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Quality of Life Research

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18-11-2019

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

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

Gepubliceerd in: Quality of Life Research | Uitgave 3/2020

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.

vorige artikel Quality of life in primary care patients with moderate medically unexplained physical symptoms

volgende artikel Health-related quality of life in South Korean community-dwelling older adults with multimorbidity: a convergent parallel mixed-methods approach

Linder-Pelz, S. U. (1982). Toward a theory of patient satisfaction. Social Science and Medicine,16, 577–582.PubMed

Sitzia, J., & Wood, N. (1997). Patient satisfaction: A review of issues and concepts. Social Science and Medicine,45, 1829–1843.PubMed

Noble, P. C., Conditt, M. A., Cook, K. F., & Mathis, K. B. (2006). The John Insall Award: Patient expectations affect satisfaction with total knee arthroplasty. Clinical Orthopaedics and Related Research,452, 35–43.PubMed

Rolfson, O., Bohm, E., Franklin, P., Lyman, S., Denissen, G., Dawson, J., et al. (2016). Patient-reported outcome measures in arthroplasty registries: Report of the patient-reported outcome measures working group of the International society of arthroplasty registries Part II. Recommendations for selection, administration, and analysis. Acta Orthopaedica,87(Suppl 1), 9–23.PubMedPubMedCentral

Jones, C. A., Voaklander, D. C., Johnston, D. W., & Suarez-Almazor, M. E. (2000). Health related quality of life outcomes after total hip and knee arthroplasties in a community based population. Journal of Rheumatology,27, 1745–1752.PubMed

Laupacis, A., Bourne, R., Rorabeck, C., Feeny, D., Wong, C., Tugwell, P., et al. (1993). The effect of elective total hip replacement on health-related quality of life. Journal of Bone and Joint Surgery. American Volume,75, 1619–1626.

Rissanen, P., Aro, S., Sintonen, H., Slatis, P., & Paavolainen, P. (1996). Quality of life and functional ability in hip and knee replacements: A prospective study. Quality of Life Research,5, 56–64.PubMed

Anakwe, R. E., Jenkins, P. J., & Moran, M. (2011). Predicting dissatisfaction after total hip arthroplasty: A study of 850 patients. Journal of Arthroplasty,26, 209–213.PubMed

Scott, C. E., Bugler, K. E., Clement, N. D., MacDonald, D., Howie, C. R., & Biant, L. C. (2012). Patient expectations of arthroplasty of the hip and knee. Journal of Bone and Joint Surgery. British Volume,94, 974–981.

10.

Palazzo, C., Jourdan, C., Descamps, S., Nizard, R., Hamadouche, M., Anract, P., et al. (2014). Determinants of satisfaction 1 year after total hip arthroplasty: The role of expectations fulfilment. BMC Musculoskeletal Disorders,15, 53.PubMedPubMedCentral

11.

Arden, N. K., Kiran, A., Judge, A., Biant, L. C., Javaid, M. K., Murray, D. W., et al. (2011). What is a good patient reported outcome after total hip replacement? Osteoarthritis Cartilage,19, 155–162.PubMed

12.

Bourne, R. B., Chesworth, B. M., Davis, A. M., Mahomed, N. N., & Charron, K. D. (2010). Patient satisfaction after total knee arthroplasty: Who is satisfied and who is not? Clinical Orthopaedics and Related Research,468, 57–63.PubMed

13.

Mahomed, N., Gandhi, R., Daltroy, L., & Katz, J. N. (2011). The self-administered patient satisfaction scale for primary hip and knee arthroplasty. Arthritis,2011, 591253.PubMedPubMedCentral

14.

Thompson, A. G., & Sunol, R. (1995). Expectations as determinants of patient satisfaction: Concepts, theory and evidence. International Journal for Quality in Health Care,7, 127–141.PubMed

15.

Swarup, I., Henn, C. M., Gulotta, L. V., & Henn, R. F. (2019). Patient expectations and satisfaction in orthopaedic surgery: A review of the literature. Journal of Clinical Orthopaedics and Trauma,10, 755–760.PubMed

16.

Razmjou, H., Finkelstein, J. A., Yee, A., Holtby, R., Vidmar, M., & Ford, M. (2009). Relationship between preoperative patient characteristics and expectations in candidates for total knee arthroplasty. Physiotherapy Canada,61, 38–45.PubMedPubMedCentral

17.

de Achaval, S., Kallen, M. A., Amick, B., Landon, G., Siff, S., Edelstein, D., et al. (2016). Patients’ expectations about total knee arthroplasty outcomes. Health Expectations,19, 299–308.PubMed

18.

