Predictors of Low Patient-Reported Outcomes Response Rates in the California Joint Replacement Registry

J Arthroplasty. 2015 Dec;30(12):2071-5. doi: 10.1016/j.arth.2015.06.029. Epub 2015 Jun 20.

Abstract

Total joint arthroplasty registries are increasingly collecting Patient Reported Outcome Measures (PROM) to more directly measure clinical success after surgery. Obtaining these valuable, complete pre- and post-operative surveys is challenging. We sought to identify specific patient or provider characteristics that are associated with low-reporting of PROM surveys in the California Joint Replacement Registry (CJRR). All reported total hip and knee arthroplasties (n=6861) during 2011-2014 were retrospectively reviewed. PROMs were prospectively collected to determine factors associated with non-participation. The critical factor in predicting ongoing participation post-operatively was the collection of PROM surveys pre-operatively. Specific patient demographics (race, discharge disposition, occurrence of a complication) and surgeon volume were predictive of non-response and are potential targets for increasing reporting rates.

Keywords: outcomes; participation; patient reported outcome; registry; total joint arthroplasty.

MeSH terms

  • Aged
  • Arthroplasty, Replacement*
  • Arthroplasty, Replacement, Knee / statistics & numerical data
  • California
  • Female
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Patient Outcome Assessment*
  • Patient Participation
  • Registries*
  • Retrospective Studies
  • Surveys and Questionnaires
  • Treatment Outcome