Changes in Patient Satisfaction Following Total Joint Arthroplasty |
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| Institution: | 1. Harris Orthopaedic Laboratory, Department of Orthopedic Surgery, Massachusetts General Hospital, Boston, MA;2. Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA;3. Department of Orthopaedic Surgery, Stanford University Medical Center, Redwood, CA;4. Department of Orthopedic Surgery, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark;1. Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN;2. Stanford Hospital and Clinics, Department of Orthopaedic Surgery, Redwood City, CA;1. Duke University School of Medicine, Durham, North Carolina;2. Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina;3. Department of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, North Carolina;1. Division of Nursing, Saga University, Saga, Japan;2. Department of Health Science, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan;3. Department of Nursing, School of Nursing and Rehabilitation, Konan Women''s University, Kobe, Hyogo, Japan;4. Department of Orthopedic Surgery, Saga University, Saga, Japan;1. Harris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA;2. Department of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre, Denmark;3. Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA;1. Hospital for Special Surgery, Department of Rheumatology, New York, NY;2. Hospital for Special Surgery, Department of Orthopedics, New York, NY;3. Hospital for Special Surgery, Department of Biostatistics, New York, NY;4. Memorial Sloan Kettering Cancer Center, New York, NY;5. Hospital for Special Surgery, Department of Value Management, New York, NY;6. Department of Orthopedics, University of Pittsburgh, Pittsburgh, PA;7. OrthoCarolina Hip and Knee Center, Charlotte, NC;8. The University of Alabama at Birmingham Medical Center, Birmingham, AL |
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| Abstract: | BackgroundThe primary aim is to identify the degree to which patient satisfaction with the outcome of total hip arthroplasty (THA) or total knee arthroplasty (TKA) changes between 1 and 3 years from the procedure. The secondary aim is to identify variables associated with satisfaction.MethodsData were sourced from 2 prospective international, multicenter studies (919 THA and 450 TKA patients). Satisfaction was assessed by a 10-point numerical rating scale, at 1- and 3-year follow-up. Linear mixed-effects models were used to assess factors associated with satisfaction.ResultsFor the THA cohort, higher preoperative joint space width (odds ratio OR] = 0.28; P = .004), pain from other joints (OR = 0.26; P = .033), and lower preoperative health state (OR = ?0.02; P < .001) were associated with consistently lower levels of satisfaction. The model also showed that patients with preoperative anxiety/depression improved in satisfaction between 1 and 3 years (OR = ?0.26; P = .031).For the TKA cohort, anterior (vs neutral or posterior) tibial component slope (OR = 0.90; P = .008), greater femoral component valgus angle (OR = 0.05; P = .012), less severe osteoarthritis (OR = ?0.10; P < .001), and lower preoperative health state (OR = ?0.02; P = .003) were associated with lower levels of satisfaction across the study period. In addition, patients with anterior tibial component slope improved in satisfaction level over time (OR = ?0.33; P = .022).ConclusionChanges in satisfaction following THA and TKA are rare between 1- and 3-year follow-up. The findings of this study can be used to guide patient counseling preoperatively and to determine intervals of routine follow-up postoperatively. |
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| Keywords: | total hip arthroplasty total knee arthroplasty total joint arthroplasty satisfaction patient-reported outcome measures |
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