What is the correlation between patient-reported outcome measure (PROM) scores and patient satisfaction following elective reverse total shoulder replacement?

Daw, Rachael; Gibson, Jo; Prescot, Denise; Bonnett, Laura; Smith, Matthew

doi:10.1177/1758573217744178

Cited by 9 publications

(3 citation statements)

References 22 publications

(40 reference statements)

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“…9,10 We had 1 case with good overall satisfaction but poor MOXFQ/AOFAS scores due to associated referred pain from the spine, and this occasional contrast between overall satisfaction and PROMs is recognized in the orthopedic literature. 8 We had another case where the absolute angular correction was not as large as others in the series; however, the PROMs and satisfaction scores were comparable. The relationship between absolute angular correction and PROMs/patient satisfaction is not clear and has been reported previously in hallux valgus corrective surgery.…”

Section: Discussionmentioning

confidence: 86%

Third-Generation Minimally Invasive Chevron Akin Osteotomy for Hallux Valgus

et al. 2019

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Background: Multiple operative techniques have been developed for hallux valgus with varying success. The most recent developments in minimally invasive surgery have evolved into the third-generation minimally invasive chevron Akin (MICA) osteotomy. Good results have been shown from originator centers, but this is one of the first series from a nonoriginator center, and the first to use a validated patient-reported outcome measure. Methods: Forty consecutive patients undergoing third-generation MICA for hallux valgus were included. Primary outcome measures included Manchester-Oxford Foot Questionnaire (MOXFQ) and American Orthopaedic Foot & Ankle Society (AOFAS) scores and Coughlin satisfaction rates at 12 months. Secondary outcome measures included radiographic parameters, complications, and recurrence rates. Results: At 12 months, the MOXFQ score improved from 58 to 10 and the AOFAS score improved from 48 to 93, with 70% of patients reporting excellent outcomes and 30% good ones. Two cases started as mild, 29 cases as moderate, and 9 cases as severe as defined by radiographic criteria. Hallux valgus angles improved from 32 degrees to 12 degrees, and intermetatarsal angles improved from 13 degrees to 7 degrees. There were 4 cases of Akin screw removal for soft tissue irritation. There were no other complications, including recurrence. Conclusion: The third-generation MICA technique was a safe and effective approach to treating hallux valgus. Further research should focus on long-term outcomes and comparative data with other commonly performed operative techniques. Level of Evidence: Level IV, case series.

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Section: Discussionmentioning

confidence: 86%

Third-Generation Minimally Invasive Chevron Akin Osteotomy for Hallux Valgus

et al. 2019

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“…The goal of this review was to consolidate available published data revealing satisfaction scores among patients following staged bilateral TKA, and to evaluate the phenomenon of less satisfying results following TKA2. The overall satisfaction rate for unilateral TKA and bilateral staged TKA is reported at 80%-89% with minimum 2-year follow-up[ 5 , 15 , 16 ]. Similar to previous reports, we calculated overall satisfaction with both sides of 83.70% after accounting for 52 patients (2.75%) who were dissatisfied with both sides (not included in tables).…”

Section: Discussionmentioning

confidence: 99%

Patient-reported dissatisfaction following second side in staged bilateral total knee arthroplasty: A systematic review

