Patient-reported outcome remote monitoring system improved quality of life after THR, TKR
Click Here to Manage Email Alerts
Key takeaways:
- A remote monitoring system for patient-reported outcome measures was associated with improvements in quality of life and fatigue after THR and TKR.
- The cost-effectiveness of the intervention should be evaluated.
A remote monitoring system for collecting postoperative patient-reported outcome measures was associated with improvements in quality of life and fatigue after total hip and knee replacement, according to published results.
To determine the effectiveness of remote patient-reported outcome measure (PROM) monitoring vs. the standard of care, researchers performed secondary analysis of a randomized clinical trial that included 3,697 patients who underwent primary total hip replacement and 3,110 patients who underwent primary total knee replacement. Patients were then categorized into either an intervention group (n = 1,564 THRs; n = 1,545 TKRs) or a control group (n = 1,854 THRs; n = 1,843 TKRs).
For patients in the intervention group, PROMs were collected at 1, 3 and 6 months after surgery. According to the study, the PROM monitoring system was designed to alert hospital nurses to critical recovery paths based on pre-specified PROM score thresholds. Other outcomes, including hospital admission, discharge, EuroQol-5D 5-level version (EQ-5D-5L), European quality of life VAS (EQ-VAS), health-related quality of life (HRQoL), fatigue and depression, were collected from both groups from baseline to 1 year after surgery.
Overall, patients in the intervention group who underwent THR demonstrated “significantly better” outcomes on all PROMs except the EQ-5D-5L, and patients in the intervention group who underwent TKR demonstrated “significantly better” outcomes on all PROMs. Patients in the intervention group also had significantly higher mean increases in HRQoL scores and fatigue scores compared with the control group.
“Whether the intervention is also cost-effective needs to be evaluated,” researchers wrote in the study. “Further research on the ideal time intervals, the timeframe and effects of the different intervention steps, especially the potential caring effect of the monitoring and PROM-based telephone call follow-up conversations, is needed,” they concluded.
Collapse
Click Here to Manage Email Alerts