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Without receiving a mailed statement, you could forget forget to send your payment. The physical statement can serve as a due date reminder , for example, when you can print the statement from the internet and post it where you normally put your bills. Abstract Background Low response rates among surgeons can threaten the validity of surveys. Objective We investigated whether using Web-based technology could increase the response rates to an international survey.

Methods We solicited opinions from the surgeon—members of the Orthopaedic Trauma Association regarding the treatment of femoral neck fractures. Conclusions Our Internet-based survey to surgeons resulted in a significantly lower response rate than a traditional mailed survey. Keywords: Survey, methods, mail surveys, Internet surveys, response rate.

Introduction Health-care surveys are an important research tool to study the attitudes, beliefs, behaviors, practice patterns, and concerns of physicians [ 1 ].

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Methods Questionnaire Development We developed an 8-page self-administered questionnaire to identify the preferences and practice patterns of orthopaedic traumatologists in the operative treatment for femoral neck fractures. Study Sample Of the members of the Orthopaedic Trauma Association OTA listed on the membership list, we included all active, international, emeritus, and associate members, but excluded 11 members who are not surgeons.

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Development of Web Questionnaire We hired a professional Web designer to create an Internet version of the questionnaire on a Web site. Open in a separate window. Figure 1. Questionnaire Administration We planned five points of contact for the questionnaire administration: 1 advanced notification by post mail group or email Internet group 2 to 5 days prior to receiving the survey; 2 a mailed copy of the survey, or an email with a link to the Internet survey; 3 another mailed copy or email with a link to the survey at 6 weeks; 4 a further copy or link at 12 weeks; and 5 a copy of the survey sent by mail only to all non-respondents in both groups 22 weeks for the mail group and 19 weeks for the Internet group.

Statistical Analysis We analyzed all participants according to their final group per protocol analysis and the group to which they were originally assigned, following the intention to treat ITT principle. Results Of the surgeons, received a copy of the questionnaire by mail, and received an email invitation to complete the survey online. Table 1 Characteristics of the surgeons who responded to the survey before the final mailing Intention to Treat Analysis.

Table 2 Geographical location of the surgeons who responded to the survey before the final mailing Intention to Treat Analysis. Figure 2. Table 3 Response rates over time Intention to Treat Analysis.

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Table 4 Cost of administering survey by group. Discussion It is important to achieve the highest response rate possible to limit non-response bias in health-care surveys. Table 5 Response rates in previous surveys comparing mail and Internet surveys. Footnotes Conflicts of Interest: None declared. References 1.

Kellerman S E, Herold J. Physician response to surveys. A review of the literature.

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Am J Prev Med. Response rates to mail surveys published in medical journals.

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J Clin Epidemiol. National plastic surgery survey: face lift techniques and complications. Plast Reconstr Surg. Almeida O D. Current state of office laparoscopic surgery.

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J Am Assoc Gynecol Laparosc. J Orthop Trauma. Surgeons' preferences for the operative treatment of fractures of the tibial shaft. An international survey. J Bone Joint Surg Am. Reported response rates to mailed physician questionnaires.

Health Serv Res. Telephone versus postal surveys of general practitioners: methodological considerations.

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Br J Gen Pract. Dillman Don A. New York, NY: Wiley; Nov 19, [ Google Scholar ]. Increasing response rates to postal questionnaires: systematic review. The Cochrane Library, Issue 3. Methods to influence response to postal questionnaires Cochrane Methodology Review [ Google Scholar ]. Couper M. Web surveys: a review of issues and approaches. Public Opin Q. Using the Internet to conduct surveys of health professionals: a valid alternative?

Fam Pract. Comparison of e-mail, fax, and postal surveys of pediatricians. Practice patterns in the treatment of female urinary incontinence: a postal and internet survey. Prospective comparison of endoscopy patient satisfaction surveys: e-mail versus standard mail versus telephone. Am J Gastroenterol. E-mail versus conventional postal mail survey of geriatric chiefs. Feinstein Alvan R. Jun 1, The theory and evaluation of sensibility.