移，患者对PROMs的依从性下降，在传统的肩部关节镜2年随访中完成电子调查的患者比例最低。在本研究中，基本人口统计学因素不能预测患者对PROMs的依从性。
关节镜下肩部手术后通常会收集PROMs；然而，患者依从性低可能会影响其在研究和临床实践中的效用。
