髋关节镜检查两年后调查无应答的预测因素：来自机构前瞻性登记处的结果。
Predictors of survey non-response two years after hip arthroscopy: Results from an institutional prospective registry.
作者信息
Ventimiglia Dominic J, Clark Zachary, Koshar Antoan, McCurdy Michael A, Lutz Alexandra Baker, Rocca Michael S, Henn R Frank, Meredith Sean J
机构信息
Department of Orthopaedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
出版信息
J Orthop. 2025 Feb 3;68:45-50. doi: 10.1016/j.jor.2025.02.005. eCollection 2025 Oct.
PURPOSE
Survey-based studies are inherently subject to non-response bias. A comprehensive understanding of the factors contributing to non-response is important for minimizing attrition bias and ensuring generalizability of results. The purpose of this study was to determine the preoperative factors associated with survey non-response 2 years after hip arthroscopy.
METHODS
Patients undergoing hip arthroscopy at a single center between October 2015 and March 2020 were approached for enrollment in a prospective registry. Patients were emailed an electronic survey at baseline and at 1 and 2 years postoperatively. The primary outcome was response to the 2-year postoperative survey. Patients who failed to complete any part of the 2-year postoperative survey after a series of standardized email, text message, and phone call reminders were considered non-responders. Baseline sociodemographics and patient-reported outcomes (PROs) were compared between the groups using Pearson Chi-Squared or Wilcoxon Rank-Sum tests. Logistic regression was used to identify predictors of non-response.
RESULTS
Ninty-nine patients were enrolled and completed the baseline survey. There were 25 non-responders (25 %) at 2 years. Non-responders demonstrated a higher proportion of patients who were male, identified as non-white, and did not respond to the 1-year postoperative survey. There were no differences in baseline PROs between responders and non-responders. When controlling for age and sex, patients who did not identify as white (OR = 4.3, 95 % CI [1.3, 14.4]) and patients who did not respond to the 1-year postoperative survey (OR = 4.5, 95 % CI [1.5, 13.8]) were more likely to be non-responders at 2 years.
CONCLUSION
Not responding to 1 year postoperative survey and non-white race are independent predictors of non-response at 2 years after hip arthroscopy. Baseline PROs do not differ between responders and non-responders.
目的
基于调查的研究固有地存在无应答偏倚。全面了解导致无应答的因素对于最小化失访偏倚和确保结果的可推广性很重要。本研究的目的是确定髋关节镜检查2年后与调查无应答相关的术前因素。
方法
2015年10月至2020年3月在单一中心接受髋关节镜检查的患者被邀请纳入一项前瞻性登记研究。在基线时以及术后1年和2年通过电子邮件向患者发送电子调查问卷。主要结局是对术后2年调查问卷的应答情况。在经过一系列标准化的电子邮件、短信和电话提醒后仍未完成术后2年调查问卷任何部分的患者被视为无应答者。使用Pearson卡方检验或Wilcoxon秩和检验比较两组之间的基线社会人口统计学和患者报告结局（PROs）。采用逻辑回归确定无应答的预测因素。
结果
99名患者被纳入并完成了基线调查。2年时共有25名无应答者（25%）。无应答者中男性、非白人以及未对术后1年调查问卷作出应答的患者比例更高。应答者和无应答者在基线PROs方面没有差异。在控制年龄和性别后，非白人患者（OR = 4.3，95%CI [1.3, 14.4]）以及未对术后1年调查问卷作出应答的患者（OR = 4.5，95%CI [1.5, 13.8]）在2年时更有可能成为无应答者。
结论
未对术后1年调查问卷作出应答以及非白人种族是髋关节镜检查2年后无应答的独立预测因素。应答者和无应答者之间的基线PROs没有差异。
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