Research Mentor Name
Dr. Charles Day
Research Mentor Email Address
cday9@hfhs.org
Institution / Department
Henry Ford Health Systems/ Orthopedics
Document Type
Research Abstract
Research Type
healthimprovement
Graduate Level Research
no
Abstract
Background
Patient-reported outcome measures (PROMs) assess symptoms, function, and overall health from a patient perspective. Although PROM engagement has been studied across orthopaedics, limited work has examined both participation and completion specifically in joint replacement. This study evaluated associations between sociodemographic factors and PROM participation and completion among total joint arthroplasty patients.
Methods
We performed a retrospective review of all primary arthroplasties completed by a single surgeon in 2023 at a Midwestern tertiary health system. PROMs included PROMIS PF, PROMIS PI, and either HOOS JR or KOOS JR. Demographic data and Area Deprivation Index (ADI) were collected. Participation was defined as completing at least one pre- and one postoperative survey; completion was defined as completing all assigned surveys. Univariate and multivariate logistic regressions identified factors associated with participation and completion.
Results
Among 646 patients, PROM participation differed significantly by sociodemographic factors. Black patients, individuals identifying as a minority group, older adults, and those with higher ADI had lower odds of participation (all p< 0.01). Commercial insurance and being married were associated with higher participation. Participation also increased with more preoperative visits, and greater numbers or percentages of PROMs completed (all p< 0.01).
For PROM completion, univariate analyses showed trends toward lower completion among Black patients and significant associations with fewer preoperative visits and higher PROM counts (all p< 0.001). In multivariate models, participation remained associated with fewer preoperative visits (p< 0.001) and greater PROM counts (p< 0.001), while completion was independently associated only with the percentage of PROMs completed (p=0.022).
Conclusion
PROM participation demonstrated notable sociodemographic disparities, whereas completion was primarily driven by prior engagement. These findings highlight the need for targeted strategies to improve equitable PROM participation in joint replacement care.
Disciplines
Medicine and Health Sciences | Orthopedics | Quality Improvement
Recommended Citation
Kernen, Diana BA; Yi, Michelle MSE; Jahnke, Kathleen BS; Khurana, Nevil MS; Goodrich, Ezra MD; and Day, Charles MD, MBA, "Patient Reported Outcome Participation and Completion in Total Joint Arthropathy: A Socioeconomic Analysis" (2026). Medical Student Research Symposium. 487.
https://digitalcommons.wayne.edu/som_srs/487