Who, when, and why total joint replacement surgery? The patient's perspective

Area of Science:

• Orthopedics
• Patient-Reported Outcomes
• Health Disparities

Background:

• Total joint replacement (TJR) is effective for advanced arthritis but underutilized.
• Patient willingness to consider TJR is influenced by various demographic factors.

Purpose of the Study:

• To review current understanding of patient perceptions of TJR.
• To identify factors affecting TJR consideration and outcomes.

Main Methods:

• Literature review of studies on patient perceptions of total joint replacement.
• Analysis of demographic influences on TJR willingness and outcomes.

Main Results:

• Willingness for TJR varies by sex, race/ethnicity, and socioeconomic status due to differing knowledge and beliefs.
• Minorities and lower socioeconomic groups perceive TJR less favorably, potentially explaining utilization disparities.
• Up to 30% of TJR patients report suboptimal outcomes; expectations and self-efficacy may predict results.
• Information needs and material accessibility for TJR vary significantly across demographic groups.

Conclusions:

• Culturally sensitive strategies are needed to improve knowledge and beliefs about TJR for hip/knee arthritis.
• Addressing patient concerns and information gaps can reduce barriers to TJR.