Arthroplasty today
Impact of Automated Perioperative Text Messaging on Patient-Initiated Communication After Total Joint Arthroplasty
By Sauer MA, Chen L, Forst O and 2 others.
Abstract
Background
Automated text messaging systems (ATMS) are increasingly used to support perioperative care in total joint arthroplasty. However, their effect on patient-initiated communication patterns and clinical workflow remains incompletely defined. This study evaluated changes in perioperative phone call and portal message volume following implementation of an ATMS in a high-volume arthroplasty practice.
Methods
Patient-initiated phone calls and secure portal messages were prospectively tracked during the 2-week preoperative and postoperative periods for patients undergoing primary total joint arthroplasty before and after ATMS implementation. Two sequential cohorts were compared: preimplementation (n = 145) and postimplementation (n = 101). Communications were categorized by modality, timing, and topic. Zero-inflated negative binomial regression was used to assess differences in communication volume, adjusting for age.