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Beitragstitel Feasibility Of Web-Based Patient-Reported Outcome Assessment After Arthroscopic Knee Surgery: The Patients’ Perspective
  1. Martin Olach Kantonsspital St. Gallen Vortragender
  2. Jan Meester
  3. Gerrit Behrens
  4. Johannes Giesinger
  5. Michael Badulescu
  6. Karlmeinrad Giesinger
Präsentationsform Poster
  • A05 - Knie
Abstract Introduction
Patient-reported outcome (PRO) assessment has become an important cornerstone to evaluate outcomes in orthopaedics. Dissemination of smartphones and tablets allow for very efficient questionnaire completion and simple data acquisition in hospital and at home. However, it is controversial how patients feel about this novel electronic follow-up in clinical practice.
Consecutive patients undergoing arthroscopic knee surgery of the meniscus at a large teaching hospital in Switzerland were included. The Computer-based Health Evaluation Software (CHES) was used for data presentation and collection. Electronic questionnaires included the Knee Injury and Osteoarthritis Outcome Score (KOOS), the Forgotten Joint Score-12 (FJS-12) and the Tegner Activity Scale at baseline preoperatively, 6 and 12 weeks, 6 and 12 months postoperatively. At the end of the follow-up period, a questionnaire was sent out to evaluate various aspects of the process of electronic data acquisition from the patients’ perspective.
102 patients were included in the study. Mean age was 50 years. 30 patients refused participation: 9 because of language barrier, 7 because of a lack of internet access (study period 2015-2017), 14 refused without reason. One patient died after baseline assessment. 71 patients (69.6%) participated in the study. Regarding questionnaire completion times a substantial learning effect through subsequent follow-ups was observed already after 3 months. Mean completion time was 5.5 minutes for the KOOS and 1.8 minutes for the FJS-12. 46 patients returned the evaluation questionnaire at the end of the study. 36 patients (78.3%) reported to have no problems using the tablet computer at baseline assessment. 86.9% were satisfied or very satisfied with the process of survey. 22 patients (47.8%) stated that they would want to have feedback through the questionnaire during the period of aftercare. The majority of patients (48.9%) considered 3 months to be a good interval for periodic questionnaires. 82.2% considered 5-15 minutes as reasonable for this effort.
Electronic patient reported outcome (ePRO) offers the possibility for a feedback loop for patients but also for the attending doctor. The majority of patients consider 3 months as a good interval to answer questions and up to 15 minutes reasonable.
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