Outcomes after total hip replacement based on patients' baseline status: What results can be expected?

Quintana, José M.; Aguirre, Urko; Barrio, Irantzu; Orive, Miren; García, Susana; Escobar, Antonio

doi:10.1002/acr.21570

Cited by 36 publications

(34 citation statements)

References 31 publications

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“…Regarding gender, males showed higher satisfaction levels compared to females which is consistent with findings from other studies as well [19,20]. Similarly to previous findings, those patients that were married tended to have higher satisfaction scores [21].…”

Section: Discussionsupporting

confidence: 82%

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Investigation of Drivers and Determinants of Inpatient and Outpatient Satisfaction in Public Ambulatory and Hospital Departments

Stefanovska¹,

Stefanovska–Petkovska²,

Bojadziev³

et al. 2017

ujph

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The last two decades have been marked by increased attention towards patient satisfaction as a valuable tool for quality improvement in health care organizations and delivering patient-centred care. However, few articles have investigated the factors of patient's satisfaction among outpatients and inpatients, especially in developing economies. This cross-sectional, quantitative research contributes by analysing patient satisfaction in the context of a developing country and its public health care system among 1318 patients from the Clinic for Plastic and Reconstructive Surgery in Skopje. The study had two main objectives. The first was to analyse factors that influenced patient's satisfaction. The second objective was to analyse the differences in the reported patient satisfaction between outpatients and inpatients within the Clinic for Plastic and Reconstructive Surgery in Skopje. The results indicated higher satisfaction among outpatients scores compared to inpatients. The findings confirm the importance of socio-demographic variables and health status on patient's satisfaction. Improved awareness of these factors may improve the patient experience and increase therapeutic benefits. Furthermore, this research provides an initial insight and understanding into the drivers of patient's satisfaction in the context of developing countries.

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Section: Discussionsupporting

confidence: 82%

“…This instrument was designed based on findings and recommendations from previous referent research done in the field [5,19,20] and findings from research done among patients in Republic of Macedonia [21].…”

Section: Instrumentmentioning

confidence: 99%

Investigation of Drivers and Determinants of Inpatient and Outpatient Satisfaction in Public Ambulatory and Hospital Departments

Stefanovska¹,

Stefanovska–Petkovska²,

Bojadziev³

et al. 2017

ujph

View full text Add to dashboard Cite

show abstract

“…The differences were even more pronounced for the function subscale (35 and 39 vs. 51 and 53 at baseline, 76 and 72 vs. 90 and 86 at 1 year) [33]. A clear dependency of satisfaction and WOMAC scores on the baseline status has been shown before with higher baseline scores yielding in higher PASS cutoffs [41,42]. In another investigation including 321 THA patients with baseline WOMAC scores comparable to those in the present study (i.e., 52 points), the PASS threshold at 6 months has been indicated with 85 points [43], matching the value we found at the same time point.…”

Section: Discussionmentioning

confidence: 81%

Clinical improvement and satisfaction after total joint replacement: a prospective 12-month evaluation on the patients’ perspective

et al. 2015

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“…The PASS score is determined by assessing the score on a PROM of patients who are satisfied with their actual physical state and symptoms. Based on patients’ satisfaction with symptoms, the optimal cut-off value of the used PROM can be determined [30–32]. In this study, PASS scores will be derived from scores on the Hip disabilities and Osteoarthritis Outcome Score (HOOS) [33], and they will be determined for the measurements made at two and six weeks, three months and one year postoperatively.…”

Section: Methodsmentioning

confidence: 99%

“…Additionally, the patients’ opinion about “actual satisfaction with their symptoms regarding their hip problem” will be asked with one question. This question will be “if you spend the rest of your life with the hip symptoms you have now, how would you feel?” A Likert version of this question will be used with four response levels: very satisfied, somewhat satisfied, somewhat dissatisfied and very dissatisfied [29, 30, 32]. The scores on this question are then used to calculate PASS.…”

Section: Methodsmentioning

confidence: 99%

The design of a randomised controlled trial to evaluate the (cost-) effectiveness of the posterolateral versus the direct anterior approach for THA (POLADA – trial)

Rykov

Reininga

Knobben

et al. 2016

BMC Musculoskelet Disord

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BackgroundTotal hip arthroplasty (THA) is one of the most successful orthopaedic procedures. Because of the increasing number of THAs, a growing demand for faster recovery and a greater emphasis on cost-effectiveness, minimally invasive THAs have been introduced in the last decades. The direct anterior approach is a minimally invasive, tissue-sparing approach in which intermuscular planes are used. Theoretically, this approach should result in a faster recovery of physical functioning and higher health-related quality of life.Methods/designA randomised controlled trial will be performed. Patients will be randomly allocated to undergo THA by means of the anterior or posterolateral approach. Both the intervention and control group will consist of two subgroups: 1) patients with a good bone stock who will receive an uncemented femoral stem, and 2) patients with a poor bone stock who will receive a cemented femoral stem. Patients between 18 and 90 years with primary or secondary osteoarthritis will be included. Physical functioning and health-related quality of life will be assessed by means of questionnaires. Additionally, performance based tests will be performed to objectively assess the physical functioning. Cost-effectiveness will be assessed by obtaining data on medical costs in and outside the hospital and other nonmedical costs. Measurements will take place preoperatively, two and six weeks, three months and one year postoperatively.DiscussionThere is some evidence that the anterior approach results in reduced tissue damage and faster recovery in the direct postoperative period, compared to the posterolateral approach. However, there is still a lack of well-designed studies that have confirmed the better outcomes and cost-effectiveness of the anterior approach. Therefore, the purpose of this study is to assess the physical functioning, health related quality of life and the cost-effectiveness of the anterior approach, compared to the conventional posterolateral approach.Trial registrationNetherlands Trial Registry, number 5343 (registration date April 12, 2015)Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-016-1322-2) contains supplementary material, which is available to authorized users.

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Outcomes after total hip replacement based on patients' baseline status: What results can be expected?

Cited by 36 publications

References 31 publications

Investigation of Drivers and Determinants of Inpatient and Outpatient Satisfaction in Public Ambulatory and Hospital Departments

Investigation of Drivers and Determinants of Inpatient and Outpatient Satisfaction in Public Ambulatory and Hospital Departments

Clinical improvement and satisfaction after total joint replacement: a prospective 12-month evaluation on the patients’ perspective

The design of a randomised controlled trial to evaluate the (cost-) effectiveness of the posterolateral versus the direct anterior approach for THA (POLADA – trial)

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