Prospective assessment of patients’ knowledge and informational needs and of surgeon-to-patient information transfer before and after knee or hip arthroplasty

Billon, Louise; Décaudin, Bertrand; Pasquier, Gilles; Lons, Adrien; Deken-Delannoy, V.; Germe, Anne-Françoise; Odou, Pascal; Migaud, Henri

doi:10.1016/j.otsr.2017.08.012

Cited by 24 publications

(18 citation statements)

References 6 publications

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“…Billon et al . found that patients who were younger and more educated had a better ability to acquire knowledge 18 . At the same time, some studies have noted that patients with higher education may choose surgery at a relatively younger age, which is beneficial to gain more relevant knowledge and better postoperative recovery 13 .…”

Section: Discussionmentioning

confidence: 99%

“…At the same time, highly educated patients can learn more through other channels such as the internet and via smartphones, which is also conducive to functional recovery after TKA. Billon et al found that patients who were younger and more educated had a better ability to acquire knowledge 18 . At the same time, some studies have noted that patients with higher education may choose surgery at a relatively younger age, which is beneficial to gain more relevant knowledge and better postoperative recovery 13 .…”

Section: Discussionmentioning

confidence: 99%

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Educational Attainment Affects the Early Rehabilitation of Total Knee Arthroplasty in Southwest China

Wang

Wang²,

Luo

et al. 2021

Orthopaedic Surgery

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Objective To assess if the educational level of patients in Southwestern China will affect the functional recovery after total knee arthroplasty (TKA). Methods This retrospective study included a total of 334 patients (48 males, 286 females, with an average age of 68 years, range from 51 to 84 years) who had undergone primary unilateral TKA from March 2017 to April 2018. Patients were screened for enrollment and classified into four groups (illiterate group, the primary school group, high school group, and university group) according to their educational attainment. All patients were monitored for at least 2 years after TKA. The primary outcome was determined using the Hospital for Special Surgery knee (HSS) score at the time of follow‐up. The secondary outcomes were determined using the 12‐Item Short Form Health Survey (SF‐12) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores, the satisfaction level, and complications of the surgery. Results Three hundred and thirty‐four patients were divided into four groups based on their highest educational level: 83 patients in the illiteracy group, 84 in the primary school group, 91 in the high school group, and 76 in the university group. They were followed up for at least 2 years. For the primary outcome, patients with high school and university education had noteworthy better HSS scores on the surgical‐side knee than those in the primary school and illiterate groups (illiteracy group 86.71 ± 5.94 vs primary school group 85.36 ± 5.88 vs high school group 89.48 ± 3.66 vs university group 88.95 ± 3.55; P < 0.05). For secondary outcomes, the mental component summary (MCS) in the university group was significantly lower than the other three groups (P < 0.05). The results of WOMAC scores were consistent with the results of the HSS score: patients in the university group and the high school group had better results when compared with the other two groups (P < 0.05). There were no statistical differences in the comparison of additional indicators and complications among the four groups, but more patients (12 peoples, 15.8%) in the university group were dissatisfied with knee function after TKA. Conclusion In Southwest China, patients with high school education or above can achieve better joint function after TKA but do not get better postoperative satisfaction, which may be related to the patients' higher surgical expectations for social and mental needs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Educational Attainment Affects the Early Rehabilitation of Total Knee Arthroplasty in Southwest China

Wang

Wang²,

Luo

et al. 2021

Orthopaedic Surgery

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“…More specifically the information needed by patients posts orthopaedic surgery is about treatment and care which includes diagnosis, choice of anaesthesia, treatment, surgical procedures, possible complications, post-operative care, rehabilitation programs, long-term outcomes, and professional health personnel involved (16). While the information desired by THA patients is related to complications, operating procedures, rehabilitation programs, prosthesis, pain management (pain levels, drug use, side effects, and ways to escape from drugs (15,21).…”

Section: Discharge Teachingmentioning

confidence: 99%

“…Age can also affect perceptions of the quality of discharge teaching and discharge readiness from the hospital (25). Old age and low levels of education are associated with low levels of knowledge (21). Patients with advanced age are more unprepared to go home because they are related to physical abilities, knowledge and possible problems after hospitalization, and decreased self-care ability (9).…”

