The influence of patient resilience and health status on satisfaction after total hip and knee arthroplasty

Lynskey, Samuel James; Ling, Ferraby; Greenberg, Alana M.; Penny-Dimri, Jahan C.; Sutherland, Alasdair

doi:10.1016/j.surge.2020.02.007

Cited by 20 publications

(27 citation statements)

References 32 publications

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“…In their study, resilience was found to correlate with satisfaction (P < .001), with those who were more resilient demonstrating greater satisfaction than those with lower resilience. Unlike Lynskey et al [27], we found no correlation between BRS and patient satisfaction according to the KSS scores. While Lynskey et al [27] included both patients undergoing TKA and THA and used different PROMS to evaluate resilience and satisfaction, we do not believe the differences in methodology accounted for the contrasting findings.…”

Section: Discussioncontrasting

confidence: 99%

“…Unlike Lynskey et al [27], we found no correlation between BRS and patient satisfaction according to the KSS scores. While Lynskey et al [27] included both patients undergoing TKA and THA and used different PROMS to evaluate resilience and satisfaction, we do not believe the differences in methodology accounted for the contrasting findings. After further subgroup analysis, the correlation value between CD-RISC 10 and VAS-Satisfaction was found to be 0.31 for the TKA subgroup and 0.38 for the THA subgroup, while CD-RISC 10 was also found to have a correlation value of 0.44 and 0.41 with Net Promoter Scale for the TKA and THA subgroups, respectively.…”

Section: Discussioncontrasting

confidence: 99%

“…given the correlation between mental health and functional outcomes of TKA in our study and others [7,8,26], we are challenged to explain why our study failed to show statistically significant correlations between resilience and functional outcomes. Lynskey et al [27] investigated the relationship between Connor Davidson 10-item resilience scale (CD-RISC 10) and satisfaction in patients undergoing TJA. In their study, resilience was found to correlate with satisfaction (P < .001), with those who were more resilient demonstrating greater satisfaction than those with lower resilience.…”

Section: Discussionmentioning

confidence: 99%

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Patient Resilience Has Moderate Correlation With Functional Outcomes, but Not Satisfaction, After Primary Unilateral Total Knee Arthroplasty

et al. 2021

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Background: As many as 20% of patients who undergo total knee arthroplasty (TKA) are dissatisfied. Psychological factors have been shown to play a role in outcomes after TKA. The purpose of this study was to investigate the impact of patient resilience on functional outcomes and satisfaction after primary unilateral TKA. Methods: Eighty-six patients who underwent primary unilateral TKA by a single surgeon were studied. Primary outcomes were the Brief Resilience Scale (BRS), mental health component of the Veterans Rand 12-Item Health Survey (VR-12 MCS), Knee Injury and Osteoarthritis Outcome Score for Joint Replacement, and New Knee Society Score. Correlations between BRS and dependent variables were found by using Spearmen's Rho Correlation testing. Unadjusted and adjusted regressions were run using the delta values as the dependent outcome and the BRS score as the main independent value, with data presented as an estimate of 95% confidence interval P value. Results: Resilience significantly correlated with male sex (P ¼ .031), preoperative VR-12 MCS scores (P ¼ .013), and postoperative VR-12 MCS scores (P < .001). BRS had moderate correlation with postoperative Knee Society Scores (KSS) Functional Activity Scores, as this approached, but did not achieve statistical significance (P ¼ .062). There was no correlation between BRS and postoperative KSS Patient Expectations score, KSS Patient Satisfaction score, or total postoperative opioid usage. Conclusions: Primary TKA patients with greater resilience are more likely to be male and have better mental health characteristics than those with lower resilience. Patients with greater resilience also tended to have improved knee function after TKA, although this was not statistically significant. Resiliency did not correlate with postoperative opioid consumption or patient satisfaction after TKA.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Patient Resilience Has Moderate Correlation With Functional Outcomes, but Not Satisfaction, After Primary Unilateral Total Knee Arthroplasty

et al. 2021

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“…Since its first publication in 2003, numerous studies have applied the CD-RISC 25 in a variety of different populations, ranging from primary care patients [18,20] to war veterans [21]. To the best of our knowledge, there are currently only two published studies that applied the CD-RISC in an arthroplasty population [12,22].…”

Section: Methodsmentioning

confidence: 99%

“…However, this was a very heterogeneous study group of patients presenting with any kind of lower extremity complaints. A few studies have identified resilience as a relevant predictor of outcome following joint replacement [12,13]. While there is no commonly acknowledged definition of resilience, it has been described as "a stable trajectory of healthy functioning after a highly adverse event" and "a conscious effort to move forward in an insightful and integrated positive manner as a result of lessons learned from an adverse experience" by multidisciplinary panelists [14].…”

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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Higher patient knowledge and resilience improve the functional outcome of primary total knee arthroplasty

Bumberger

Borst

Hobusch

et al. 2021

Wien Klin Wochenschr

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The influence of patient resilience and health status on satisfaction after total hip and knee arthroplasty

Cited by 20 publications

References 32 publications

Patient Resilience Has Moderate Correlation With Functional Outcomes, but Not Satisfaction, After Primary Unilateral Total Knee Arthroplasty

Patient Resilience Has Moderate Correlation With Functional Outcomes, but Not Satisfaction, After Primary Unilateral Total Knee Arthroplasty

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

Higher patient knowledge and resilience improve the functional outcome of primary total knee arthroplasty

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