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Do Patient Expectations Influence Patient-Reported Outcomes and Satisfaction in Total Hip Arthroplasty? A
Deeptee Jain1, Ilya Bendich1, Long-Co L Nguyen1
1Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California.
The Journal of Arthroplasty
|July 12, 2017
Summary
Higher patient expectations before total hip arthroplasty (THA) correlate with better outcomes and satisfaction. Preoperative counseling should address patient expectations for improved results in THA surgery.
Area of Science:
- Orthopedic Surgery
- Patient-Reported Outcomes
- Health Psychology
Background:
- The link between patient expectations and outcomes in total hip arthroplasty (THA) is debated.
- Understanding this relationship is crucial for managing patient satisfaction and recovery.
Purpose of the Study:
- To investigate the influence of preoperative patient expectations on postoperative patient-reported outcomes (PROs) and satisfaction following THA.
- To identify factors predicting patient expectations in THA candidates.
Main Methods:
- A prospective, multicenter observational cohort study involving primary THA patients.
- Patients completed validated surveys preoperatively and at 6 months and 1 year postoperatively.
- Stepwise multivariate regression models were used to analyze the data.
Main Results:
- Higher preoperative expectations were associated with greater improvements in activity levels (UCLA), physical function (SF-12), and hip-specific function (HOOS) at 6 months and 1 year.
- Higher expectations also predicted increased patient satisfaction and fulfillment of expectations post-surgery.
- Employment status and worse baseline hip function predicted higher preoperative expectations.
Conclusions:
- Preoperative patient expectations significantly impact PROs, satisfaction, and the fulfillment of expectations after THA.
- Findings support using patient expectations to guide preoperative counseling and shared decision-making in THA.
- Addressing patient expectations is key to optimizing the THA experience and outcomes.
