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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Patient Perceptions Regarding Clinical Follow-Up After Total Joint Arthroplasty.

Jeremy S Frederick1, Samuel D Mounce1, Jeffrey A Chapek1

  • 1Department of Orthopaedic Surgery, University of Kentucky, Lexington, KY, USA.

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Most total joint arthroplasty patients prefer in-person follow-up, but many desire alternatives due to travel burdens. Understanding patient perceptions is key for accessible, cost-efficient care pathways.

Keywords:
Arthroplasty, replacement, hipArthroplasty, replacement, kneePatient navigationPostoperative careRural health

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Area of Science:

  • Orthopedics
  • Patient Care

Background:

  • Patient perceptions of total joint arthroplasty (TJA) follow-up are not well understood.
  • Increasing focus on cost-efficient care and patient satisfaction necessitates understanding these perceptions.
  • Market consolidation and longer commutes highlight the need for accessible TJA follow-up strategies.

Purpose of the Study:

  • To investigate patient perceptions of total joint arthroplasty (TJA) follow-up.
  • To identify predictors of patient preferences for TJA follow-up methods.
  • To inform the development of flexible and accessible post-arthroplasty care pathways.

Main Methods:

  • Surveyed 75 patients at an academic arthroplasty practice.
  • Collected data on clinic travel time, transportation reliability, and follow-up preferences.
  • Analyzed demographic factors and their association with follow-up preferences.

Main Results:

  • Median travel time was 30 minutes; 15% found it burdensome, 17% had transportation concerns.
  • 97% deemed TJA follow-up necessary, 94% considered it important for satisfaction.
  • 74% preferred a 2-week in-person visit, but 25% preferred alternatives (nurse call or virtual visit).
  • Increased travel time and transportation concerns were linked to preference for alternative follow-up methods.

Conclusions:

  • While most patients prefer traditional in-person follow-up, a significant portion desires alternatives.
  • Travel time and transportation reliability are key factors influencing follow-up preferences.
  • Flexible follow-up pathways are crucial to ensure patient access to care amidst market consolidation.