EP8.94 Factors Related to Patient Reported Outcome Measure and Clinic Follow Up Compliance

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ID: 330993
2026
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Abstract
Abstract Background Patient-Reported Outcome Measures (PROMs) are empirically validated surveys used to capture post-operative recovery metrics from the patient’s perspective. PROMs help enhance patient-centered care by determining whether an operation achieved the desired end goals and by standardizing rehabilitation expectations. As such, they are used in many orthopedic surgery practices and are mandatory for reimbursement for some procedures. Understanding the factors behind PROM completion will help identify response biases and strategies to increase patient compliance for this valuable tool. Currently, no studies have examined PROM compliance following hip arthroscopy for femoroacetabular impingement syndrome (FAIS). Objective and Hypothesis To identify patient factors that affect post-operative PROM and clinic follow-up completion following hip arthroscopy to treat FAIS. We hypothesize that patients demonstrating better early recovery, as determined by 3-month post-operative PROM scores, are less likely to complete later timepoint PROMs and clinic visits. Methods Data were pulled from a registry of all patients who underwent hip arthroscopy following a clinical diagnosis of FAIS at a single academic institution. Patients with any history of prior hip surgery or less than one year post-op at the time of analysis were excluded. Statistical analysis was conducted using regression and correlation models with 3-month PROM scores or demographic characteristics as predictors for PROM and clinic visit completion. A p-value of <0.05 was considered statistically significant. Results A total of 368 patients were included in the study population. Patients were less likely to complete PROMs (87.77% at 3-months, 65.49% at 12-months) and clinic visits (92.39% at 3 months, 68.48% at 12-months) at later timepoints. 3-month PROM scores indicating better outcomes were associated with a lower likelihood of completing 6-month PROMs for 8 of 10 PROMs (p<0.05). Conclusions Patient follow-up maintenance is crucial for high quality patient centered care. Our findings suggest patients doing better post-operatively are less likely to complete follow-up measures. However, by 12 months patients are less likely to complete follow-up regardless of recovery status. There may also be confounding factors such as socioeconomic status and distance to the surgical facility. Further studies with larger populations across multiple institutions could help verify these findings.
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Authors David Chen, Madeline Tabor, Elizabeth Collinson, Samuel J. Mosiman, Haley Smith, Andrea M. Spiker
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Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.473
URL
https://doi.org/10.1093/jhps/hnag043.473
Keywords Keywords not found

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