Risk factors associated with ACL registry compliance: can we predict who will follow-up?

Bedeir, Yehia H.; Hasselfeld, Kimberly A.; Kuechly, Henry A; Utz, Christopher J.; Branam, Barton R.; Colosimo, Angelo J.; Grawe, Brian M.

doi:10.1007/s00590-018-2327-3

Cited by 4 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bedeir et al noted that younger age was significantly associated with lower survey compliance in anterior cruciate ligament reconstruction patients at the 12 and 24 months postoperatively. 15 Our study did not find an association between survey completion and age, ethnicity, and education. This could be due to different patient populations, different techniques to obtain follow-up survey completion, or different patterns of in-office clinical follow-up.…”

Section: Discussioncontrasting

confidence: 68%

Preoperative Factors Associated with 2-Year Postoperative Survey Completion in Knee Surgery Patients

et al. 2021

View full text Add to dashboard Cite

Patient-reported outcomes, such as the Patient-Reported Outcomes Measurement Information System (PROMIS) measures, have become increasingly valued as measures of treatment. The purpose of the study was to determine preoperative factors associated with survey compliance 2 years after elective knee surgery. Five hundred patients, age 17 years and older, undergoing knee surgery from August 2015 and March 2017 were administered questionnaires preoperatively and 2 years postoperatively. Questionnaires included the International Knee Documentation Committee (IKDC) score, Numeric Pain Scales (NPS), International Physical Activity Questionnaire (IPAQ), and six PROMIS Domains for physical function, pain interference, social satisfaction, fatigue, anxiety, and depression. Three hundred sixty-five patients (73.0%) completed both the preoperative and the 2-year surveys. A decreased likelihood of survey completion was significantly associated with black race, lower income, government-sponsored insurance, smoking, opioid use, fewer previous surgeries, lower expectations, lower PROMIS social satisfaction, higher PROMIS pain interference, and lower IPAQ physical activity. Multivariable logistic regression analysis confirmed that black race and lower IPAQ activity level were independent predictors of lower survey completion at 2-year follow-up with an area under the curve (AUC) of 0.62. A more robust multivariable model that included all variables with p < 0.05 in the bivariate analysis had an AUC of only 0.70. This study identified multiple preoperative factors that were associated with lower survey completion 2 years after elective orthopaedic knee surgery; however, all the factors measured in this study were not strong predictors of survey completion.

show abstract

Section: Discussioncontrasting

confidence: 68%

Preoperative Factors Associated with 2-Year Postoperative Survey Completion in Knee Surgery Patients

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The potential differences in postoperative follow-up rates based on socioeconomic status are also important to consider with regard to the generalizability of outcome studies on surgical procedures. Distance from the treating facility 3,29 and lack of private insurance 29 have been reported as risk factors for lack of postoperative follow-up after orthopedic trauma care and anterior cruciate ligament reconstruction. The factors related to follow-up after shoulder arthroplasty remain unclear.…”

mentioning

confidence: 99%

Do patient outcomes and follow-up completion rates after shoulder arthroplasty differ based on insurance payor?

Lansdown

Gabrielle

Aung

et al. 2021

Journal of Shoulder and Elbow Surgery

View full text Add to dashboard Cite

Background: Disparities associated with socioeconomic status (SES) and insurance coverage have been shown to affect outcomes in different medical conditions and surgical procedures. We hypothesized that patients insured by Medicaid will be associated with lower follow-up rates and inferior outcomes relative to those with Medicare or private insurance. Methods: Patients undergoing shoulder arthroplasty, including anatomic total shoulder arthroplasty, reverse arthroplasty, and hemiarthroplasty, were enrolled preoperatively in an institutional database. Preoperative demographics, payor (Medicaid, Medicare, or private insurance), and baseline American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) scores were recorded. Postoperatively, patients completed ASES scores at multiple time points. Follow-up completion rate was calculated as the number of follow-up visits completed relative to possible visits. Continuous variables were compared between groups with 1-way analyses of variance, and chi-squared tests were used for categorical variables. Significance was defined as P < .05. Results: There were 491 shoulder replacements performed for 438 patients from 2012-2017. The mean follow-up completed percentage was significantly lower (P < .001) for Medicaid patients (62.6% AE 33.7%) relative to Medicare patients (80.2% AE 26.7%; P < .001) and private insurance patients (77.8% AE 22.1%; P ¼ .001). The ASES Composite score increased significantly for all patients from baseline to final follow-up. At each time point, including before surgery and each postoperative time point, patients with Medicaid insurance had significantly lower ASES Composite scores. The final ASES Composite score was significantly lower in the Medicaid patients (66.1 AE 28.7) relative to private insurance patients (78.3 AE 20.8; P ¼ .023). Medicaid patients had significantly lower preoperative (P < .001) and postoperative (P ¼ .018) ASES Pain subscores. In multivariate regression analysis, Medicaid insurance was associated with both inferior preoperative and postoperative ASES scores relative to patients with Medicare or private insurance. Conclusions: We observed that all patients, regardless of insurance payor, improved by similar magnitudes after shoulder arthroplasty, though patients with Medicaid insurance had significantly lower preoperative and postoperative ASES scores, primarily because of the ASES Pain subscore. Patients with Medicaid insurance also have lower follow-up rates than other payors.

show abstract

Knee registries: state of the art

et al. 2022

View full text Add to dashboard Cite

Risk factors associated with ACL registry compliance: can we predict who will follow-up?

Cited by 4 publications

References 9 publications

Preoperative Factors Associated with 2-Year Postoperative Survey Completion in Knee Surgery Patients

Preoperative Factors Associated with 2-Year Postoperative Survey Completion in Knee Surgery Patients

Do patient outcomes and follow-up completion rates after shoulder arthroplasty differ based on insurance payor?

Knee registries: state of the art

Contact Info

Product

Resources

About