Personality, function and satisfaction in patients undergoing total hip or knee replacement

Ramaesh, Rishi; Jenkins, Paul J.; MacDonald, Deborah J.; Howie, C. R.; Lane, Julie; Knight, Sara J.

doi:10.1007/s00776-013-0509-8

Cited by 29 publications

(25 citation statements)

References 27 publications

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“…Nevertheless, ten studies report no significant effect of age on postoperative pain and function status [ 9 , 15 , 19 , 20 , 24 , 27 - 31 ]. Eleven studies did not report a significant relationship between gender and TKA outcomes [ 9 , 10 , 15 , 19 , 23 , 24 , 27 - 29 , 32 , 33 ]. The two that found a significant association seem to yield more consistent results regarding the deleterious effect of female gender on TKA pain and function outcomes [ 25 , 26 ].…”

Section: Resultsmentioning

confidence: 99%

“…Five studies identified the presence of back pain before surgery to be related to substandard pain and function status after TKA [ 19 , 24 , 28 , 32 , 35 ]. Regardless of whether comorbidity was measured as the influence of individual comorbidities, of the number of comorbidities per patient or when considering their severity and impact on patients’ life, seven studies suggests it to be a significant determinant of worse outcomes in terms of pain and function following TKA [ 10 , 20 , 23 , 24 , 26 , 29 , 35 ]. More symptomatic joints, including ankle, feet, toes and neck were associated with greater level of pain and worse function 12 months after TKA in two studies [ 19 , 31 ].…”

Section: Resultsmentioning

confidence: 99%

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Preoperative Determinants of Patient-reported Pain and Physical Function Levels Following Total Knee Arthroplasty: A Systematic Review

Lungu

Vendittoli

Desmeules

2016

TOORTHJ

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Background:A sound knowledge of the determinants of total knee arthroplasty (TKA) outcomes could help in patient selection, preparation and education. We aimed to assess the current status of the literature evaluating preoperative determinants of early and medium term patient-reported pain and disability following TKA.Method:A search in Medline, Pubmed, Embase and CINAHL until October 2014 was undertaken. Selection criteria included: 1- participants undergoing primary unilateral TKA with a follow-up from 6 months to 2 years, 2- validated disease-specific patient-reported outcome measures assessing pain and/or function used as outcome measure and 3- identification of preoperative determinants obtained via multivariate analyses. Risk of bias was assessed using a modified version of the Methodology checklist for prognostic studies. Results:Thirty-three prognostic explanatory studies were included. Mean total score of the methodological quality was 80.7±12.2 %. Sociodemographic and psychosocial determinants included greater socioeconomic deprivation (both studies), greater levels of depression and/or anxiety (7 out of 10 studies) and greater preoperative pain catastrophizing (all 3 studies). Significant clinical determinants included worse pre-operative knee related pain or disability (20 out of 22 studies), presence or greater levels of comorbidity (12 out of 23 studies), back pain (4 out of 5 studies) and lower general health (all 11 studies). Conclusion:Several significant determinants of short to medium-term pain and functional outcomes following TKA have been summarized by studies with moderate-to-high methodological quality. No conclusions can be reached regarding the strength of the associations between significant determinants and TKA results because of heterogeneity of study methodologies and results. Further high-quality research is required.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Preoperative Determinants of Patient-reported Pain and Physical Function Levels Following Total Knee Arthroplasty: A Systematic Review

Lungu

Vendittoli

Desmeules

2016

TOORTHJ

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“…Chang et al [ 16 ] examined service aspects as well as medical care in hospital-based joint replacement and came to the same conclusion as Ramaesh et al [ 17 ] that hospitals, due to the heterogeneous patient structure, should identify the factors causing an increase in satisfaction of a plurality of patients.…”

Section: Introductionmentioning

confidence: 95%

Determinants of patient satisfaction and their willingness to return after primary total hip replacement: a cross-sectional study