Gandhi, R., Davey, J. R., & Mahomed, N. (2009). Patient expectations predict greater pain relief with joint arthroplasty. Journal of Arthroplasty,24, 716–721.PubMed

19.

Engel, C., Hamilton, N. A., Potter, P. T., & Zautra, A. J. (2004). Impact of two types of expectancy on recovery from total knee replacement surgery (TKR) in adults with osteoarthritis. Behavioral Medicine,30, 113–123.PubMed

20.

Vissers, M. M., de Groot, I. B., Reijman, M., Bussmann, J. B., Stam, H. J., & Verhaar, J. A. (2010). Functional capacity and actual daily activity do not contribute to patient satisfaction after total knee arthroplasty. BMC Musculoskeletal Disorders,11, 121.PubMedPubMedCentral

21.

Lingard, E. A., Sledge, C. B., & Learmonth, I. D. (2006). Patient expectations regarding total knee arthroplasty: Differences among the United States, United kingdom, and Australia. Journal of Bone and Joint Surgery. American Volume,88, 1201–1207.

22.

Mahomed, N. N., Liang, M. H., Cook, E. F., Daltroy, L. H., Fortin, P. R., Fossel, A. H., et al. (2002). The importance of patient expectations in predicting functional outcomes after total joint arthroplasty. Journal of Rheumatology,29, 1273–1279.PubMed

23.

Mannion, A. F., Kampfen, S., Munzinger, U., & Kramers-de Quervain, I. (2009). The role of patient expectations in predicting outcome after total knee arthroplasty. Arthritis Research & Therapy,11, R139.

24.

Nilsdotter, A. K., Toksvig-Larsen, S., & Roos, E. M. (2009). Knee arthroplasty: Are patients’ expectations fulfilled? A prospective study of pain and function in 102 patients with 5-year follow-up. Acta Orthopaedica,80, 55–61.PubMedPubMedCentral

25.

Noble, P. C., Scuderi, G. R., Brekke, A. C., Sikorskii, A., Benjamin, J. B., Lonner, J. H., et al. (2012). Development of a new Knee Society scoring system. Clinical Orthopaedics and Related Research,470, 20–32.PubMed

26.

Gonzalez Saenz, D. T., Escobar, A., Herrera, C., Garcia, L., Aizpuru, F., & Sarasqueta, C. (2010). Patient expectations and health-related quality of life outcomes following total joint replacement. Value Health,13, 447–454.

27.

Jones, D. L., Bhanegaonkar, A. J., Billings, A. A., Kriska, A. M., Irrgang, J. J., Crossett, L. S., et al. (2012). Differences between actual and expected leisure activities after total knee arthroplasty for osteoarthritis. Journal of Arthroplasty,27, 1289–1296.PubMed

28.

Judge, A., Cooper, C., Arden, N. K., Williams, S., Hobbs, N., Dixon, D., et al. (2011). Pre-operative expectation predicts 12-month post-operative outcome among patients undergoing primary total hip replacement in European orthopaedic centres. Osteoarthritis Cartilage,19, 659–667.PubMed

29.

Mancuso, C. A., Sculco, T. P., Wickiewicz, T. L., Jones, E. C., Robbins, L., Warren, R. F., et al. (2001). Patients’ expectations of knee surgery. The Journal of Bone & Joint Surgery American,83, 1005–1012.

30.

Mancuso, C. A., Salvati, E. A., Johanson, N. A., Peterson, M. G., & Charlson, M. E. (1997). Patients’ expectations and satisfaction with total hip arthroplasty. Journal of Arthroplasty,12, 387–396.PubMed

31.

Groeneveld, P. W., Kwoh, C. K., Mor, M. K., Appelt, C. J., Geng, M., Gutierrez, J. C., et al. (2008). Racial differences in expectations of joint replacement surgery outcomes. Arthritis and Rheumatism,59, 730–737.PubMedPubMedCentral

32.

Ghomrawi, H. M., Franco, F. N., Mandl, L. A., Do, H., Noor, N., & Gonzalez, A. D. V. (2011). How often are patient and surgeon recovery expectations for total joint arthroplasty aligned? Results of a pilot study. HSS Journal,7, 229–234.PubMedPubMedCentral

33.

