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Journal ArticleDOI

Predicting dissatisfaction after total hip arthroplasty: a study of 850 patients.

Raymond E. Anakwe, +2 more
- 01 Feb 2011 - 
- Vol. 26, Iss: 2, pp 209-213
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TLDR
Satisfaction also correlates strongly with postoperative functional scores, relief of pain, restoration of function, and success in meeting patient expectations, which are critical in maximizing patient satisfaction after THA.
Abstract
We conducted a prospective cohort study investigating the rate and predictors of dissatisfaction among patients after primary total hip arthroplasty (THA). Eight hundred fifty patients were assessed preoperatively and 1 year postoperatively using Patient Reported Outcome Measures. There was a 7% rate of dissatisfaction after THA. After univariate analysis, depression, preoperative Short Form 12 mental component score, and symptomatic arthritis of another major joint predicted dissatisfaction at 1 year, but after multivariate analysis, only symptomatic arthritis in another major joint was significant. The development of a major complication did not predict dissatisfaction. Satisfaction also correlates strongly with postoperative functional scores, relief of pain, restoration of function, and success in meeting patient expectations. Pain relief and expectation management are critical in maximizing patient satisfaction after THA.

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Citations
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Journal ArticleDOI

The Effect of Surgeon and Hospital Volume on Total Hip Arthroplasty Patient-Reported Outcome Measures: An American Joint Replacement Registry Study

TL;DR: In this paper , the relationship between surgeon and hospital volumes and patient-reported outcome measures after total hip arthroplasty (THA) using American Joint Replacement Registry data was investigated.
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Smart mechanical navigation: Assuring cup positioning

TL;DR: With its patient-specific approach, the HipSextant system is a reliable and efficient tool to achieve accurate acetabular cup placement and shows increased accuracy compared to conventional alignment and computer-assisted navigational methods.
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Patient-reported outcome of 95% of young patients improves after primary total hip arthroplasty: identification of 3 recovery trajectories in 3,207 patients younger than 55 years from the Dutch Arthroplasty Register

TL;DR: Female sex, higher ASA classifications, smoking, cemented fixation, and small head diameter were associated with a suboptimal result after primary THA in young patients, and these findings can aid in the process to determine which patients are at risk of aSuboptimal outcome.
Journal ArticleDOI

Early postoperative relationship between patient-reported outcome measures and gait biomechanical factors after total hip arthroplasty.

TL;DR: In this article, the relationship between patient-reported outcome measures (PROMs) and gait biomechanical factors after total hip arthroplasty (THA) was investigated.
References
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Journal ArticleDOI

A 12-Item Short-Form Health Survey: Construction of Scales and Preliminary Tests of Reliability and Validity

TL;DR: Twenty cross-sectional and longitudinal tests of empirical validity previously published for the 36-item short-form scales and summary measures were replicated for the 12-item Physical Component Summary and the12-item Mental Component Summary, including comparisons between patient groups known to differ or to change in terms of the presence and seriousness of physical and mental conditions.
Journal ArticleDOI

Questionnaire on the perceptions of patients about total hip replacement

TL;DR: In this article, a 12-item questionnaire for patients having a total knee replacement (TKR) was developed and a prospective study of 117 patients before operation and at follow-up six months later, asking them to complete the new questionnaire and the form SF36.
Journal ArticleDOI

The John Insall Award: Patient expectations affect satisfaction with total knee arthroplasty.

TL;DR: Real improvements in the outcome of TKA must address prevention of residual pain, stiffness and swelling, and each patient's preoperative concept of the likely outcome of these procedures.
Journal Article

The importance of patient expectations in predicting functional outcomes after total joint arthroplasty.

TL;DR: Patient expectations were important independent predictors of improved functional outcomes and satisfaction following TJA and greater understanding of the relationship between expectations and outcomes may improve the process of care and outcomes of TJA.
Journal ArticleDOI

Predicting the Outcome of Total Knee Arthroplasty

TL;DR: Patients who have marked functional limitation, severe pain, low mental health score, and other comorbid conditions before total knee arthroplasty are more likely to have a worse outcome at one year and two years postoperatively.
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