Schaal¹,

Schoenfelder²,

Klewer

et al. 2016

BMC Musculoskelet Disord

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BackgroundSurveys of patient satisfaction and their willingness to return can be used for the optimization of processes, improving their quality, and increasing the satisfaction and loyalty in customers. This study looked at the factors significantly associated with patient satisfaction after primary total hip replacement (THR), and which affect the patients’ willingness to return to the same hospital for future treatment, even when unrelated to their THR.MethodsData for the study was collected by written survey from 810 patients of 43 hospitals following their THR. Satisfaction and willingness to return were measured using a validated, multidimensional questionnaire, primarily based on six-point scales, which were then evaluated together with routine hospital data, according to bivariate and multivariate analyses.ResultsThe bivariate analysis showed a strong correlation between satisfaction or willingness to return and the health condition before hospitalization as well as the perceived length of stay. In contrast, the patient’s gender and the number of inpatient cases in a hospital with THR had no influence. The binary logistic regression analyses identified three predictors associated with overall satisfaction and seven predictors associated with willingness to return. The strongest factor for both dependent variables was the perceived length of stay, and the weakest factor for satisfaction was the treatment outcome.ConclusionsOverall, with all of the medical and service-related issues considered, high levels of satisfaction were reached. Despite the high satisfaction scores, probable causes for declining the willingness to return were identified. The results provide incentives for hospitals and medical professionals to attain a high satisfaction levels in their THR patients.

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“…De acordo com Van Baar(1998), a idade, a força muscular, o tempo de incidência, a dor e a severidade da doença também são fatores que influenciam a redução da capacidade funcional. Alguns estudos avaliaram e compararam a funcionalidade de idosos com e sem OA nos estágios mais avançados da OA, ou nos períodos pré e pós-operatório das cirurgias de implante de próteses, e encontraram alterações significativas na função muscular, no equilíbrio dinâmico e na agilidade das pessoas com a doença (RAMAESH et al, 2014;STRATFORD;KENNEDY;WOODHOUSE, 2006;STRATFORD et al, 2003;TERWEE et al, 2006).…”

Section: Introductionunclassified

Comparação da funcionalidade, agilidade e equilíbrio dinâmico de idosas com osteoartrite de joelhos e assintomáticas

et al. 2015

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Objetivamos comparar a função muscular e a funcionalidade entre idosas com OA de joelho (GOA=15) e idosas assintomáticas (GAS=18). Foram mensurados dados antropométricos, funcionalidade e qualidade de vida por meio de um questionário específico para OA, Western Ontario and Mc Master Universities Osteoarthritis Index e um conjunto de testes funcionais: Short Physical Performance Battery,TimedUpand Go Teste Teste de Caminhada de 6 minutos. A normalidade dos dados foi verificada pelo teste de Kolmogrov-Smirnov. Para as variáveis com distribuição normal foi aplicado o teste "T" de Student para amostras independentes e o teste não paramétrico "U" Mann-Whitney para os dados que não apresentaram normalidade (p<0,05).Os resultados indicam que não há diferenças entre os grupos nas variáveis antropométricas, na idade e no desempenho físico e funcional. Podemos concluir que idosas com osteoartrite de joelho em grau leve e moderado apresentam desempenho físico e funcional semelhante a idosas assintomáticas.

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Personality, function and satisfaction in patients undergoing total hip or knee replacement

Cited by 29 publications

References 27 publications

Preoperative Determinants of Patient-reported Pain and Physical Function Levels Following Total Knee Arthroplasty: A Systematic Review

Preoperative Determinants of Patient-reported Pain and Physical Function Levels Following Total Knee Arthroplasty: A Systematic Review

Determinants of patient satisfaction and their willingness to return after primary total hip replacement: a cross-sectional study

Comparação da funcionalidade, agilidade e equilíbrio dinâmico de idosas com osteoartrite de joelhos e assintomáticas

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