Feasibility of Collecting Multiple Patient-Reported Outcome Measures Alongside the Dutch Arthroplasty Register

Claire Tilbury; Claudia S Leichtenberg; Bart L Kaptein; Lennard A Koster; Suzan H M Verdegaal; Ron Onstenk; Henrike M J van der Linden-van der Zwaag; Rover Krips; Herman H Kaptijn; Stephan B W Vehmeijer; Willem-Jan C M Marijnissen; Jorit J L Meesters; Stephanie M van Rooden; Ronald Brand; Rob G H H Nelissen; Maaike G J Gademan; Thea P M Vliet Vlieland

doi:10.1177/2374373519853166

Feasibility of Collecting Multiple Patient-Reported Outcome Measures Alongside the Dutch Arthroplasty Register

J Patient Exp. 2020 Aug;7(4):484-492. doi: 10.1177/2374373519853166. Epub 2019 Jun 4.

Authors

Claire Tilbury¹, Claudia S Leichtenberg¹, Bart L Kaptein¹, Lennard A Koster¹, Suzan H M Verdegaal², Ron Onstenk³, Henrike M J van der Linden-van der Zwaag¹, Rover Krips², Herman H Kaptijn⁴, Stephan B W Vehmeijer⁵, Willem-Jan C M Marijnissen⁶, Jorit J L Meesters¹, Stephanie M van Rooden⁷, Ronald Brand⁷, Rob G H H Nelissen¹, Maaike G J Gademan^{1

8}, Thea P M Vliet Vlieland^{1

9}

Affiliations

¹ Department of Orthopaedics, Leiden University Medical Center, Leiden, the Netherlands.
² Department of Orthopaedics, Alrijne Ziekenhuis Leiderdorp, Leiderdorp, the Netherlands.
³ Department of Orthopaedics, Groene Hart Ziekenhuis, Gouda, the Netherlands.
⁴ Department of Orthopaedics, LangeLand Ziekenhuis, Zoetermeer, the Netherlands.
⁵ Department of Orthopaedics, Reinier de Graaf Gasthuis, Delft, the Netherlands.
⁶ Department of Orthopaedics, Albert Schweitzer Ziekenhuis, Dordrecht, the Netherlands.
⁷ Department of Advanced Data Management, Leiden University Medical Center, Leiden, the Netherlands.
⁸ Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
⁹ Basalt Rehabilitation, Leiden/The Hague, the Netherlands.

Abstract

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.

Keywords: clinician–patient relationship; communication; outpatient satisfaction data; patient expectations; patient feedback; patient satisfaction; quality improvement; quality of life.