Article (Scientific journals)
Patients' expectations impact their satisfaction following total hip or knee arthroplasty
Neuprez, Audrey; Delcour, J.-P.; Fatemi, F. et al.
2016In PLoS ONE, 11 (12), p. 1-14
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Keywords :
Article; Aged; Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Female; Humans; Male; Middle Aged; Patient Satisfaction; Prospective Studies; Quality of Life; Recovery of Function; Surveys and Questionnaires; Treatment Outcome
Abstract :
[en] Introduction The objective of this study was to assess the number and magnitude of preoperative expectations and to correlate them with the degree of satisfaction expressed one year after Total Hip Arthroplasty (THA) or Total Knee Arthroplasty (TKA), in patients with severe and painful osteoarthritis (OA). Materials and Methods Preoperative expectations (within 20 days prior to surgery) and postoperative satisfaction (one year after the intervention) were measured using the previously validated French version of the Hospital for Special Surgery Hip or Knee Replacement Expectations Survey. Postoperative satisfaction was measured using a specific scale, following the same methodology as that used for the assessment of expectations. Prediction of the satisfaction of the patients was performed using multivariate linear regression modelling. Results A total of 138 patients (80 THA and 58 TKA) completed the two parts of the study. The expectations score (mean ± SD) (range 0-100) was 72.58 ± 12.63 before THA and 69.10 ± 13.72 before TKA (p = 0.13). The number of expectations expressed was 14.34 ± 1.32 (out of a potential maximum of 18) before THA and 14.70 ± 2.29 (out of a potential maximum of 19) before TKA. After 1 year, THA generated a significantly higher degree of satisfaction compared to TKA (69.70 ± 14.46 v 60.44 ± 17.54, p<0.001) (range 0-100). The pre-operative expectations score was the single best positive predictor of the post-surgery satisfaction assessment both for TKA and THA. Conclusion Patients undergoing total joint arthroplasty for end-stage OA have a high level of expectations, before both THA and TKA. While both types of interventions significantly improve essential and non-essential activities, the rate of satisfaction is significantly greater post THA. Preoperative expectations are a major contributor to the final degree of satisfaction, one year after surgery. These results re-emphasize the need for an optimal preoperative interaction between health care providers and patients, to allow patients a chance to foresee a reasonable outcome after TJA. © 2016 Neuprez et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Disciplines :
General & internal medicine
Author, co-author :
Neuprez, Audrey ;  Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Delcour, J.-P.;  Department of Orthopaedic Surgery, CHBAH, Seraing, Belgium
Fatemi, F.;  Department of Orthopaedic Surgery, CHC, Liege, Belgium
Gillet, Philippe ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie de l'appareil locomoteur
Crielaard, Jean-Michel ;  Université de Liège - ULiège > Département des sciences de la motricité > Département des sciences de la motricité
Bruyère, Olivier  ;  Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Reginster, Jean-Yves  ;  Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Language :
English
Title :
Patients' expectations impact their satisfaction following total hip or knee arthroplasty
Publication date :
15 December 2016
Journal title :
PLoS ONE
eISSN :
1932-6203
Publisher :
Public Library of Science
Volume :
11
Issue :
12
Pages :
1-14
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 04 December 2017

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