Feasibility of Collecting Multiple Patient-Reported Outcome Measures Alongside the Dutch Arthroplasty Register
Claire Tilbury, MD,1 Claudia S Leichtenberg, Bsc,1 Bart L Kaptein, PhD,1 Lennard A Koster, MSc,1 Suzan H M Verdegaal, MD, PhD,2 Ron Onstenk, MD,3 Henrike M J van der Linden-van der Zwaag, MD, PhD,1 Rover Krips, MD, PhD,2 Herman H Kaptijn, MD,4 Stephan B W Vehmeijer, MD, PhD,5 Willem-Jan C M Marijnissen, MD,6 Jorit J L Meesters, PhD,1 Stephanie M van Rooden, PhD,7 Ronald Brand, PhD,7 Rob G H H Nelissen, MD, PhD,1 Maaike G J Gademan, PhD,1,8 and Thea P M Vliet Vlieland, MD, PhD1,9Hip Knee
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.
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