Authors: Joyce Harary, Sonum Naidu, Charles DeCook, MD, Justin T Butler DO, Brandon H Naylor
Abstract
Introduction
As internet-based patient engagement platforms (IPEP) become increasingly popular following Total HipArthroplasty (THA), a clearer understanding of the role they may play in affecting clinical outcomes is needed. This studyaims to determine whether increased patient engagement with an IPEP leads to notable impacts on patient reportedoutcome measures (PROMs) and functional outcome scores.
Methods
A retrospective study was conducted on 5422 patients enrolled in IPEP for THA from 2018±2022. Outcomeswere collected on an IPEP that provides education content, messaging services with clinicians, and online physicaltherapy. High and low patient engagement was defined by above and below login rates, respectively. Proceduresatisfaction and patient reported pain levels were analyzed preop, 6 and 12 weeks (W) postop. Veterans Rand-12 Mentaland Physical (VR-12 MCS/PCS) and Hip Injury and Osteoarthritis Junior (HOOS Jr.) were completed throughout theperioperative period.
Results
Higher patient engagement versus lower engagement demonstrated significant differences regarding pain [preop (5.86 v6.33, p=0.01), 6W (2.39 v 2.53, p=0.02), 12W (2.27 v 2.55, p=0.04)], procedure satisfaction reported at 12W (5.71 v5.57, p= 0.01), HOOS Jr. [preop (55.78 v 52.64, p= 0.01), 6 month (M) (87.74 v 86.54, p=0.01), 12M (89.67 v 87.72,p=0.01)], VR-12 MCS [preop (52.02 v 50.49, p=0.01), 6M (55.94 v 55.30, p= 0.03), 12M (55.70 v 54.99, p= 0.03)], andVR-12 PCS [preop (32.56 v 31.26, p= 0.01), 6M (47.69 v 46.64, p=0.01), 12M (48.26 v 46.82, p= 0.01)].
Conclusion
Higher patient engagement using IPEP demonstrated significantly better outcomes in PROMs and functionalassessments compared to the μlower engagement¶cohort. Increased educational resources, perioperative guidance, andempowering patients through active participation may translate to improved clinical outcomes. Further analysis is neededto determine the optimal utilization and associated content of IPEPs.