Jain, D., Bendich, I., Nguyen, L. L., Nguyen, L. L., Lewis, C. G., Huddleston, J. I., et al. (2017). Do patient expectations influence patient-reported outcomes and satisfaction in total hip arthroplasty? A prospective, multicenter study. Journal of Arthroplasty,32, 3322–3327.PubMed

34.

Muniesa, J. M., Marco, E., Tejero, M., Boza, R., Duarte, E., Escalada, F., et al. (2010). Analysis of the expectations of elderly patients before undergoing total knee replacement. Archives of Gerontology and Geriatrics,51, e83–e87.PubMed

35.

Lutzner, C., Postler, A., Beyer, F., Kirschner, S., & Lutzner, J. (2019). Fulfillment of expectations influence patient satisfaction 5 years after total knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy,27, 2061–2070.PubMed

36.

Mancuso, C. A., Jout, J., Salvati, E. A., & Sculco, T. P. (2009). Fulfillment of patients’ expectations for total hip arthroplasty. Journal of Bone and Joint Surgery. American Volume,91, 2073–2078.

37.

Tilbury, C., Haanstra, T. M., Leichtenberg, C. S., Verdegaal, S. H., Ostelo, R. W., de Vet, H. C., et al. (2016). Unfulfilled expectations after total hip and knee arthroplasty surgery: There is a need for better preoperative patient information and education. Journal of Arthroplasty,31, 2139–2145.PubMed

38.

Haanstra, T. M., van den, B. T., Ostelo, R. W., Poolman, R. W., Jansma, E. P., Cuijpers, P., et al. (2012). Systematic review: Do patient expectations influence treatment outcomes in total knee and total hip arthroplasty? Health and Quality of Life Outcomes,10, 152.PubMedPubMedCentral

39.

Barlow, T., Clark, T., Dunbar, M., Metcalfe, A., & Griffin, D. (2016). The effect of expectation on satisfaction in total knee replacements: A systematic review. Springerplus,5, 167.PubMedPubMedCentral

40.

Scott, C. E., Howie, C. R., MacDonald, D., & Biant, L. C. (2010). Predicting dissatisfaction following total knee replacement: A prospective study of 1217 patients. Journal of Bone and Joint Surgery. British Volume,92, 1253–1258.

41.

Gandhi, R., Davey, J. R., & Mahomed, N. N. (2008). Predicting patient dissatisfaction following joint replacement surgery. Journal of Rheumatology,35, 2415–2418.PubMed

42.

Judge, A., Arden, N. K., Price, A., Glyn-Jones, S., Beard, D., Carr, A. J., et al. (2011). Assessing patients for joint replacement: Can pre-operative Oxford hip and knee scores be used to predict patient satisfaction following joint replacement surgery and to guide patient selection? Journal of Bone and Joint Surgery. British Volume,93, 1660–1664.

43.

Jain, D., Nguyen, L. C., Bendich, I., Nguyen, L. L., Lewis, C. G., Huddleston, J. I., et al. (2017). Higher patient expectations predict higher patient-reported outcomes, but not satisfaction, in total knee arthroplasty patients: A prospective multicenter study. The Journal of Arthroplasty,32(9), S166–S170.PubMed

44.

Glass, G. V., & Hopkins, K. D. (1996). Statistical methods in education and psychology. Needham Heights, MA: Allyn and Bacon.

45.

Mancuso, C. A., Graziano, S., Briskie, L. M., Peterson, M. G., Pellicci, P. M., Salvati, E. A., et al. (2008). Randomized trials to modify patients’ preoperative expectations of hip and knee arthroplasties. Clinical Orthopaedics and Related Research,466, 424–431.PubMedPubMedCentral

46.

Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research,15, 1277–1288.PubMed

47.

Oliver, R. L. (1980). A cognitive model of the antecedents and consequences of satisfaction decisions. Journal of Marketing Research,17, 460–469.

48.

Staniszewska, S., & Ahmed, L. (1999). The concepts of expectation and satisfaction: Do they capture the way patients evaluate their care? Journal of Advanced Nursing,29, 364–372.PubMed

49.

Dawson, J., Fitzpatrick, R., Carr, A., & Murray, D. (1996). Questionnaire on the perceptions of patients about total hip replacement. Journal of Bone and Joint Surgery. British Volume,78, 185–190.

50.

Dawson, J., Fitzpatrick, R., Murray, D., & Carr, A. (1998). Questionnaire on the perceptions of patients about total knee replacement. Journal of Bone and Joint Surgery. British Volume,80, 63–69.