Gruenberger¹,

Bae²,

Kelly³

et al. 2022

World J Orthop

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BACKGROUND Around one third of patients who undergo total knee arthroplasty (TKA) will eventually have the contralateral knee replaced. Overall patient satisfaction after staged bilateral total knee arthroplasty procedures performed on different days is reportedly similar to unilateral TKA. Nevertheless, in our anecdotal experience patients often report less satisfying outcomes following the second side. A cursory review of available literature tended to confirm that observation. We sought therefore to consolidate all of the available data on this issue to further investigate this phenomenon. AIM To consolidate available published data revealing satisfaction scores among patients following staged bilateral TKA, and to evaluate the phenomenon of less satisfying results following TKA2. METHODS A systematic review of available literature reporting on satisfaction with TKA1 and TKA2 after staged bilateral knee arthroplasty was undertaken using PubMed, Google Scholar, and Embase. From 427 records, five full-length articles met criteria for inclusion in the meta-analysis. The data were then extracted and assessed on the basis of the Reference Citation Analysis ( ). RESULTS A total of 1889 patients with an average age of 68 (range: 38–92) underwent staged bilateral TKA with outcomes reported at 1 year following each TKA with a mean 21.9 mo between surgeries (range: 2 d to 14.5 years). Overall satisfaction with both knees was 83.70% (1581) and dissatisfaction with both knees was 2.75% (52). In the remaining 13.56% (256) who were dissatisfied with one side, 61.0% were dissatisfied with TKA2, and 39.0% were dissatisfied with TKA1. Patient-reported outcome scores for TKA2 were frequently lower than TKA1 even in patients reporting overall satisfaction with both knees. CONCLUSION At 1-year follow-up, there was a 50% greater risk of dissatisfaction with TKA2 among the 13.56% of patients reporting dissatisfaction in one knee after staged bilateral TKA. Whether the interval between procedures or long-term follow-up changes these results requires further investigation.

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“…Fourthly, recent evidence suggests patient-reported outcome measures do not necessarily correlate with patient satisfaction following RSA. 29 Inclusion of a patient satisfaction measure may have yielded valuable results in addition to the scoring systems utilized. Furthermore, not all patients included were available for final follow-up which may have created a bias in the outcome.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of reverse shoulder arthroplasty in patients under 55 years old: Results from the New Zealand joint registry

et al. 2022

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Background The appropriate age at which to perform reverse shoulder arthroplasty is controversial. The aim of this study was to compare the outcomes of reverse shoulder arthroplasty between younger and older patients. Methods Patients who underwent primary reverse shoulder arthroplasty between January 2000 and December 2019 were identified from New Zealand Joint Registry records. Patients were stratified into two cohorts according to age at the time of surgery: < 55 years and ≥ 55 years. These two groups were then compared with regard to baseline characteristics, indications for surgery, revision rates, and patient-reported outcomes using the Oxford Shoulder Score and American Shoulder and Elbow Score (ASES). Results A total of 5518 primary reverse shoulder arthroplasty cases were identified, with 75 patients < 55 years at the time of surgery (range: 34–54 years). The mean duration of follow-up was 2.36 years (range: 0.11–13.37 years) in the younger cohort and 3.10 years (range: 0.01–16.22 years) in the older patient cohort. Indications for surgery differed significantly between the two groups, with younger patients having higher rates of inflammatory arthritis ( p < 0.001), posttraumatic arthritis ( p < 0.001), and avascular necrosis ( p = 0.049). The younger cohort had an inferior 6-month postoperative Oxford Shoulder Score compared to the older cohort (mean: 28.5 [younger cohort] vs. 35.7 [older cohort]; p < 0.001). There was no significant difference in revision rate between the younger and older patient cohorts during the study period (1.56 [<55 years] vs. 0.74 [≥55 years] revisions per 100 component-years; p = 0.332). Conclusion Our early results suggest that younger patients undergoing reverse shoulder arthroplasty demonstrate high implant retention rates, comparable to older patients. Longer-term patient-reported outcomes in younger patients are required to guide appropriate patient selection for reverse shoulder arthroplasty. Level of evidence Level III, retrospective case-control study.

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What is the correlation between patient-reported outcome measure (PROM) scores and patient satisfaction following elective reverse total shoulder replacement?

Cited by 9 publications

References 22 publications

Third-Generation Minimally Invasive Chevron Akin Osteotomy for Hallux Valgus

Third-Generation Minimally Invasive Chevron Akin Osteotomy for Hallux Valgus

Patient-reported dissatisfaction following second side in staged bilateral total knee arthroplasty: A systematic review

Outcomes of reverse shoulder arthroplasty in patients under 55 years old: Results from the New Zealand joint registry

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