Response Bias for Press Ganey Ambulatory Surgery Surveys after Knee Surgery

Abstract

The Press Ganey Ambulatory Surgery (PGAS) survey is an emerging tool used to capture patient satisfaction after elective surgery. Evaluating patient satisfaction is important; however, quality improvement (QI) surveys used to capture the patient experience may be subject to nonresponse bias. An orthopaedic registry was used to retrospectively identify patients who underwent ambulatory knee surgery from June 2015 to December 2019. Multivariable logistic regression was performed to identify independent predictors of PGAS survey nonresponse and response. In the cohort of 1,161 patients, 142 (12.2%) completed the PGAS survey. Multiple logistic regression demonstrated that male sex, Black race, not living with a caretaker, student or unemployment status, and worse preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) fatigue were predictors of nonresponse. The results of this study highlight the presence of nonresponse bias in the PGAS survey after elective knee surgery.

Keywords

Press Ganey - knee - orthopaedic - patient satisfaction

Authors' Contributions

T.Z.: conceptualization, data curation, formal analysis, investigation, methodology, preparing the first draft, and reviewing and editing the manuscript for submission.

M.S.: formal analysis, investigation, methodology, preparing the first draft, and reviewing and editing the manuscript for submission.

T.W.: conceptualization, data curation, formal analysis, investigation, methodology, supervision, preparing the first draft, and reviewing and editing the manuscript for submission.

N.S.: preparing the first draft and reviewing and editing the manuscript for submission.

M.F.: preparing the first draft and reviewing and editing the manuscript for submission.

S.J.M.: preparing the first draft and reviewing and editing the manuscript for submission.

N.L.L.: supervision, validation, preparing the first draft, and reviewing and editing the manuscript for submission.

J.D.P.: conceptualization, investigation, methodology, preparing the first draft, and reviewing and editing the manuscript for submission.

R.F.H. III: conceptualization, data curation, formal analysis, funding acquisition, investigation, methodology, project administration, resources, supervision, validation, preparing the first draft, and reviewing and editing the manuscript for submission.

Publication History

Received: 06 September 2021

Accepted: 18 March 2022

Article published online:
11 July 2022

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