Reliability of patient-reported complications following hip or knee arthroplasty procedures

Heo, Sung Mu; Naylor, Justine; Harris, Ian; Churches, Tim

doi:10.1186/s12874-018-0645-0

Cited by 9 publications

(8 citation statements)

References 23 publications

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“…Conversely, patients appeared to more accurately report the absence of complications with high NPV and specificity values observed. Our data is in keeping with an Australian registry study that demonstrated patients more accurately report the absence of complications but not the presence [15].…”

Section: Discussionsupporting

confidence: 89%

Do Patients Accurately Represent Their Experiences After Hip and Knee Replacements?

Ashdown

Park

Begum

et al. 2021

Cureus

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BackgroundTo investigate discrepancies, if any, between the complications that patients report on the patient-reported outcome measures (PROMs) questionnaire and what is formally recorded in their medical records. MethodologyA retrospective analysis of PROMs-reported complications was performed at a single elective center for all patients who had an elective primary total knee or hip replacement between April 2016 and March 2017. Corresponding patient medical records were then analyzed to correlate the PROMs with any documentation of postoperative complications, which similar to the PROMs data were categorized into wound complications, urinary complications, readmission, and further operative procedures. ResultsA set of 54 complete patient records were compared to the corresponding PROMs data. The combined overall positive predictive value was 0.47 while the overall negative predictive value was 0.91. Concordance between patients and the medical records was 70.4% for wound complication, 66.7% for urinary complications, 83.3% for readmission, and 96.3% for reoperation. ConclusionPROMs data are becoming increasingly important in auditing and planning healthcare provision. This study highlights a significant level of discrepancy between the PROMs-reported complication rates and those documented in the medical records. There is a visible disparity between patient perception and the medical definition of postoperative complications. Further patient education and empowerment are required in preparation for arthroplasty.

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Section: Discussionsupporting

confidence: 89%

Do Patients Accurately Represent Their Experiences After Hip and Knee Replacements?

Ashdown

Park

Begum

et al. 2021

Cureus

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“…Literature review, however, has shown that the nursing staff for rehabilitation services is insufficient and that patients undergoing home-based rehabilitation receive inadequate guidance. More than 56% of elderly patients who have undergone hip replacement [10–12] have experienced diverse problems, such as persistent dysfunction, joint stiffness, and pulmonary infection due to improper home-based rehabilitation after discharge. Previous study[13] has validated the program theory of the Groningen orthopaedic exit strategy (GOES), a theory-driven program aiming to improve the rehabilitation of total hip and knee arthroplasty patients after shortened hospital stay, and has found that the conceptual theory is supported; however, as the treatment did not influence the mediating variables (action theory), the value was very limited.…”

Section: Introductionmentioning

confidence: 99%

Needs of Chinese patients undergoing home-based rehabilitation after hip replacement: A qualitative study

et al. 2019

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Background The needs of Chinese patients undergoing home-based rehabilitation after hip replacement surgery remain unclear. In this study, we qualitatively investigated the needs of Chinese patients undergoing home-based rehabilitation after hip replacement surgery. Methods A total of 21 participants undergoing home-based rehabilitation after hip replacement surgery were included in this study. Individual semi-structured interviews involving all participants were performed to determine the needs and experiences of this patient population during home-based rehabilitation. Data were subjected to qualitative content analysis. Results The patients had numerous needs during rehabilitation. Three substantive themes, namely, the need to obtain health-related knowledge, the need to obtain care and support, and the needs of those who cannot perform self-care, were identified from the qualitative data. The participants shared valuable insights into their needs during home-based rehabilitation after hip replacement and provided potential suggestions. Conclusions Patients undergoing home-based rehabilitation after hip replacement have several strong needs and lack proper guidance. The initial and continuous engagement of rehabilitation professionals and the establishment of related policies based on patient’s needs are potential approaches for improving the effectiveness of home-based rehabilitation after hip replacement.

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“…Additional outcomes include healthcare use, such as clinic visits, acute care evaluations, hospital admissions and secondary procedures. These outcomes will be ascertained by a patient or caregiver self-report and abstraction from the EHR 33–35. Centers for Disease Control and Prevention definitions for nosocomial urinary tract infections and multidrug resistant organisms will be used 36 37…”

Section: Methodsmentioning

confidence: 99%

Comparative effectiveness of paediatric kidney stone surgery (the PKIDS trial): study protocol for a patient-centred pragmatic clinical trial

et al. 2022

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Introduction The strength of the evidence base for the comparative effectiveness of three common surgical modalities for paediatric nephrolithiasis (ureteroscopy, shockwave lithotripsy and percutaneous nephrolithotomy) and its relevance to patients and caregivers are insufficient. We describe the methods and rationale for the Pediatric KIDney Stone (PKIDS) Care Improvement Network Trial with the aim to compare effectiveness of surgical modalities in paediatric nephrolithiasis based on stone clearance and lived patient experiences. This protocol serves as a patient-centred alternative to randomised controlled trials for interventions where clinical equipoise is lacking. Methods and analysis The PKIDS is a collaborative learning organisation composed of 26 hospitals that is conducting a prospective pragmatic clinical trial comparing the effectiveness of ureteroscopy, shockwave lithotripsy and percutaneous nephrolithotomy for youth aged 8–21 years with kidney and/or ureteral stones. Embedded within clinical care, the PKIDS trial will collect granular patient-level, surgeon-level and institution-level data, with a goal enrolment of 1290 participants over a 21-month period. The primary study outcome is stone clearance, defined as absence of a residual calculus of >4 mm on postoperative ultrasound. Secondary outcomes include patient-reported physical, emotional and social health outcomes (primarily using the Patient-Reported Outcome Measurement Information System), analgesic use and healthcare resource use. Timing and content of secondary outcomes assessments were set based on feedback from patient partners. Heterogeneity of treatment effect for stone clearance and patient-reported outcomes by participant and stone characteristics will be assessed. Ethics and dissemination This study is approved by the central institutional review board with reliance across participating sites. Participating stakeholders will review results and contribute to development dissemination at regional, national and international meetings. Trial registration number NCT04285658; Pre-results.

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Reliability of patient-reported complications following hip or knee arthroplasty procedures

Cited by 9 publications

References 23 publications

Do Patients Accurately Represent Their Experiences After Hip and Knee Replacements?

Do Patients Accurately Represent Their Experiences After Hip and Knee Replacements?

Needs of Chinese patients undergoing home-based rehabilitation after hip replacement: A qualitative study

Comparative effectiveness of paediatric kidney stone surgery (the PKIDS trial): study protocol for a patient-centred pragmatic clinical trial

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