title: Predictors of Low Patient-Reported Outcomes Response Rates in the California Joint Replacement Registry.
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.
authors.affiliation: Hoag Orthopaedic Institute, Orange, California.
authors.forename: Jay
authors.initials: J
authors.lastname: Patel
authors.affiliation: Hoag Orthopaedic Institute, Orange, California.
authors.forename: Jason H
authors.initials: JH
authors.lastname: Lee
authors.affiliation: University of California Davis School of Medicine, Dept. of Internal Medicine, Sacramento, California.
authors.forename: Zhongmin
authors.initials: Z
authors.lastname: Li
authors.affiliation: University of California Los Angeles, Dept. Orthopaedic Surgery, Santa Monica, California.
authors.forename: Nelson Fong
authors.initials: NF
authors.lastname: SooHoo
authors.affiliation: Dell Medical School at The University of Texas at Austin, Dept. of Surgery and Perioperative Care, Austin, Texas.
authors.forename: Kevin
authors.initials: K
authors.lastname: Bozic
authors.affiliation: Stanford University, Dept. of Orthopaedic Surgery, Redwood City, California.
authors.forename: James I
authors.initials: JI
authors.lastname: Huddleston
mesh_terms: D000368:Aged; D019643:Arthroplasty, Replacement; D019645:Arthroplasty, Replacement, Knee / Q000706:statistics & numerical data; D002140:California; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D063868:Patient Outcome Assessment; D010358:Patient Participation; D012042:Registries; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: outcomes; participation; patient reported outcome; registry; total joint arthroplasty