Feasibility of collecting multiple patient-reported outcome measures alongside the Dutch arthroplasty register

Tilbury, C.; Leichtenberg, C.S.; Kaptein, B.L.; Koster, L.A.; Verdegaal, S.H.M.; Onstenk, R.; ... ; Vlieland, T.P.M.V. (2020)

Article / Letter to editor

Background: Compliance rates with patient-reported outcome measures (PROMs) collected alongside arthroplasty registries vary in the literature. We described the feasibility of a routinely collected set PROMs alongside the Dutch Arthroplasty Register. Methods: The longitudinal Leiden Orthopaedics Outcomes of OsteoArthritis Study is a multicenter (7 hospitals), observational study including patients undergoing total hip or total knee arthroplasty (THA or TKA). A set of PROMs: Short Form-12, EuroQol 5 Dimensions, Hip/Knee injury and Osteoarthritis Outcome Score, Oxford Hip/Knee Score was collected preoperatively and at 6, 12, 24 months, and every 2 years thereafter. Participation rates and response rates were recorded. Results: Between June 2012 and December 2014, 1796 THA and 1636 TKA patients were invited, of whom 1043 THA (58%; mean age 68 years [standard deviation, SD: 10]) and 970 TKA patients (59%; mean age 71 years [SD 9.5]) participated in the study. At 6 months, 35 THA/38 TKA patients were lost to follow-up. Response rates were 90% for THA (898/1000) and 89% for TKA (827/932) participants. At 1 and 2 years, 8 and 18 THA and 17 and 11 TKA patients were lost to follow-up, respectively. The response rates among those eligible were 87% (866/992) and 84% (812/972) for THA and 84% (771/917) and 83% (756/906) for TKA patients, respectively. The 2-year questionnaire was completed by 78.5% of the included THA patients and by 77.9% of the included TKA patients. Conclusions: About 60% of patients undergoing THA or TKA complete PROMs preoperatively, with more than 80% returning follow-up PROMs. To increase the participation rates, more efforts concerning the initial recruitment of patients are needed.

• patient satisfaction
• clinician-patient relationship
• communication
• quality improvement
• quality of life
• patient expectations
• outpatient satisfaction data
• patient feedback

• All authors: Tilbury, C.; Leichtenberg, C.S.; Kaptein, B.L.; Koster, L.A.; Verdegaal, S.H.M.; Onstenk, R.; Linden-van der Zwaag, H.M.J. van der; Krips, R.; Kaptijn, H.H.; Vehmeijer, S.B.W.; Marijnissen, W.J.C.M.; Meesters, J.J.L.; Rooden, S.M. van; Brand, R.; Nelissen, R.G.H.H.; Gademan, M.G.J.; Vlieland, T.P.M.V.
• Date: 2020-08-01
• Journal: Journal of Patient Experience
• Volume: 7
• Issue: 4
• Pages: 484 - 492
• DOI: doi:10.1177/2374373519853166
• Link: https://journals.sagepub.com/doi/10.1177/2374373519853166