Characterization of Patient Expectations and Satisfaction after Total Hip Arthroplasty

We conducted a prospective multicenter study in which outcome-related expectations of 236 primary total hip arthroplasty patients were determined. Clinical surveys and radiographs were used to determine the relationship between postoperative level of patient satisfaction and patient-reported and radiographic outcomes. At 1 year, 82.6% of expectations were achieved, most of the time with high satisfaction (89.3%). Younger, lower body-mass index, male patients were more likely to expect the surgery to benefit "return to work" and "sexual function", whereas older, heavier patients, selected "elimination of assistive devices" and "independence in daily activities". The ability of the patient to meet their expectations fully did not correlate directly with level of satisfaction or clinical outcomes, suggesting limitations in current clinical surveys. The characterization of patient expectations is essential in providing patient-centered care.