Patient Satisfaction Reporting After Total Hip Arthroplasty: A Systematic Review

Kahlenberg, Cynthia A.; Nwachukwu, Benedict U.; Schairer, William W.; Steinhaus, Michael E.; Cross, Michael B.

doi:10.3928/01477447-20170120-04

Cited by 30 publications

(16 citation statements)

References 46 publications

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“…A recent review of hip arthroplasty satisfaction reporting limited to US literature found a similar problem with variable methods of reporting patient satisfaction [ 11 ]. In the hip literature, the most commonly used reporting method was a numeric 0–10 scale for overall satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Patient Satisfaction after Total Knee Replacement: A Systematic Review

Kahlenberg

Nwachukwu

McLawhorn

et al. 2018

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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351

209

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Background:The quality and state of satisfaction reporting after total knee replacement (TKR) is variable.Questions/Purposes:The purposes of this systematic review were (1) to examine the available literature on patient satisfaction after TKR, (2) to evaluate the quality of available evidence, and (3) to identify predictors of patient satisfaction after TKR.Methods:A systematic review of the MEDLINE database was performed. The initial search yielded 1219 studies. The inclusion criteria were English language, clinical outcome study with primary outcome related to TKR for osteoarthritis, and patient-reported satisfaction included as an outcome measure. Studies were assessed for demographics, methodology for reporting satisfaction, and factors influencing satisfaction.Results:Two hundred eight studies, including 95,560 patients who had undergone TKR, met all inclusion and exclusion criteria; 112 (53.8%) of these studies were published in the past 3 years. Satisfaction was most commonly measured using an ordinal scale. Twenty-seven studies (13%) used a validated satisfaction survey. Eighty-three percent of studies reported more than 80% satisfaction. The most commonly reported predictor of satisfaction was post-operative patient-reported functional outcome. Pre-operative anxiety/depression was the most common pre-operative predictor of dissatisfaction.Conclusion:There are numerous studies reporting patient satisfaction after TKR, and publication on the topic has been increasing over the past decade. However, the majority of studies represent lower levels of evidence and use heterogeneous methods for measuring satisfaction, and few studies use validated satisfaction instruments. In general, the majority of studies report satisfaction rates ranging from 80 to 100%, with post-operative functional outcome and relief of pain being paramount determinants for achieving satisfaction.Electronic supplementary materialThe online version of this article (10.1007/s11420-018-9614-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Patient Satisfaction after Total Knee Replacement: A Systematic Review

Kahlenberg

Nwachukwu

McLawhorn

et al. 2018

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

Self Cite

351

209

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“…Total hip arthroplasty (THA) is considered one of the most successful surgical procedures in modern medicine. 1 Treatment goals include pain relief, restoration of normal hip biomechanics and improvement in function. 1 The success of THA is well documented, with high patient satisfaction rates, low morbidity rates and cost-effective surgery.…”

Section: Introductionmentioning

confidence: 99%

“…1 Treatment goals include pain relief, restoration of normal hip biomechanics and improvement in function. 1 The success of THA is well documented, with high patient satisfaction rates, low morbidity rates and cost-effective surgery. 2 Most of these publications come from THA performed in high-volume arthroplasty units, done in high-income countries.…”

Section: Introductionmentioning

confidence: 99%

The accuracy of pre-operative digital templating in total hip arthroplasty performed in a low-volume, resource-constrained orthopaedic unit

et al. 2020

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Aims: Total hip arthroplasty (THA) is considered one of the most successful surgical procedures in modern medicine. The success of THA is well documented, and includes high patient satisfaction rates, low morbidity rates and cost-effective surgery. Most publications come from THA performed in high-volume arthroplasty units, done in high-income countries. Limited data is available on THA performed in low-volume, low-income countries. The aim of this study was to evaluate the accuracy of digital templating in a low-volume, resource-constrained orthopaedic unit from 2016 to 2017. We introduced a standardised hip radiography programme, followed by a stepwise pre-operative templating method. We compared the implant sizes inserted during THA with the templated sizes determined pre-operatively. This was to deduct whether digital templating in a low-volume arthroplasty unit is accurate and of the same value as digital templating done in a high-volume unit. Methods: A descriptive retrospective study was conducted on all patients who received elective primary uncemented THA in a low-volume, resource-constrained orthopaedic unit. Pre-operative radiographs were done according to guidelines published by Scheerlinck followed by pre-operative templating using the Impax Orthopaedic tools® software and a stepwise technique described by Bono. Implanted prosthesis sizes, as recorded in operation notes, were retrospectively compared to pre-operative templating. Results: A total of 56 participants were included (30 females, 26 males), with a mean age of 55.5 (32-78) years. On the acetabular side, in 71% (n=40; p<0.001) there was a cumulative difference of one implant size between the templated cup size and the actual cup size used. On the femoral side, in 79% (n=44; p<0.001) there was a cumulative difference of one implant size between the templated stem size and the actual stem size used. Oversizing of the implants was more prevalent, with 20% (n=11) of the acetabular components oversized by two or more sizes and 13% (n=7) of the femoral components oversized by two or more sizes. Conclusion: With the introduction of a standardised radiology programme and a stepwise templating technique, the benefits and accuracy of pre-operative templating done in a low-volume, resource-constrained orthopaedic unit is comparable to published data done in high-volume arthroplasty units.

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“…Previous studies have noted that over 80% of patients indicate they are satisfied following THA [37, 38]. Studies have demonstrated similar patient satisfaction following primary hip arthroscopy [21, 22, 39, 40].…”

Section: Discussionmentioning

confidence: 99%

Hip arthroscopy following contralateral total hip arthroplasty: a multicenter matched-pair study

Patel¹,

Domb

Krych³

et al. 2018

Journal of Hip Preservation Surgery

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The purpose of this study was to determine if patients undergoing hip arthroscopy for labral pathology with contralateral total hip arthroplasty (THA) have a difference in revision surgeries or patient-reported outcomes (PROs) when compared with those patients undergoing hip arthroscopy for labral pathology with a native contralateral hip. A retrospective review was performed for patients that were undergoing hip arthroscopy between 2008 and 2015. Patients were included in the study group if they met the following inclusion criteria: Tönnis Grade 0 or 1, hip labral pathology, previous contralateral THA, and greater than 2-year follow-up with completion of all PROs or conversion to a THA. Exclusion criteria included the previous surgical history on ipsilateral hip, peritrochanteric or deep gluteal space arthroscopy performed concomitantly, or dysplasia [Lateral Center Edge Angle (LCEA) < 20°]. A 3:1 matched-pair study was conducted. Multiple PRO scores were recorded for both groups. There was no statistically significant difference in the modified Harris hip score, non-arthritic hip score, hip outcome score-sports specific sub-scale, visual analog pain score and patient satisfaction scores between both groups. However, the study group was noted to have six patients converted to THA (67%) at an average of 30 months post-operatively, compared with only four patients (15%) in the control group (P = 0.006). Hip arthroscopy cannot be currently recommended in patients who have undergone contralateral THA due to the high conversion to THA (67%).

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Patient Satisfaction Reporting After Total Hip Arthroplasty: A Systematic Review

Cited by 30 publications

References 46 publications

Patient Satisfaction after Total Knee Replacement: A Systematic Review

Patient Satisfaction after Total Knee Replacement: A Systematic Review

The accuracy of pre-operative digital templating in total hip arthroplasty performed in a low-volume, resource-constrained orthopaedic unit

Hip arthroscopy following contralateral total hip arthroplasty: a multicenter matched-pair study

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