Section: Discharge Teachingmentioning

confidence: 99%

Discharge Teaching to Improve Discharge Readiness for Patients Post Hip Surgery

Rahmahwati

Maria²

2019

IJNHS

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The condition of returning home unpreparedness post hip surgery has an impact on the patient's ability after returning home. This unpreparedness is caused by the inability of patients to manage their own needs and care needs after returning home in carrying out daily tasks, caring for themselves, and the ability to do health care. So that a nursing strategy is needed in preparing the patient's discharge planning in the form of discharge teaching. Four data bases namely Cochrane, EBSCO, Google Scholar, and Scopus were used to explain the effect of discharge teaching to improve patient readiness post hip surgery. Educational needs expected by patients post hip surgery are related to complications, operating procedures, rehabilitation programs, prosthesis, and pain management. Patients hope to get knowledge related to all dimensions, but in reality they only get from the functional dimension. Patients get more knowledge only during treatment than when they are going home. Discharge teaching must also pay attention to the content of information and delivery methods and must be given in all stages of treatment and repetition of important items. So nurses are required to have competence and knowledge in carrying out discharge teaching with the aim of increasing patient readiness. Keywords: discharge teaching, discharge readiness, post hip surgery

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“…While there has been extensive research on surgical techniques and implant engineering, a few patient-related factors have recently attracted more attention. One aspect includes patients’ specific knowledge which was shown to be low in an arthroplasty population [ 5 ]. In this context, an interdisciplinary patient education program in total joint arthroplasty (TJA) was demonstrated to effectively decrease postoperative complications and the number of patients being discharged to post-acute care facilities [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Specific knowledge and resilience affect short-term outcome in patients following primary total hip arthroplasty

Bumberger

Borst

Willegger

et al. 2021

Arch Orthop Trauma Surg

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Purpose The aim of the present study was to investigate the potential associations between specific knowledge, resilience and patient-reported outcome measures (PROMS) following primary total hip arthroplasty (THA). Methods In a cross-sectional prospective study, consecutive patients following primary THA were included at a rehabilitation center. A novel knowledge score and the validated Connor Davidson Resilience Scale (CD-RISC) were utilized to assess patients’ specific knowledge and resilience, respectively. Additionally, patients completed a qualitative questionnaire regarding the information they had received. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), as well as the University of California and Los Angeles Score (UCLA) served as primary outcome measures. Stepwise multiple regression analysis was performed to identify potential predictors of outcome. Results A total of 103 patients at a mean age of 67.5 years (SD 10.5, 38–88) were included in the analysis at a median of 55.5 days (IQR 43–81) following primary THA. The mean knowledge and resilience scores were 3.8 (SD 1.6, 0–7) and 69.5 (SD 18.5, 0–100), respectively. Forty-seven percent of patients were afraid of harming their prosthesis and these patients had up to 59% worse WOMAC scores (p < 0.001). WOMAC scores on admission to rehabilitation were predicted by resilience and knowledge scores (R2 = 0.106, p = 0.036). UCLA scores at the time of admission were predicted by knowledge scores (R2 = 0.078, p = 0.007). Conclusion The present study demonstrated that patients with a feeling of uncertainty had an inferior short-term functional outcome following primary THA. Moreover, it could be shown that higher specific knowledge and resilience are associated with a better functional outcome according to validated PROMS. While these findings need to be prospectively validated in future studies, specific patient knowledge and resilience may have a direct impact on the outcome of primary THA.

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Prospective assessment of patients’ knowledge and informational needs and of surgeon-to-patient information transfer before and after knee or hip arthroplasty

Abstract: IV, prospective observational study with no control group.

Cited by 24 publications

References 6 publications

Educational Attainment Affects the Early Rehabilitation of Total Knee Arthroplasty in Southwest China

Educational Attainment Affects the Early Rehabilitation of Total Knee Arthroplasty in Southwest China

Discharge Teaching to Improve Discharge Readiness for Patients Post Hip Surgery

Specific knowledge and resilience affect short-term outcome in patients following primary total hip arthroplasty

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