Utility of PROM Questionnaires: Correlation of Question Burden and Response Rate Among Surgically Treated Patients with Musculoskeletal Diseases
Objectives: Patient-reported outcome measures (PROMs) constitute a patient-centered way to assess treatment outcomes in musculoskeletal diseases. In this study, we explored the factors affecting the response rate when systematically utilizing PROMs for operatively treated patients in a clinical sett...
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| Veröffentlicht in: | Journal of clinical medicine Jg. 14; H. 19; S. 6728 |
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| Abstract | Objectives: Patient-reported outcome measures (PROMs) constitute a patient-centered way to assess treatment outcomes in musculoskeletal diseases. In this study, we explored the factors affecting the response rate when systematically utilizing PROMs for operatively treated patients in a clinical setting. The purpose was to find factors that could be influenced to improve the response rates of questionnaires in the future. Methods: The data were collected from a large institutional registry, divided into seven sub-registries (hand, elbow, shoulder, back, hip, knee, and foot and ankle), by gathering demographic data and joint-specific and generic PROM results. The data were collected preoperatively, as well as postoperatively at 3 months and 1 year. We analyzed patient demographics, the questionnaire format, and the length of each questionnaire, which were hypothesized to be the factors associated with the response rate. Results: The study sample consisted of 2295 patients with operatively treated musculoskeletal conditions. A response rate of 60% or above was obtained for the whole patient cohort at all three time points, although not in all sub-registries. A higher number of questionnaire items (−0.021, p < 0.001) and the patients’ smoking status (−0.395, p = 0.002) were associated with a lower response rate. The response rate increased with the patient age up to 75 years and decreased thereafter. Conclusions: A suitable limit for the number of questions in a PROM questionnaire might be 50 to ensure the required 60% response rate to obtain generalizable results. Special effort should be made to improve the PROM response rate among the younger adult patient population. |
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| AbstractList | Objectives: Patient-reported outcome measures (PROMs) constitute a patient-centered way to assess treatment outcomes in musculoskeletal diseases. In this study, we explored the factors affecting the response rate when systematically utilizing PROMs for operatively treated patients in a clinical setting. The purpose was to find factors that could be influenced to improve the response rates of questionnaires in the future. Methods: The data were collected from a large institutional registry, divided into seven sub-registries (hand, elbow, shoulder, back, hip, knee, and foot and ankle), by gathering demographic data and joint-specific and generic PROM results. The data were collected preoperatively, as well as postoperatively at 3 months and 1 year. We analyzed patient demographics, the questionnaire format, and the length of each questionnaire, which were hypothesized to be the factors associated with the response rate. Results: The study sample consisted of 2295 patients with operatively treated musculoskeletal conditions. A response rate of 60% or above was obtained for the whole patient cohort at all three time points, although not in all sub-registries. A higher number of questionnaire items (−0.021, p < 0.001) and the patients’ smoking status (−0.395, p = 0.002) were associated with a lower response rate. The response rate increased with the patient age up to 75 years and decreased thereafter. Conclusions: A suitable limit for the number of questions in a PROM questionnaire might be 50 to ensure the required 60% response rate to obtain generalizable results. Special effort should be made to improve the PROM response rate among the younger adult patient population. Patient-reported outcome measures (PROMs) constitute a patient-centered way to assess treatment outcomes in musculoskeletal diseases. In this study, we explored the factors affecting the response rate when systematically utilizing PROMs for operatively treated patients in a clinical setting. The purpose was to find factors that could be influenced to improve the response rates of questionnaires in the future. : The data were collected from a large institutional registry, divided into seven sub-registries (hand, elbow, shoulder, back, hip, knee, and foot and ankle), by gathering demographic data and joint-specific and generic PROM results. The data were collected preoperatively, as well as postoperatively at 3 months and 1 year. We analyzed patient demographics, the questionnaire format, and the length of each questionnaire, which were hypothesized to be the factors associated with the response rate. : The study sample consisted of 2295 patients with operatively treated musculoskeletal conditions. A response rate of 60% or above was obtained for the whole patient cohort at all three time points, although not in all sub-registries. A higher number of questionnaire items (-0.021, < 0.001) and the patients' smoking status (-0.395, = 0.002) were associated with a lower response rate. The response rate increased with the patient age up to 75 years and decreased thereafter. : A suitable limit for the number of questions in a PROM questionnaire might be 50 to ensure the required 60% response rate to obtain generalizable results. Special effort should be made to improve the PROM response rate among the younger adult patient population. |
| Audience | Academic |
| Author | Vilkki, Karita Äärimaa, Ville Meronen, Saara Rantalaiho, Ida Ryösä, Anssi Laaksonen, Inari Pernaa, Katri Kostensalo, Joel Taskinen, Hanna-Stiina |
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| Cites_doi | 10.1302/2058-5241.4.180080 10.1177/03635465980260060501 10.1007/978-3-319-24277-4_9 10.1053/joca.2001.0474 10.1016/j.jclinepi.2015.01.016 10.1177/107110070102201004 10.2519/jospt.1998.28.2.88 10.1136/bmjopen-2019-030984 10.1056/NEJMp1011024 10.1371/journal.pone.0254196 10.1016/j.spinee.2019.05.007 10.2106/00004623-200003000-00002 10.1186/s41687-019-0121-6 10.1111/j.1524-4733.2007.00231.x 10.1016/0168-8510(90)90421-9 10.1302/0301-620X.78B2.0780185 10.1097/CORR.0000000000001424 10.1037/1040-3590.7.4.524 10.1186/s12955-020-01628-1 10.1111/j.1467-9868.2010.00749.x 10.1136/bmj.324.7347.1183 10.1016/j.jclinepi.2018.02.019 10.5435/JAAOS-21-02-99 10.1080/17453674.2016.1181816 10.3109/07853890109002086 10.1371/journal.pone.0183667 10.1016/0304-3959(76)90113-5 10.1302/0301-620X.80B1.0800063 10.1007/s00586-023-07819-w 10.1097/MLR.0b013e318268aaff |
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| SubjectTerms | Age Ankle Care and treatment Classification Cohort analysis Demography Diseases Finland Medical research Medicine, Experimental Musculoskeletal diseases Patient outcomes Patients Questionnaires Response rates Surgery |
| Title | Utility of PROM Questionnaires: Correlation of Question Burden and Response Rate Among Surgically Treated Patients with Musculoskeletal Diseases |
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