Patient expectation fulfilment following total hip arthroplasty: a 10-year follow-up study.
Arch Orthop Trauma Surg
; 140(7): 963-971, 2020 Jul.
Article
em En
| MEDLINE
| ID: mdl-32239326
ABSTRACT
BACKGROUND:
The primary aim of this study was to assess how expectation fulfilment changes up to 10 years following total hip arthroplasty (THA). MATERIALS ANDMETHODS:
Three hundred and forty-six patients completed an expectation questionnaire (encompassing 18 activities), Oxford hip score (OHS) and Short Form (SF)-12 prior to surgery. At 1 year postoperatively, expectation fulfilment was assessed in addition to OHS, SF-12 and patient satisfaction (n = 346). This was repeated in surviving patients with intact THAs at 9.1-9.9 years postoperative (n = 224). Linear regression analysis was used to identify factors independently associated with early (1 year) and late (mean 9.5 years) expectation fulfilment.RESULTS:
Postoperative expectation fulfilment scores declined from 36.5 at 1 year to 33 at late follow-up (95% confidence intervals (CI) 0.0-5.0, p < 0.001). Increased (better) late expectation fulfilment scores were significantly associated with better scores for all PROMs applied at both timepoints. Younger age, greater pre-operative expectation score and greater improvement in OHS (both early and late) were all independent predictors when adjusting for confounding (p < 0.05). At late follow-up 78% (14/18) activities demonstrated high levels of persistent expectation fulfilment. Approximately two out of every five patients who considered themselves unfulfilled at early follow-up went on to experience late fulfilment, but this was dependent upon the specific expectation (mean 40%, range 0-64%).CONCLUSIONS:
Expectation fulfilment following THA changes with time. The majority of patients report high levels of expectation fulfilment following THA at late follow-up. This information can be used to help manage the longer-term expectations of patients undergoing THA.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Satisfação do Paciente
/
Artroplastia de Quadril
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article