Introduction
Methods
Development of questionnaire
Surgeons and procedure
Statistical analysis
Results
Views on patients’ perspectives of SF related issues
Cohort-information | “Overall” n = 526 (100%) | Practising surgeons n = 326 (52%) | Residents n = 123 (23.4%) | Retired surgeons n = 77 (14.6%) |
---|---|---|---|---|
n (% of total) | n (% of total) | n (% of total) | n (% of total) | |
Gender | ||||
Male surgeons | 467 (88.8) | 300 (92.0) | 90 (73.2) | 77 (100) |
Female surgeons | 59 (11.2) | 26 (8.0) | 33 (26.8) | |
Age-groups | ||||
20–30 year | 32 (6.1) | 1 (0.3) | 31 (25.2) | − |
31–40 year | 192 (36.5) | 100 (30.7) | 92 (74.8) | − |
41–50 year | 97 (18.4) | 97 (29.8) | − | − |
51–60 year | 89 (16.9) | 88 (27.0) | − | 1 (1.3) |
61–70 year | 79 (15.0) | 36 (11.0) | − | 43 (55.8) |
> 70 year | 37 (7.0) | 4 (1.2) | − | 33 (42.9) |
Type of hospital/clinic | ||||
University | 60 (11.4) | 16 (4.9) | 36 (29.3) | 8 (10.4) |
General teaching | 224 (42.6) | 121 (37.1) | 70 (56.9) | 33 (42.9) |
Regional/district | 193 (36.7) | 154 (47.2) | 5 (4.1) | 34 (44.2) |
Specialized/ private | 43 (8.2) | 33 (10.1) | 8 (6.5) | 2 (2.6) |
≥ 2 clinics | 6 (1.1) | 2 (0.6) | 4 (3.3) | − |
Experience | ||||
0–11 months | 25 (4.8) | 4 (1.2) | 21 (17.1) | − |
1–2 year | 61 (11.6) | 10 (3.1) | 51 (41.5) | − |
3–5 year | 108 (20.5) | 59 (18.1) | 49 (39.8) | − |
6–10 year | 70 (13.3) | 70 (21.5) | ||
11–15 year | 58 (11.0) | 58 (17.8) | − | − |
15–25 year | 78 (14.8) | 66 (20.2) | 2 (1.6) | 10 (12.8) |
> 25 year | 125 (23.8) | 58 (17.8) | − | 66 (87.0) |
“Retired” | 1 (0.2) | 1 (0.2) | ||
Number of THR performed per year | ||||
< 50 | 198 (37.6) | 70 (21.5) | 114 (92.7) | 14 (18.2) |
50–100 | 214 (40.7) | 172 (52.8) | 9 (7.3) | 33 (42.9 |
100–200 | 96 (18.3) | 71 (21.8) | − | 25 (32.5) |
> 200 | 18 (3.4) | 13 (4.0) | − | 5 (6.5) |
Surgical technique | ||||
Posterior/postero-lateral | 313 (59.5) | 204 (62.6) | 69 (56.1) | 40 (51.9) |
Anterior/anterolateral | 63 (12.0) | 42 (12.9) | 11 (8.9) | 10 (13.0) |
Direct lateral | 104 (19.8) | 62 (19.0) | 22 (17.9) | 20 (26.0) |
Various (≥2) | 46 (8.7) | 18 (5.2) | 21 (17.1) | 7 (9.1) |
n (% within group) |
p value
| n (% within group) |
p value
| |||||
---|---|---|---|---|---|---|---|---|
Total Cohort (n526) | (n % of total) | Practising surgeons (n = 326) | Residents (n = 123) | Retired surgeons (n = 77) | across occupation #
| Male surgeons (n = 467) | Female surgeons (n = 59) | between gender ##
|
A. On patients’ perspectives of SF related issues | ||||||||
Rating the impact of HA on SF* | 482 (91.6) | 307 (94.2) | 115 (93.5) | 60 (77.9) | 425 (91.0) | 57 (96.6) | ||
median (IQR)
| 7 (5–7) | 7 (5–7) | 7 (6–7) | 6.5 (5–8) | 0.924 | 7 (5–7) | 7 (6–7) | 0.644 |
Rating improvement of SF after THA* | 480 (91.3) | 303 (92.9) | 115 (93.5) | 62 (80.5) | 426 (88.8) | 54 (91.5) | ||
median (IQR)
| 7 (6–8) | 7 (6–8) | 6 (5–7) | 8 (6–8) | ≤0.001 | 7 (6–8) | 6 (5–7) | 0.002 |
Rating the influence of SD in patients’ decision to undergo THA* | 455 (86.5) | 285 (87.4) | 114 (92.7) | 56 (72.7) | 402 (88.4) | 53 (89.8) | ||
median (IQR)
| 4 (3–6) | 4 (3–6) | 3 (3–5) | 4.5 (3–7) | 0.020 | 4 (3–6) | 4 (3–5) | 0.433 |
