ArticlePlastic and reconstructive surgery2026
Differential Compliance of Patient-Reported Outcomes in a Multicenter Hand and Wrist Surgery Registry in Switzerland.
Article in Plastic and reconstructive surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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4 authors.
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Abstract
backgroundOutcome registries are essential for assessing treatment effectiveness in hand and wrist surgery, in which both patient-reported outcome measures (PROMs) and clinician-reported outcome measures are commonly used. Consistent patient participation is essential for generating valid and generalizable data. This study investigates age- and sex-related differences in PROM compliance within a multicenter Swiss registry.
methodsRegistry data from patients treated between 2020 and 2024 were analyzed. Patients were stratified by age (18 to 30 years, 31 to 40 years, 41 to 50 years, 51 to 60 years, 61 to 70 years, and 70 years or older) and sex. Compliance with PROM completion was evaluated at baseline and 3 and 12 months after treatment.
resultsPROM compliance declined over time, with the most pronounced decrease observed in the 18 to 30 years age group (over 90% loss at 12 months). The 61 to 70 years age group showed the highest sustained compliance. Across all age categories, women demonstrated consistently higher completion rates than men.
conclusionsCompliance with PROMs varies significantly by age and sex, leading to potential data bias in outcome registries. Younger patients and men are underrepresented at follow-up, which may compromise the validity and generalizability of registry-based findings. Targeted interventions are needed to enhance participation in these groups and improve the quality of clinical outcome data.
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