PMID- 36605055
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230111
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 14
IP  - 12
DP  - 2022 Dec
TI  - One-Year Readmissions Following Total Joint Arthroplasty May Be Associated With 
      Failure to Achieve the Minimal Clinically Important Difference of 
      Patient-Reported Outcomes Measurement Information System Physical, Mental, and 
      Physical-Short Form-10a.
PG  - e32181
LID - 10.7759/cureus.32181 [doi]
LID - e32181
AB  - The primary aims of our study were to determine if hospital readmissions within 
      one year following primary total joint arthroplasty (TJA) and their relative 
      timing influence patients' ability to achieve the two-year Patient-Reported 
      Outcomes Measurement Information System (PROMIS) physical, PROMIS mental, and 
      PROMIS Physical-Function-Short-Form-10a (SF-10a) minimal clinically important 
      difference (MCID). This is a retrospective study conducted using data from a 
      multi-institutional, arthroplasty registry. Only patients with paired 
      patient-reported outcome measure (PROM) assessments (preoperatively and two years 
      postoperatively) were included. Five separate readmission cohorts were formed: 
      (1) any-cause readmission within one year, (2) any-cause readmission within 90 
      days, (3) non-index-surgery-related readmission within 90 days, (4) 
      index-surgery-related readmission within one year, and (5) index-surgery-related 
      readmission within 90 days. A propensity score match was used to match each of 
      the patients to one of the 972 patients (1:1 basis) in the non-readmission group. 
      The association between failure to achieve each of the three two-year MCIDs and 
      Readmission status was analyzed using logistic regression. We found that all 
      readmissions within one year and index-surgery-related readmissions within one 
      year resulted in an increased risk of failure to achieve the two-year MCID across 
      all three collected PROMs. Index surgery-related readmissions within 90 days (OR 
      3.24; 95% CI 1.05-11.05; p=0.048) sustained significantly different rates of 
      two-year PROMIS physical MCID achievement compared to matched controls. 
      Postoperative complications requiring readmission, particularly those related to 
      the joint arthroplasty and those within 90 days of index surgery, significantly 
      impact the ability to achieve the two-year MCID of PROMs.
CI  - Copyright (c) 2022, Katakam et al.
FAU - Katakam, Akhil
AU  - Katakam A
AD  - Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School, Boston, USA.
FAU - Cohen-Levy, Wayne
AU  - Cohen-Levy W
AD  - Orthopaedic Surgery, Case Western Reserve University, Cleveland, USA.
FAU - Hosseinzadeh, Shayan
AU  - Hosseinzadeh S
AD  - Orthopaedic Surgery, Massachusetts General Hospital, Boston, USA.
FAU - Florissi, Isabella
AU  - Florissi I
AD  - Orthopaedic Surgery, Massachusetts General Hospital, Boston, USA.
FAU - Colon Iban, Yhan
AU  - Colon Iban Y
AD  - Orthopaedic Surgery, Massachusetts General Hospital, Boston, USA.
FAU - Humphrey, Tyler J
AU  - Humphrey TJ
AD  - Orthopaedic Surgery, Massachusetts General Hospital, Boston, USA.
FAU - Blackburn, Amy Z
AU  - Blackburn AZ
AD  - Orthopaedic Surgery, Massachusetts General Hospital, Boston, USA.
FAU - Melnic, Christopher M
AU  - Melnic CM
AD  - Orthopaedic Surgery, Massachusetts General Hospital, Boston, USA.
FAU - Chen, Antonia
AU  - Chen A
AD  - Orthopaedic Surgery, Brigham and Women's Hospital, Boston, USA.
FAU - O'Brien, Todd
AU  - O'Brien T
AD  - Orthopaedic Surgery, Massachusetts General Hospital, Boston, USA.
FAU - Bragdon, Charles
AU  - Bragdon C
AD  - Orthopaedic Surgery, Massachusetts General Hospital, Boston, USA.
FAU - Bedair, Hany S
AU  - Bedair HS
AD  - Orthopaedic Surgery, Massachusetts General Hospital, Boston, USA.
LA  - eng
PT  - Journal Article
DEP - 20221204
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC9810362
OTO - NOTNLM
OT  - minimal clinically important difference
OT  - patient reported outcome measures
OT  - promis-sf10a
OT  - readmission
OT  - total joint arthroplasty
COIS- The authors have declared financial relationships, which are detailed in the next 
      section.
EDAT- 2023/01/07 06:00
MHDA- 2023/01/07 06:01
PMCR- 2022/12/04
CRDT- 2023/01/06 02:24
PHST- 2022/12/04 00:00 [accepted]
PHST- 2023/01/06 02:24 [entrez]
PHST- 2023/01/07 06:00 [pubmed]
PHST- 2023/01/07 06:01 [medline]
PHST- 2022/12/04 00:00 [pmc-release]
AID - 10.7759/cureus.32181 [doi]
PST - epublish
SO  - Cureus. 2022 Dec 4;14(12):e32181. doi: 10.7759/cureus.32181. eCollection 2022 
      Dec.