Skip to main content
Erschienen in: HSS Journal ® 1/2019

22.10.2018 | Opioid Prescribing and Pain Management / Original Article

A Novel Mobile Phone Text Messaging Platform Improves Collection of Patient-Reported Post-operative Pain and Opioid Use Following Orthopedic Surgery

verfasst von: Ajay Premkumar, MD, MPH, Francis C. Lovecchio, MD, Jeffrey G. Stepan, MD, Msc, Cynthia A. Kahlenberg, MD, Jason L. Blevins, MD, Todd J. Albert, MD, Michael B. Cross, MD

Erschienen in: HSS Journal ® | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

Background

Prospective collection of patient-reported opioid consumption and pain levels post-surgically may hold value in highlighting solutions related to the opioid crisis. Traditional methods for collecting patient-reported outcomes after surgery, such as paper surveys, often have poor response rates, and electronic messaging may offer more convenience and therefore yield more robust data.

Questions/Purposes

The purpose of this study was to evaluate whether a novel mobile phone short message service (SMS) platform would lead to better patient response rates to surveys on pain and opioid use than data-collection tools.

Methods

An SMS text messaging platform was created and implemented between September 2017 and May 2018 at an orthopedic specialty hospital. The purpose was to collect reports on opioid consumption and pain levels twice a day for 6 weeks post-surgery from patients who had undergone total hip or knee arthroplasty or a single-level lumbar microdiscectomy or decompression spine surgery. Patients who responded to fewer than 50% of the text messages were excluded.

Results

Our mobile phone text messaging platform was used by 183 patients, demonstrating a significantly higher response rate (96.1%) than our institution’s post-operative email registry capture, as well as the majority of published response rates for post-operative outcomes captured through electronic and traditional data-collection systems. Response rate remained consistently high among the various surgeons and across patients, regardless of age.

