Allen Christian B, Kirk Kevin, Marx Randall, Proffitt J Michael, Robbins Justin
University of the Incarnate Word School of Osteopathic Medicine, USA.
The San Antonio Orthopaedic Group, USA.
J Orthop. 2024 Dec 13;65:96-99. doi: 10.1016/j.jor.2024.12.014. eCollection 2025 Jul.
Patient-Reported Outcome Measures (PROMs) are increasingly utilized in orthopaedic research and assess the patient's response to care, allow for assessment of the patient's overall health, and provide tools to promote the shared decision-making process. Our hypothesis is that risk factors for non-compliance is increasing age and increasing time after surgery.
PROMs compliance was conducted from survey data of 90 individuals from May 2017 to July 2023 who had Achilles tendon surgery. After completion of surgical intervention, patients received electronic notification with a link to complete their own patient reported outcomes survey preoperatively, and at 3-month, 6-month, 1-year, and 2-year follow-up time points. Compliance by timepoint was calculated as the proportion of patients who completed the surveys compliantly relative to the total eligible cohort offered to participate in the survey.
The median age at time of surgery was 50 years [IQR 38 to 61], and the majority were male (60%). For every year increase in age at treatment, the odds of compliance increased by approximately 4.1% (OR = 0.96, 95% CI [1.00, 0.93], p = 0.047). Compliance with PROMs was highest at 3-months postoperative (77%). Patients who identified as "Not Hispanic or Latino" were approximately 3.22 times less likely to be non-compliant with the survey completion (OR = 0.31, 95% CI [0.97, 0.099], p = 0.046) at two years. Self-reported race, language, and sex at birth did not demonstrate statistically significant (p > 0.05).
Our hypothesis was rejected because within our study, younger age had the highest non-compliance with PROMs. Also, compliance did not decrease at every timepoint after surgery. Those identifying their ethnicity as "Hispanic or Latino" had the highest non-compliance with PROMs. Surgeons need to identify patients who are at risk for non-compliance to ensure those patients participate in completion of the outcome instrument.
lll Retrospective Cohort Study.
患者报告结局量表（PROMs）在骨科研究中的应用越来越广泛，它可评估患者对治疗的反应，评估患者的整体健康状况，并为促进共同决策过程提供工具。我们的假设是，不依从的风险因素是年龄增长和术后时间延长。
通过对2017年5月至2023年7月期间90例接受跟腱手术患者的调查数据进行PROMs依从性分析。手术干预完成后，患者收到电子通知，其中包含一个链接，用于在术前以及术后3个月、6个月、1年和2年的随访时间点完成自己的患者报告结局调查。各时间点的依从性计算为合规完成调查的患者占被邀请参与调查的合格队列总数的比例。
手术时的中位年龄为50岁[四分位间距38至61岁]，大多数为男性（60%）。治疗时年龄每增加一岁，依从的几率增加约4.1%（比值比=0.96，95%置信区间[1.00，0.93]，p=0.047）。PROMs依从性在术后3个月时最高（77%）。在两年时，自我认定为“非西班牙裔或拉丁裔”的患者不完成调查的可能性约低3.22倍（比值比=0.31，95%置信区间[0.97，0.099]，p=0.046）。自我报告的种族、语言和出生时的性别未显示出统计学显著性（p>0.05）。
我们的假设被拒绝，因为在我们的研究中，年龄较小的患者对PROMs的不依从性最高。此外，术后各时间点的依从性并未降低。那些将自己的种族认定为“西班牙裔或拉丁裔”的患者对PROMs的不依从性最高。外科医生需要识别有不依从风险的患者，以确保这些患者参与结局工具的完成。
III级回顾性队列研究。
