Evidence map›Paper›PMID 39849584›Full record

Trial reportJournal of orthopaedic surgery and research2025

Optimising patient engagement for assessing total joint arthroplasty outcomes - a randomised controlled trial.

Wyatt Tyndall, Nebojsa Kuljic, Michael Thatcher, Michaela Nickol, Johannes M van der Merwe

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Wyatt TyndallDepartment of Orthopaedic Surgery, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Nebojsa KuljicDepartment of Orthopaedic Surgery, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Michael ThatcherDepartment of Orthopaedic Surgery, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Michaela NickolDepartment of Orthopaedic Surgery, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Johannes M van der MerweDepartment of Orthopaedic Surgery, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada. jov777@mail.usask.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatient satisfaction is a critical outcome in total joint arthroplasty (TJA), yet assessing it effectively remains a challenge due to limitations in patient-reported outcome measures (PROMS). While these measures are commonly gathered in clinical settings, additional contact through mail or phone is often needed, and low response rates can affect the validity and reliability of collected data. To improve response rates, this study evaluated various methods of incentivizing patient participation in a randomized trial format, focusing on postal questionnaires. PATIENTS AND

methodsThe study investigated three methods to improve response rates: including a gift card with the questionnaire, promising a gift card upon questionnaire completion, and offering no incentive. It also examined whether different monetary values and the inclusion of the surgeon's name on materials impacted response rates. We tried to determine factors that could improve follow up telephone response rates in the group of patients that failed to return their questionnaires.

resultsHigher response rates were observed with monetary incentives (P = 0.056), larger amounts of money offered (P = 0.3839) for filling out the questionnaire, and if the surgeon's details were on the cover letter or questionnaire (P = 0.632). There was no correlation between age and sex and participation. We did find a statistically significant difference in total participation and poorer total knee arthroplasty outcomes scores (P < 0.001).

conclusionOur study supports findings from prior research indicating that monetary incentives and personalized materials can improve response rates, although in this cohort, results were modest. Follow-up calls further boosted response rates, suggesting that multi-modal engagement may be beneficial. Although the response improvements were limited and lacked statistical significance, the study highlights the importance of refining strategies to ensure reliable PROMS data, which is vital for understanding patient outcomes in TJA. Future studies might consider demographic factors and other outreach methods to enhance PROMs data collection.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneePatient ParticipationPatient Reported Outcome MeasuresPatient SatisfactionAgedFemaleHumansMaleMiddle AgedMotivationSurveys and QuestionnairesTreatment OutcomeJoint arthroplastyMailed questionnairesPatient reported outcome measuresPROMSResponse ratesTelephone calls

Identifiers

PMID39849584
PMCPMC11755874

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.