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Patients' expectations and satisfaction with total hip arthroplasty
C A Mancuso1, E A Salvati, N A Johanson
1Hospital for Special Surgery, New York, New York, USA.
The Journal of Arthroplasty
|June 1, 1997
Summary
Patient satisfaction after total hip arthroplasty (THA) is high, but influenced by preoperative condition and expectations for nonessential activities. Understanding these factors improves patient selection and outcome assessment for THA.
Area of Science:
- Orthopedic Surgery
- Patient-Reported Outcomes
- Health Services Research
Background:
- Patient satisfaction is crucial in healthcare, yet understudied for total hip arthroplasty (THA).
- Understanding factors influencing THA satisfaction is vital for improving patient care and outcomes.
Purpose of the Study:
- To measure patient satisfaction following THA.
- To examine the relationship between patient expectations, surgical outcomes, and overall satisfaction with THA.
Main Methods:
- Surveyed 180 patients 2-3 years post-THA using validated instruments (Hip Rating Questionnaire, MOS SF-36).
- Assessed preoperative condition using The Hospital for Special Surgery Hip Scale.
- Analyzed patient expectations categorized into five domains.
Main Results:
- 89% of patients reported satisfaction with THA outcomes.
- Lower satisfaction linked to better preoperative health, expectations for nonessential activity improvement, and poorer self-assessed postoperative condition.
- Community networks significantly influence patient referral and perception of THA.
Conclusions:
- THA satisfaction is multifactorial, influenced by patient expectations, perceived outcomes, and social networks.
- Improved understanding can refine patient selection and outcome evaluation for THA.
- Addressing patient expectations and perceived outcomes is key to enhancing satisfaction after total hip arthroplasty.