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Erschienen in:

18.11.2019

Patient expectations and satisfaction 6 and 12 months following total hip and knee replacement

verfasst von: Barbara L. Conner-Spady, Eric Bohm, Lynda Loucks, Michael J. Dunbar, Deborah A. Marshall, Tom W. Noseworthy

Erschienen in: Quality of Life Research | Ausgabe 3/2020

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Abstract

Purpose

To assess (1) patient expectations before total hip (THR) and knee (TKR) replacement; (2) which expectations are met and unmet 6 and 12 months post-surgery; (3) the role of unmet expectations in satisfaction.

Methods

Questionnaires were mailed to consecutive patients following surgeon referral for primary THR or TKR. Patients listed their own expectations and also completed the Hospital for Special Surgery (HSS) Expectation Survey. We used content analysis to group expectations into themes. At 6 and 12 months post-surgery, patients were given a copy of their own list of individual expectations and reassessed each one as met or unmet. We also assessed fulfilled HSS expectations and satisfaction with surgery.

Results

The sample of 556 patients (49% THR, 57% female) had a mean age of 64 years (SD10). The five most frequent expectation themes were pain relief, mobility, walking, physical activities, and daily activities. Of these, physical activities had the lowest percentage met 12 months post-surgery. 95% (THR) and 87% (TKR) were satisfied/very satisfied with their surgery 12 months post-surgery. Very satisfied patients had a significantly greater percentage of met expectations (96% THR; 92% TKR) than dissatisfied patients (42% THR; 12% TKR). Although most expectations listed by patients were included in the HSS surveys, some were not, particularly for TKR. From 6 to 12 months, there was a significant increase in patient satisfaction for self-care, daily activities, and met expectations for THR and pain relief, self-care, daily activities, and recreational activities for TKR.

Conclusions

Expectations should be explicitly addressed before surgery, including a discussion of realistic expectations, particularly for physical activities.

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Titel: Patient expectations and satisfaction 6 and 12 months following total hip and knee replacement
verfasst von: Barbara L. Conner-Spady
Eric Bohm
Lynda Loucks
Michael J. Dunbar
Deborah A. Marshall
Tom W. Noseworthy
Publikationsdatum: 18.11.2019
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 3/2020
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-019-02359-7

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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