Patient Reported Outcome Measures: Hip, Knee and Shoulder Arthroplasty Supplementary Report

The AOANJRR first reported PROMs outcomes in the 2021 Annual Report. This year, PROMs information is provided in this dedicated supplementary report. Patient reported outcome measures (PROMs) are surveys that assess dimensions of health from the perspective of the patient. These are additional joint replacement outcomes that are reported directly by patients through a bespoke electronic data capture system. The system is currently being implemented nationally in all hospitals undertaking joint replacement surgery. Several different instruments are used to collect data on patients’ quality of life and joint-specific pain, function, and recovery. This year, PROMs data are reported for primary total hip, primary total knee, primary stemmed anatomic shoulder and primary total stemmed reverse shoulder replacement undertaken for osteoarthritis (OA), and primary reverse total shoulder replacement undertaken for rotator cuff arthropathy. The data are presented overall for each category of joint replacement as well as for the two shoulder diagnoses assessed, and their variations by age and gender. Individual surgeon and individual hospital (both de-identified) pre-operative quality of life and joint-specific scores are also reported for primary total hip, primary total knee, and primary total stemmed reverse shoulder replacement only. The 2023 Patient Reported Outcome Measures Supplementary Report is based on the analysis of procedures using prostheses that have been available and used in 2022 (described as modern prostheses) with a procedure date up to and including 31 December 2022. These include 22,448 pre-operative and 14,677 post-operative PROMs for primary total hip procedures performed for osteoarthritis, 34,827 pre-operative and 22,363 post-operative PROMs for primary total knee procedures for osteoarthritis and 2,204 pre-operative and 1,271 post-operative PROMs for primary total stemmed anatomic and primary total stemmed reverse shoulder procedures performed for osteoarthritis and rotator cuff arthropathy. This PROMs Supplementary Report is one of 16 supplementary reports to complete the AOANJRR Annual Report for 2023. The 2023 Annual Report, Supplementary Reports, and investigations of prostheses with higher than anticipated rates of revision are available on the AOANJRR website. Information on the background, purpose, aims, benefits and governance of the Registry can be found in the Introduction of the 2023 Hip, Knee and Shoulder Arthroplasty Annual Report. The Registry data quality processes including data collection, validation and outcomes assessment, are provided in detail in the data quality section of the 2023 Hip, Knee and Shoulder Arthroplasty Annual Report: https://aoanjrr.sahmri.com/annual-reports-2023.