Do Patient Expectations About Arthroplasty at Initial Presentation for Hip or Knee Pain Differ by Sex and Ethnicity?

Lavernia, Carlos J.; Contreras, Juan S.; Parvızı, Javad; Sharkey, Peter F.; Barrack, Robert L.; Rossi, Mark D.

doi:10.1007/s11999-012-2431-3

Cited by 17 publications

(20 citation statements)

References 31 publications

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“…Although, to our knowledge, there are no previous studies involving patients with shoulder and elbow conditions for comparison, other studies with patients considering hip and knee arthroplasties have reported similar findings. Ethnic minorities have been found to be less willing to consider and proceed with total joint arthroplasties [5,9,18,19,[21][22][23] as a result of differences in expectations of the postoperative length of stay, amount of pain, and recoverable function [5,6,9,18]. Although lower levels of income and education have been associated with poorer rates of agreement to undergo invasive cardiac procedures [1], Hawker et al [15] found that income and education are not independent determinants of willingness to proceed with hip and knee arthroplasties, although patients with lower levels of income and education had a greater unmet need for total joint arthroplasties.…”

Section: Discussionmentioning

confidence: 99%

“…Lower socioeconomic status also was associated with increased perceived risks and decreased perceived success of surgery and therefore less likelihood to proceed with surgery [12]. Increasing age and female sex also have been shown to be associated with less willingness to proceed with hip and knee arthroplasties [12,19], although Hawker et al [13] reported that females were as willing as males to have surgery but were less likely to consult with a physician. The level of general physical health of the patient does not appear to significantly influence their willingness to consider surgery.…”

Section: Discussionmentioning

confidence: 99%

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Factors That Influence the Choice to Undergo Surgery for Shoulder and Elbow Conditions

Modi

Veillette

Gandhi

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Knowledge of the factors that influence the willingness of patients considering elective orthopaedic surgery is essential for patient-centered care. To date, however, these factors remain undefined in the orthopaedic population with shoulder and elbow disorders. Questions/purposes In a cohort of patients seeking surgical consultation for shoulder or elbow conditions, we sought to identify factors that influenced the willingness and decision to undergo surgery. Methods In this prospective study, 384 patients completed a questionnaire collecting socioeconomic and health status data before consultation from June 2009 to December 2010. An additional 120 patients who were offered surgery after consultation completed a second questionnaire on their perceptions and concerns regarding surgery. Logistic regression analyses were used to identify factors influencing the willingness and decision to undergo surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors That Influence the Choice to Undergo Surgery for Shoulder and Elbow Conditions

Modi

Veillette

Gandhi

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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show abstract

“…These questionnaires consisted of between two and 45 items, most frequently querying expectations regarding factors such as residual pain, degree of mobility, activities of daily living, recreational/social activities, ability to work, and complications. One study asked patients to pick from supplied lists of potential surgical complications and activities that the patient would be able to do postoperatively [28]. All of the questionnaires were self-completed by patients on paper.…”

Section: Expectation Measures For Which Development and Validity Datamentioning

confidence: 99%

Measuring Expectations in Orthopaedic Surgery: A Systematic Review

Zywiel

Mahomed

Gandhi

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Advances in the surgical treatment of musculoskeletal conditions have resulted in an interest in better defining and understanding patients' expectations of these procedures, but the best ways to do this remain a topic of considerable debate. Questions/purposes (1) What validated instruments for the assessment of patient expectations of orthopaedic surgery have been used in published studies to date? (2) How were these expectation measures developed and validated? (3) What unvalidated instruments for the assessment of patient expectations have been used in published studies to date? Methods A systematic literature search was performed using the OVID Medline and EMBASE databases, in duplicate, to identify all studies that assessed patient expectations in orthopaedic surgery. Sixty-six studies were ultimately included in the present review.Results Seven validated expectation instruments were identified, all of which use patient-reported questionnaires. Five were specific to a particular procedure or affected anatomic location, whereas two were broadly applicable. Details of reliability and validity testing were available for all but one of these instruments. Forty additional unvalidated expectation assessment tools were identified. Thirteen were based on existing clinical outcome tools, and the others were study-specific, custom-developed tools. Only one of the unvalidated tools was used in more than one study. Conclusions Several validated expectation instruments have been developed for use by patients undergoing orthopaedic surgery. However, many tools have been reported without evidence of testing and validation. The wide range of untested instruments used in single studies substantially limits the interpretation and comparison of data concerning patient expectations.

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“… 2) It is known that patients are well informed about the benefits and have realistic expectations following conventional TJA. 3) However, very little is known on patients' knowledge regarding RN systems in orthopaedic surgery. Patients are becoming more resourceful in seeking information from the internet and other media; it has been established that having expectations of surgery met is the strongest predictor of the postoperative assessment of outcomes and satisfaction, even more so than optimal pain relief and the patient's hospital experience.…”

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confidence: 99%

Robotic and Navigation Systems in Orthopaedic Surgery: How Much Do Our Patients Understand?

et al. 2014

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BackgroundTechnology in orthopaedic surgery has become more widespread in the past 20 years, with emerging evidence of its benefits in arthroplasty. Although patients are aware of benefits of conventional joint replacement, little is known on patients' knowledge of the prevalence, benefits or drawbacks of surgery involving navigation or robotic systems.MethodsIn an outpatient arthroplasty clinic, 100 consecutive patients were approached and given questionnaires to assess their knowledge of navigation and robotics in orthopaedic surgery. Participation in the survey was voluntary.ResultsNinety-eight patients volunteered to participate in the survey, mean age 56.2 years (range, 19 to 88 years; 52 female, 46 male). Forty percent of patients thought more than 30% of National Health Service (NHS) orthopaedic operations involved navigation or robotics; 80% believed this was the same level or less than the private sector. One-third believed most of an operation could be performed independently by a robotic/navigation system. Amongst perceived benefits of navigation/robotic surgery was more accurate surgery (47%), quicker surgery (50%), and making the surgeon's job easier (52%). Sixty-nine percent believed navigation/robotics was more expensive and 20% believed it held no benefit against conventional surgery, with only 9% believing it led to longer surgery. Almost 50% would not mind at least some of their operation being performed with use of robotics/navigation.ConclusionsAlthough few patients were familiar with this new technology, there appeared to be a strong consensus it was quicker and more accurate than conventional surgery. Many patients appear to believe navigation and robotics in orthopaedic surgery is largely the preserve of the private sector. This study demonstrates public knowledge of such new technologies is limited and a need to inform patients of the relative merits and drawbacks of such surgery prior to their more widespread implementation.

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Do Patient Expectations About Arthroplasty at Initial Presentation for Hip or Knee Pain Differ by Sex and Ethnicity?

Cited by 17 publications

References 31 publications

Factors That Influence the Choice to Undergo Surgery for Shoulder and Elbow Conditions

Factors That Influence the Choice to Undergo Surgery for Shoulder and Elbow Conditions

Measuring Expectations in Orthopaedic Surgery: A Systematic Review

Robotic and Navigation Systems in Orthopaedic Surgery: How Much Do Our Patients Understand?

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