Conclusions

This application of a widely available technology can improve the measurement of post-operative patient-reported outcomes. Such data can in turn be used in the development of strategies to reduce post-operative opioid use. The adoption of novel technologies at a patient level will play a key role in combating the opioid epidemic.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Berman A, Figueroa ME, Storey JD. Use of SMS-based surveys in the rapid response to the Ebola outbreak in Liberia: opening community dialogue. J Health Commun. 2017;22(sup1):15–23.CrossRefPubMed Berman A, Figueroa ME, Storey JD. Use of SMS-based surveys in the rapid response to the Ebola outbreak in Liberia: opening community dialogue. J Health Commun. 2017;22(sup1):15–23.CrossRefPubMed
2.
Zurück zum Zitat Bream E, Charman SC, Clift B, Murray D, Black N. Relationship between patients’ and clinicians’ assessments of health status before and after knee arthroplasty. Qual Saf Health Care. 2010;19(6):e6.PubMed Bream E, Charman SC, Clift B, Murray D, Black N. Relationship between patients’ and clinicians’ assessments of health status before and after knee arthroplasty. Qual Saf Health Care. 2010;19(6):e6.PubMed
4.
Zurück zum Zitat Christie A, Dagfinrud H, Dale Ø, Schulz T, Hagen KB. Collection of patient-reported outcomes—text messages on mobile phones provide valid scores and high response rates. BMC Med Res Methodol. 2014;14:52.CrossRefPubMedPubMedCentral Christie A, Dagfinrud H, Dale Ø, Schulz T, Hagen KB. Collection of patient-reported outcomes—text messages on mobile phones provide valid scores and high response rates. BMC Med Res Methodol. 2014;14:52.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Doyle R, Albright K, Hurley LP, Chávez C, Stowell M, Dircksen S, et al. Patient perspectives on a text messaging program to support asthma management: a qualitative study. Health Promot Pract. 2018;1524839918770209. Doyle R, Albright K, Hurley LP, Chávez C, Stowell M, Dircksen S, et al. Patient perspectives on a text messaging program to support asthma management: a qualitative study. Health Promot Pract. 2018;1524839918770209.
6.
Zurück zum Zitat Fang M, Noiseux N, Linson E, Cram P. The effect of advancing age on total joint replacement outcomes. Geriatr Orthop Surg Rehabil. 2015;6(3):173–179.CrossRefPubMedPubMedCentral Fang M, Noiseux N, Linson E, Cram P. The effect of advancing age on total joint replacement outcomes. Geriatr Orthop Surg Rehabil. 2015;6(3):173–179.CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Gordon N. Solution corner: a question of response rate. Science Editor. 2002;25(1):25. Gordon N. Solution corner: a question of response rate. Science Editor. 2002;25(1):25.
8.
Zurück zum Zitat Gostin LO, Hodge JG, Noe SA. Reframing the opioid epidemic as a national emergency. JAMA. 2017;318(16):1539–1540.CrossRefPubMed Gostin LO, Hodge JG, Noe SA. Reframing the opioid epidemic as a national emergency. JAMA. 2017;318(16):1539–1540.CrossRefPubMed
9.
Zurück zum Zitat Johnson TP, Wislar JS. Response rates and nonresponse errors in surveys. JAMA. 2012;307(17):1805–1806.CrossRefPubMed Johnson TP, Wislar JS. Response rates and nonresponse errors in surveys. JAMA. 2012;307(17):1805–1806.CrossRefPubMed
10.
Zurück zum Zitat Kjellsson G, Clarke P, Gerdtham U-G. Forgetting to remember or remembering to forget: a study of the recall period length in health care survey questions. J Health Econ. 2014;35:34–46.CrossRefPubMed Kjellsson G, Clarke P, Gerdtham U-G. Forgetting to remember or remembering to forget: a study of the recall period length in health care survey questions. J Health Econ. 2014;35:34–46.CrossRefPubMed
11.
Zurück zum Zitat Nota SPFT, Strooker JA, Ring D. Differences in response rates between mail, e-mail, and telephone follow-up in hand surgery research. Hand (NY). 2014;9(4): 504–510.CrossRef Nota SPFT, Strooker JA, Ring D. Differences in response rates between mail, e-mail, and telephone follow-up in hand surgery research. Hand (NY). 2014;9(4): 504–510.CrossRef
13.
Zurück zum Zitat Sabatino MJ, Kunkel ST, Ramkumar DB, Keeney BJ, Jevsevar DS. Excess opioid medication and variation in prescribing patterns following common orthopaedic procedures. J Bone Joint Surg Am. 2018;100(3):180–188.CrossRefPubMed Sabatino MJ, Kunkel ST, Ramkumar DB, Keeney BJ, Jevsevar DS. Excess opioid medication and variation in prescribing patterns following common orthopaedic procedures. J Bone Joint Surg Am. 2018;100(3):180–188.CrossRefPubMed
14.
Zurück zum Zitat Singh JA, Lewallen DG. Time trends in the characteristics of patients undergoing primary total knee arthroplasty. Arthritis Care Res. 2014;66(6):897–906.CrossRef Singh JA, Lewallen DG. Time trends in the characteristics of patients undergoing primary total knee arthroplasty. Arthritis Care Res. 2014;66(6):897–906.CrossRef
15.
16.
Zurück zum Zitat Wells N, Pasero C, McCaffery M. Improving the quality of care through pain assessment and management. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality; 2008. Available from http://www.ncbi.nlm.nih.gov/books/NBK2658/. Wells N, Pasero C, McCaffery M. Improving the quality of care through pain assessment and management. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality; 2008. Available from http://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK2658/​.
Metadaten
Titel
A Novel Mobile Phone Text Messaging Platform Improves Collection of Patient-Reported Post-operative Pain and Opioid Use Following Orthopedic Surgery
verfasst von
Ajay Premkumar, MD, MPH
Francis C. Lovecchio, MD
Jeffrey G. Stepan, MD, Msc
Cynthia A. Kahlenberg, MD
Jason L. Blevins, MD
Todd J. Albert, MD
Michael B. Cross, MD
Publikationsdatum
22.10.2018
Verlag
Springer US
Erschienen in
HSS Journal ® / Ausgabe 1/2019
Print ISSN: 1556-3316
Elektronische ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-018-9635-3

Weitere Artikel der Ausgabe 1/2019

HSS Journal ® 1/2019 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.