Patients’ Expectations Impact Their Satisfaction following Total Hip or Knee Arthroplasty

Neuprez, Audrey; Delcour, Jean-Pierre; Fatemi, F; Gillet, Philippe; Crielaard, Jean-Michel; Bruyère, Olivier; Reginster, Jean‐Yves

doi:10.1371/journal.pone.0167911

Cited by 119 publications

(104 citation statements)

References 26 publications

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“…Patient expectations are widely discussed in current THA outcomes research [12,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30], along with compliance with evidence-based guidelines. Similar to patient satisfaction, patient expectation is a complex and dynamic quality that is difficult to define, measure, and analyze [30].…”

Section: Patient Expectationsmentioning

confidence: 99%

Patient satisfaction and total hip arthroplasty: a review

Okafor

Chen

2019

Arthroplasty

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Primary total hip arthroplasty (THA) has been recognized as a reliable intervention for patients with end-stage osteoarthritis. Despite several notable advances in this procedure, studies have identified at least 7% of patients who remain dissatisfied. There is no general consensus on how to measure patient satisfaction in orthopedic surgery. However, validated tools have been used in multiple studies to further investigate this problem. A comprehensive review was conducted to examine the factors associated with patient satisfaction following THA. Associations in literature included patient expectation, age, sex, pain management, patient comorbidities (medical or psychiatric that existed prior to surgery), and length of stay. The continuous collection of patient satisfaction data using validated and reliable measurement tools is necessary to improve this important patient-reported outcome after THA.

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Section: Patient Expectationsmentioning

confidence: 99%

Patient satisfaction and total hip arthroplasty: a review

Okafor

Chen

2019

Arthroplasty

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“…Patients' expectations have previously been shown to play an important role in postoperative satisfaction [8,9,19,22,24,28,29,31,37,43], but these studies do not define the patients' expectations, nor do they explain how to address them. The studies do agree about using individualized enquiry regarding patient expectations.…”

Section: Discussionmentioning

confidence: 99%

“…Quantitative designs have been used to assess patient satisfaction after TKA in previous studies [3, [6][7][8][9][10][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31], but to our knowledge no qualitative studies have examined patient´s experience of discontentment after TKA. The few studies addressing patient satisfaction have focused on the importance of patient education and information before and after surgery [23,[32][33][34][35][36][37].…”

Section: Introductionmentioning

confidence: 99%

Patients’ experiences of discontentment one year after total knee arthroplasty- A qualitative study

Mahdi

Svantesson

Wretenberg

et al. 2019

Preprint

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Background Total knee arthroplasty is a common procedure with generally good results. However, there are still patients who are discontented without known explanation. Contentment and discontentment have previously been captured by quantitative designs, but there is a lack of qualitative studies regarding these patients’ experiences. Qualitative knowledge might be useful in creating strategies to decrease the discontentment rate. Methods Of the 348 patients who responded to a letter asking if they were contented or discontented with their surgery, 61 (18%) reported discontentment. After excluding patients with documented complications and those who declined to participate, semi-structured interviews were conducted with 44 patients. The interviews were analyzed according to qualitative content analysis. The purpose was to describe patients’ experiences of discontentment one year after total knee arthroplasty. Results The patients experienced unfulfilled expectations and needs regarding unresolved and new problems, limited independence, and need for buttresses. They were bothered by pain and stiffness, and worried that changes were complications as a result of surgery. They described inability to perform daily activities and valued activities. They also felt a need for buttresses, and a lack of respect and continuity, support from health care, and information adapted to their needs. Conclusion Patient expectation seems to be the major contributing factor in patient discontentment after knee replacement surgery. This qualitative study sheds light on the meaning of unfulfilled expectations, in contrast to previous quantitative studies. The elements of unfulfilled expectations need to be dealt with both on the individual staff level and on the organizational level. For instance, increased continuity of healthcare staff and facilities may help to improve patient contentment after surgery.

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“…Discussion As indicated in the literature review, preoperative education is linked with decreased anxiety (Flanigan et al, 2015). The importance of preoperative education is further underscored by the contributing role preoperative expectations play in patients' overall satisfaction (Neuprez et al, 2016). Preoperative expectations of patients specific to SA have been said to include relief of pain (both nighttime and daytime), improvement in self-care tasks, and specific IADL tasks, such as driving (Rauck et al, 2019).…”

Section: Interviewmentioning

confidence: 99%

Patient Perceptions of Acute Phases of Rehabilitation Following Shoulder Arthroplasty

Stith¹,

Borrero²,

Santurri³

et al. 2020

The Open Journal of Occupational Therapy

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Background: Shoulder arthroplasty is a common procedure, but a lack of research regarding recovery and rehabilitation limits occupational therapists from providing appropriate education and support. The purpose of this study was to explore and understand the patient's experiences in the acute recovery phase following shoulder arthroplasty.Method: Twelve participants completed three semi-structured interviews in the first 6 weeks following surgery. A basic-interpretive approach was used before coding interview transcriptions into categories.Results: The participants initially reported increased reliance on assistance and/or modifications in ADLs routines, such as dressing, bathing, and sleep. Interruption in sleep was reported because of pain and/or positioning restrictions, and frustration because of a lack of sleep and need for assistance was noteworthy. As sling usage decreased, the participants reported returning to ADLs with a coinciding reduction in frustration. Finally, the participants noted improvement in ADLs and IADLs and a return to tasks such as driving, cooking and meal preparation, and returning to social engagements. Overarching themes included presurgical expectations, advice, pain reduction, and general improvement in quality of life.Discussion: Changes to patient education, including ADLs and IADLs assistance needs, may improve patient recovery. Occupational therapists specifically may improve recovery by using their understanding of arthroplasty, environment, routines, and other factors that affect sleep. CommentsThe authors report the receipt of grants from the University of Indianapolis during the conduct of the study.

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Patients’ Expectations Impact Their Satisfaction following Total Hip or Knee Arthroplasty

Cited by 119 publications

References 26 publications

Patient satisfaction and total hip arthroplasty: a review

Patient satisfaction and total hip arthroplasty: a review

Patients’ experiences of discontentment one year after total knee arthroplasty- A qualitative study

Patient Perceptions of Acute Phases of Rehabilitation Following Shoulder Arthroplasty

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