Surgeon-patient Communication Using the Electronic Portal: Effect on Postoperative Outcomes and Patient-reported Outcome Measures Following Total Knee Arthroplasty

Older age and longer LOS were associated with less patient-initiated contact after TKA. Older patients may be less familiar with digital platforms and less likely to send messages. Early messaging may reflect heightened recognition of postoperative issues, enabling counseling or intervention and reducing readmissions. These findings underscore the importance of preoperative education and equitable access, though long-term effects of messaging warrant further study.