术前患者报告的结果测量完成率在接受关节镜手术的患者中因手术类型而异

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-08-01 DOI:10.1016/j.asmr.2025.101208

Shreeya R. Bahethi B.S., Andrea H. Johnson M.S.N., C.R.N.P., Jane C. Brennan M.S., Benjamin M. Petre M.D., Justin J. Turcotte Ph.D., M.B.A., Daniel E. Redziniak M.D.

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引用次数: 0

摘要

目的评估术前患者报告结果测量（PROM）完成率的差异，特别是患者报告结果测量信息系统，身体功能（promise - pf），在接受普通关节镜手术的患者中。方法回顾性分析2021年至2024年在同一医院接受关节镜手术（膝关节镜、关节镜旋转袖修复、髋关节镜、前交叉韧带重建）的患者。没有种族/民族记录的患者被排除在外。主要结果为术前临床promise - pf调查的完成情况。采用单变量和多变量分析来评估种族、民族、社会脆弱性（使用疾病控制中心社会脆弱性指数[SVI]测量）和promise - pf完成率之间的关系。结果共纳入2542例患者；715例（28.1%）患者接受了髋关节镜检查，418例（16.4%）患者接受了关节镜下肩袖修复，193例（7.8%）患者接受了前交叉韧带重建，770例（30.3%）患者接受了关节镜下半月板切除术，165例（6.5%）患者接受了关节镜下半月板修复，281例（11.1%）患者接受了膝关节镜检查。总体而言，60.8%的患者术前完成了promise - pf。术前完成promise - pf的患者与未完成promise - pf的患者或在特定手术类别中完成promise - pf的患者在种族、民族、性别、年龄、体重指数或总体SVI方面没有显著差异。在控制了年龄、性别和体重指数后，非白人种族、西班牙裔种族和总体SVI不能预测PROMIS的总体完成情况或任何程序类别。结论：尽管promise - pf的完成率在手术过程中有所不同，但人口统计学对术前参与没有显著影响。临床相关性proms对于跟踪个别患者的治疗结果和确定哪种治疗方法通常效果最好非常重要。了解未完成PROMs的患者的特征是很重要的，这样外科医生就可以知道谁可能有更大的未完成风险。

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Preoperative Patient-Reported Outcome Measures Completion Rates Vary by Procedure Type Among Patients Who Undergo Arthroscopic Surgery

Purpose

To evaluate disparities in preoperative patient-reported outcome measure (PROM) completion rates, specifically Patient-Reported Outcome Measurement Information System, Physical Function (PROMIS-PF), among patients undergoing common arthroscopic procedures.

Methods

A retrospective review of patients undergoing arthroscopic procedures (knee arthroscopy, arthroscopic rotator cuff repair, hip arthroscopy, anterior cruciate ligament reconstruction) at a single institution from 2021 to 2024 was performed. Patients without documented race/ethnicity were excluded. The primary outcome was completion of the PROMIS-PF survey in clinic preoperatively. Univariate and multivariate analyses were performed to assess the relationship between race, ethnicity, social vulnerability (measured using the Centers for Disease Control Social Vulnerability Index [SVI]) and PROMIS-PF completion rates.

Results

A total of 2,542 patients were included in the study; 715 (28.1%) patients underwent hip arthroscopy, 418 (16.4%) patients underwent arthroscopic rotator cuff repair, 193 (7.8%) patients underwent anterior cruciate ligament reconstruction, 770 (30.3%) patients underwent arthroscopic meniscectomy, 165 (6.5%) patients underwent arthroscopic meniscal repair, and 281 (11.1%) underwent knee arthroscopy. Overall, 60.8% of patients completed PROMIS-PF preoperatively. There were no significant differences in race, ethnicity, sex, age, body mass index, or overall SVI between patients who completed PROMIS-PF preoperatively and those who did not or within specific procedure categories. After controlling for age, sex and body mass index, non-White race, Hispanic ethnicity and overall SVI were not predictive of PROMIS completion overall or in any procedure category.

Conclusions

Although completion rates of PROMIS-PF varied across procedures, demographics did not significantly impact preoperative participation.

Clinical Relevance

PROMs are important to track the results of treatment of individual patients and to determine what treatments generally work best. It is important to understand characteristics of patients who do not complete PROMs so surgeons can be aware of who may be at a greater risk for noncompletion.

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