Use of smartphone app may improve collection of patient-reported outcomes after TJA
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Key takeaways:
- Patients who used a smartphone app had higher compliance before and after total joint arthroplasty.
- Patients who used the app were 4.4 times more likely to be compliant at all timepoints.
GRAPEVINE, Texas — Results showed use of a smartphone application after total joint arthroplasty may improve compliance in completion of patient-reported outcome measures compared with other electronic and paper collection methods.
“The data indicates that a smartphone mobile application that engages patients during recovery after knee and hip joint arthroplasty improves compliance with completion of preoperative and postoperative [patient-reported outcome measures] PROMs compared to traditional electronic and paper methods,” Jess H. Lonner, MD, told Healio about results presented at the American Association of Hip and Knee Surgeons Annual Meeting.
Lonner and colleagues randomly assigned patients undergoing total knee and hip arthroplasty to either utilize a smartphone-based care management platform for perioperative education, self-directed rehabilitation and to complete joint-specific PROMs through the application at prescribed intervals (n=384; app group) or to receive practice standard of care and complete PROMs through an emailed hyperlink or during clinic visits (n=451; control group). Researchers calculated compliance with protocol-defined timepoints, as well as Comprehensive Joint Replacement (CJR) submission rules through 1 year postoperatively.
Results showed patients in the app group had higher compliance preoperatively and at every timepoint postoperatively, including at 1 year postoperatively. Logistic regression showed being in the intervention arm was the strongest predictor of completion of all PROMs, with patients who used the app being 4.4 times more likely to be compliant at all timepoints, as well as twice as likely to be compliant with CJR guidelines. Researchers found 77.5% of patients in the app group completed PROMs using the application vs. paper methods.
“Given the increasing use of value-based and other alternative payment models after total knee and hip arthroplasty surgery, there is increased necessity for orthopedic surgeons and their practices to collect and submit patient-reported outcome measures to insurers as a measure of treatment success,” Lonner said. “These quality metrics impact reimbursement following joint arthroplasty and will continue to do so into the future. Thus, using tools such as a smartphone care management platform to enhance compliance with PROMs reporting and collection will be of increasing importance.”
References:
- Miller MD, et al. J Arthroplasty. 2024;doi:10.1016/j.arth.2024.01.007.
- Miller MD, et al. Poster 63. Presented at: American Association of Hip and Knee Surgeons Annual Meeting; Nov. 2-5, 2023; Grapevine, Texas.
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Miller MD, et al. Poster 63. Presented at: American Association of Hip and Knee Surgeons Annual Meeting; Nov. 2-5, 2023; Grapevine, Texas.
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