Press Ganey Outpatient Medical Practice Survey Scores Do Not Correlate With Patient-Reported Outcomes After Primary Joint Arthroplasty

Kohring, Jessica M.; Pelt, Christopher E.; Anderson, Mike B.; Peters, Christopher L.; Gililland, Jeremy M.

doi:10.1016/j.arth.2018.03.044

Cited by 31 publications

(23 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…PG response rates are not consistently reported in orthopedic PG studies, but when they are, the rates have been low, ranging from 12.6% to 28%. 2,4,5,7,9,[13][14][15]21 PG data, whether here or elsewhere, appear to be limited by nonresponse bias, thereby raising concerns about the instruments' ability to accurately measure patient satisfaction. 19,21 In this study, we encountered notable ceiling effects, with 64% of our patients reporting perfect satisfaction with care provider and 27% exhibiting perfect overall satisfaction.…”

Section: Discussionmentioning

confidence: 98%

“…However, prior work in other orthopedic disciplines has asked similar questions. Kohring et al 13 failed to identify meaningful correlations between PG satisfaction and patient-reported outcomes in total knee arthroplasty patients. Similarly, Chughtai et al did not find relevant associations between traditional outcome measures and PG overall hospital satisfaction after either total hip 4 or knee 5 replacements.…”

Section: Discussionmentioning

confidence: 99%

“…Several total joint replacement studies have failed to identify meaningful links between PG satisfaction and patient-reported outcomes (PROs) like function and pain. 4,5,13 There was no association in spine patients between self-reported functional disability and patient satisfaction. 2 In upper extremity patients, PG satisfaction was associated with psychological health as well as with function and pain.…”

Section: Introductionmentioning

confidence: 92%

See 2 more Smart Citations

Relationship of Press Ganey Satisfaction and PROMIS Function and Pain in Foot and Ankle Patients

et al. 2020

View full text Add to dashboard Cite

Background: Patient satisfaction has garnered interest as a tool to measure health care quality. However, orthopedic studies in total joint arthroplasty, spine, and hand patients have offered conflicting relationships between Press Ganey (PG) satisfaction metrics and patient-reported outcome (PRO) measures. No prior study has assessed the relationship between PG and PROs in foot and ankle patients. Whether satisfaction and outcomes instruments, though, measure similar or differing aspects of the patient experience is unclear. Here, we tested if there was an association between Patient-Reported Outcomes Measurement Information System (PROMIS) outcomes and PG satisfaction scores. Methods: PG and PROMIS outcomes data for new patient visits to an orthopedic foot and ankle clinic between 2015 and 2017 were retrospectively analyzed. Patients that completed PG satisfaction surveys were included for study. All patients who completed PG surveys and completed one or both PROMIS physical function (PF) or pain interference (PI) metrics administered by computerized adaptive testing were included. Negative binomial regressions were used to compare PRO scores to PG overall satisfaction and PG satisfaction with care provider, adjusting for patient characteristics. Results were reported as dissatisfaction score ratios, which represented the amount of PG dissatisfaction associated with a 10-point increase in PROMIS PF or PI. Of the 3984 new patient visits, only 441 completed the PG survey (11.3% response rate). Results: Ceiling effects were seen with PG data: 64% of patients reported perfect satisfaction with care provider and 27% had perfect overall satisfaction. Higher function on the PROMIS PF was weakly associated with increased overall satisfaction (ratio = 0.82, 95% CI: 0.68-0.99, P = .039) and increased satisfaction with care provider (ratio = 0.60, 95% CI: 0.40-0.92, P = .019). However, pain (PROMIS PI) was not associated with overall satisfaction or with satisfaction with care provider. Conclusions: Based on our data here, patient satisfaction was weakly related to patient-reported function but not pain interference among this subset of new patients presenting to a foot and ankle clinic. Given our essentially negative findings, further study is needed to determine which aspects of the PG satisfaction and PROMIS scores track similarly. Further, our findings add to the growing literature showcasing limitations of the PG tool, including low response rates and notable ceiling effects. If satisfaction metrics and patient-reported outcomes capture differing aspects of the patient experience, we need to better understand how that influences the measurement of health care quality and value. Level of Evidence: Level III, comparative study.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 92%

See 1 more Smart Citation

Relationship of Press Ganey Satisfaction and PROMIS Function and Pain in Foot and Ankle Patients

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Patient experience measures via Press Ganey Medical Practice Surveys have been used to understand predictors of satisfaction with care, including patient physical function, 19 provider demographic characteristics, 20 and care delivery characteristics (communication 21 ). Research shows that providers feel ill-equipped to use patient-reported experience information to improve patient care.…”

Section: Discussionmentioning

confidence: 99%

Creation of a Patient-Centered Journey Map to Improve the Patient Experience: A Mixed Methods Approach

Philpot

Khokhar

DeZutter

et al. 2019

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

View full text Add to dashboard Cite

show abstract

“…Past studies have established that PG surveys do not accurately assess standard outcomes. Kohring et al 17 performed a retrospective review of 240 patients, evaluating the correlation between PG surveys and patient-reported outcomes (PRO) using standardised tests both before and after primary THA. Their results revealed little to no correlation between the PG scores and PRO scores at any time point (all, r s : -0.33 to 0.18).…”

Section: Discussionmentioning

confidence: 99%

Pain intensity in total hip arthroplasty patients: how communication influences satisfaction

et al. 2019

View full text Add to dashboard Cite

Introduction: An important global measure of health care quality is patient satisfaction. Patient satisfaction partially determines hospital reimbursement for procedures such as total hip arthroplasty (THA). Press Ganey (PG) survey responses assess patient satisfaction, and impact reimbursement. Current efforts to maximise repayment for THA include reducing postoperative pain. The “Pain Management” survey domain is considered a significant factor in patient ratings, but other studies have highlighted staff communication domains as determinants of satisfaction. Therefore, the purpose of this study is to compare PG survey responses to inpatient pain intensity. Methods: We queried the PG database for all patients who underwent a THA between November 2012 and January 2015. This yielded a total of 302 patients. Descriptive statistics were performed to analyse patient-level demographics. A multivariate regression model was constructed utilising pain intensity as the dependent variable. Results: Patients rating of “Communication with Doctors” ( B = –25.534; p < 0.001) and “Communication about Medicines” ( B = –31.49; p = < 0.001) domains were representative of patient pain intensity. No other factors demonstrated a significant relationship to pain intensity. Conclusions: Patient satisfaction continues to be important in care quality. Surrogate markers, such as the PG survey, can guide institutions looking to improve care. Our study revealed scores for “Communication with Doctors” and “Communication about Medicines” best represented true pain intensity levels for THA recipients during the postoperative period. The “Pain Management” domain did not display a relationship to pain intensity. The current method of measuring patient satisfaction should be reassessed to better represent patient responses and outcomes.

show abstract

Press Ganey Outpatient Medical Practice Survey Scores Do Not Correlate With Patient-Reported Outcomes After Primary Joint Arthroplasty

Cited by 31 publications

References 33 publications

Relationship of Press Ganey Satisfaction and PROMIS Function and Pain in Foot and Ankle Patients

Relationship of Press Ganey Satisfaction and PROMIS Function and Pain in Foot and Ankle Patients

Creation of a Patient-Centered Journey Map to Improve the Patient Experience: A Mixed Methods Approach

Pain intensity in total hip arthroplasty patients: how communication influences satisfaction

Contact Info

Product

Resources

About