Rating patients’ need for information on safely resuming* | 489 (93.0) | 303 (92.9) | 118 (95.9) | 68 (88.3) | 433 (88.5) | 56 (94.9) | ||
median (IQR)
| 7 (5–8) | 7 (5–8) | 7 (5–8) | 7 (5–8) | 0.335 | 7 (5–8) | 7 (5–8) | 0.455 |
B. On matters of safe return to sexual activity ** | ||||||||
Factor “Age” | 500 (95.1) | 309 (94.8) | 118 (95.9) | 73 (94.8) | 444 | 56 | ||
median (IQR)
| 4 (1–7) | 3 (1–7) | 6 (2–7) | 4 (1–7) | 0.001 | 3.5 (1–7) | 5 (1.25–7) | 0.906 |
Factor “being Male” | 492 (93.5) | 305 (93.6) | 115 (93.4) | 72 (93.5) | 435 | 57 | ||
median (IQR)
| 3 (1–6) | 3 (1–5) | 4 (2–6) | 4 (1–7) | 0.156 | 3 (1–6) | 5 (2–6) | 0.145 |
Factor “being Female” | 496 (94.3) | 307 (94.2) | 117 (95.1) | 72 (93.5) | 437 | 59 | ||
median (IQR)
| 4 (1–7) | 4 |(1–7) | 5 (2–7) | 4 (1–6) | 0.309 | 4 (1–7) | 5 (3–7) | 0.182 |
Factor “surgical technique” | 506 (96.2) | 315 (96.6) | 119 (96.7) | 72 (93.5) | 449 | 57 | ||
median (IQR)
| 7 (4–8) | 6 (3–8) | 7 (5–8) | 7 (5–8) | 0.252 | 7 (3–8) | 7 (5–8) | 0.556 |
Factor “stability peroperative” | 508 (96.6) | 315 (96.6) | 120 (97.6) | 73 (94.8) | 450 | 58 | ||
median (IQR)
| 8 (6–9) | 8 (5–8) | 8 (6–8) | 8 (7–9) | 0.001 | 8 (6–9) | 8 (6–8) | 0.309 |
Factor “Patients’ knowledge which movements to avoid” | 521 (99.0) | 323 (99.1) | 123 (100) | 75 (97.4) | 462 | 59 | ||
median (IQR)
| 8 (7–9) | 8 (7–9) | 8 (8–9) | 8 (6–9) | 0.008 | 8 (7–9) | 8 (8–9) | 0.025 |
Opinions on a safe return to sexual activity after THR
Perceptions of barriers to communication
n (% within occupation) |
p value
| n (% within gender) |
p value
| |||||
---|---|---|---|---|---|---|---|---|
Cohort size (n525) * | n (%) of total | Practising surgeons | Residents | Retired surgeons | across occupation # | Male surgeons | Female surgeons | between gender # |
A. Surgeons’ addressing SF | ||||||||
(almost) Never | 407 (77.5) | 245 (75.2) | 117 (95.1) | 45 (59.2) | ≤ 0.001 | 353 (75.8) | 54 (91.5) | 0.093 |
In <25–50% of patients | 96 (18.3) | 68 (20.9) | 5 (4.1) | 23 (30.3) | 91 (19.5) | 5 (8.5) | ||
In 50% of patients | 8 (1.5) | 4 (1.2) | 1 (0.8) | 3 (3.9) | 8 (1.7) | - | ||
In >50–75% | 7 (1.3) | 5 (1.5) | - | 2 (2.6) | 7 (1.5) | - | ||
(almost) Always | 7 (1.3) | 4 (1.2) | - | 3 (3.9) | 7 (1.5) | - | ||
B. Barriers to communication: n = 407 (given as first reason) ** | ||||||||
Patients don’t ask | 193 (47.4) | 117 (47.8) | 46 (39.3) | 30 (66.7) | 0.130 | 168 (47.6) | 25 (46.3) | 0.790 |
I am not aware of possible needs | 157 (38.6) | 95 (38.8) | 52 (44.4) | 10 (22.2) | 132 (37.4) | 25 (46.3) | ||
It’s a (too) delicate issue for me | 12 (2.9) | 4 (1.6) | 7 (6.0) | 1 (2.2) | 10 (2.8) | 2 (3.7) | ||
It’s not relevant for orthopaedic patients | 8 (2.0) | 5 (2.0) | 1 (0.9) | 2 (4.4) | 8 (2.0) | |||
I am not trained for that | 8 (2.0) | 4 (1.6) | 4 (3.4) | - | 8 (2.3) | |||
I don’t think it’s necessary | 10 (2.5) | 6 (2.4) | 4 (3.4) | 9 (2.5) | 1 (1.9) | |||
There’s no time for that | 7 (1.7) | 4 (1.6) | 2 (1.7) | 1 (2.2) | 6 (1.7) | 1 (1.9) | ||
I am concerned patients will misunderstand that | 5 (1.2) | 4 (1.6) | - | 1 (2.2) | 5 (1.4) | |||
Not part of my job | 1 (0.2) | 1 (0.4) | - | - | 1 (0.3) | |||
For reasons related to culture, language, religion or ethnicity. | ‘- | |||||||
Other reasons | 6 (1.5) | 5 (2.0) | 1 (0.9) | - | 6 (1.7) |