51.

Murray, D. W., Fitzpatrick, R., Rogers, K., Pandit, H., Beard, D. J., Carr, A. J., et al. (2007). The use of the Oxford hip and knee scores. Journal of Bone and Joint Surgery. British Volume,89, 1010–1014.

52.

Ware, J., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care,34, 220–233.PubMed

53.

Naylor, J. M., Kamalasena, G., Hayen, A., Harris, I. A., & Adie, S. (2013). Can the Oxford Scores be used to monitor symptomatic progression of patients awaiting knee or hip arthroplasty? Journal of Arthroplasty,28, 1454–1458.PubMed

54.

Poitras, S., Beaule, P. E., & Dervin, G. F. (2012). Validity of a short-term quality of life questionnaire in patients undergoing joint replacement: The quality of recovery-40. Journal of Arthroplasty,27, 1604–1608.PubMed

55.

Lin, F. J., Samp, J., Munoz, A., Wong, P. S., & Pickard, A. S. (2014). Evaluating change using patient-reported outcome measures in knee replacement: The complementary nature of the EQ-5D index and VAS scores. The European Journal of Health Economics,15, 489–496.PubMed

56.

Ostendorf, M., van Stel, H. F., Buskens, E., Schrijvers, A. J., Marting, L. N., Verbout, A. J., et al. (2004). Patient-reported outcome in total hip replacement. A comparison of five instruments of health status. Journal of Bone and Joint Surgery. British Volume,86, 801–808.

57.

Garbuz, D. S., Xu, M., & Sayre, E. C. (2006). Patients’ outcome after total hip arthroplasty: A comparison between the Western Ontario and McMaster Universities index and the Oxford 12-item hip score. Journal of Arthroplasty,21, 998–1004.PubMed

58.

Beard, D. J., Harris, K., Dawson, J., Doll, H., Murray, D. W., Carr, A. J., et al. (2015). Meaningful changes for the Oxford hip and knee scores after joint replacement surgery. Journal of Clinical Epidemiology,68, 73–79.PubMedPubMedCentral

59.

SooHoo, N. F., Li, Z., Chenok, K. E., & Bozic, K. J. (2015). Responsiveness of patient reported outcome measures in total joint arthroplasty patients. Journal of Arthroplasty,30, 176–191.PubMed

60.

Lieberman, J. R., Thomas, B. J., Finerman, G. A., & Dorey, F. (2003). Patients’ reasons for undergoing total hip arthroplasty can change over time. Journal of Arthroplasty,18, 63–68.PubMed

61.

Mancuso, C. A., Sculco, T. P., & Salvati, E. A. (2003). Patients with poor preoperative functional status have high expectations of total hip arthroplasty. Journal of Arthroplasty,18, 872–878.PubMed

62.

Naal, F. D., Impellizzeri, F. M., Lenze, U., Wellauer, V., Eisenhart-Rothe, R., & Leunig, M. (2015). Clinical improvement and satisfaction after total joint replacement: A prospective 12-month evaluation on the patients’ perspective. Quality of Life Research,24, 2917–2925.PubMed

63.

Judge, A., Arden, N. K., Kiran, A., Price, A., Javaid, M. K., Beard, D., et al. (2012). Interpretation of patient-reported outcomes for hip and knee replacement surgery: Identification of thresholds associated with satisfaction with surgery. Journal of Bone and Joint Surgery. British Volume,94, 412–418.

64.

Hawker, G., Bohm, E. R., Conner-Spady, B., De Coster, C., Dunbar, M., Hennigar, A., et al. (2015). Perspectives of Canadian stakeholders on criteria for appropriateness for total joint arthroplasty in patients with hip and knee osteoarthritis. Arthritis & Rheumatology,67, 1806–1815.

65.

Frankel, L., Sanmartin, C., Hawker, G., De Coster, C., Dunbar, M., Bohm, E., et al. (2015). Perspectives of orthopaedic surgeons on patients’ appropriateness for total joint arthroplasty: A qualitative study. Journal of Evaluation in Clinical Practice,22(2), 164–170.PubMed

Titel: Patient expectations and satisfaction 6 and 12 months following total hip and knee replacement
Auteurs: Barbara L. Conner-Spady
Eric Bohm
Lynda Loucks
Michael J. Dunbar
Deborah A. Marshall
Tom W. Noseworthy
Publicatiedatum: 18-11-2019
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 3/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-019-02359-7

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Abstract

Purpose

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Conclusions

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