Patient expectations of hip and knee joint replacement surgery and postoperative health status

Cross, Marita., Lapsley, Helen, Barcenilla, Annica, Parker, David and Coolican, Myles (2009) Patient expectations of hip and knee joint replacement surgery and postoperative health status. The Patient: Patient-centered outcome research, 2 1: 51-60. doi:10.2165/01312067-200902010-00006


Author Cross, Marita.
Lapsley, Helen
Barcenilla, Annica
Parker, David
Coolican, Myles
Title Patient expectations of hip and knee joint replacement surgery and postoperative health status
Journal name The Patient: Patient-centered outcome research   Check publisher's open access policy
ISSN 1178-1653
Publication date 2009-03-01
Year available 2009
Sub-type Article (original research)
DOI 10.2165/01312067-200902010-00006
Volume 2
Issue 1
Start page 51
End page 60
Total pages 10
Editor Bridges, John
Place of publication United States of America
Publisher Wolters Kluwer Health, PharmaSolutions Division
Collection year 2010
Language eng
Subject 920116 Skeletal System and Disorders (incl. Arthritis)
110322 Rheumatology and Arthritis
140208 Health Economics
C1
Abstract AB Objective: To explore the relationship between preoperative patient expectations and postoperative health status in patients undergoing joint replacement surgery, with particular emphasis on the types of expectations held by patients. Methods: Respondents completed the Hospital for Special Surgery (HSS) Hip/Knee Replacement Expectations Questionnaires pre-surgery, in addition to the Western Ontario and McMaster Osteoarthritis Index (WOMAC(TM)) and the Short-Form 36-Item (SF-36) Health Survey and the Arthritis Self-Efficacy Scale. The WOMAC(TM) Index and SF-36 were also completed 3 and 6 months post-surgery. Results: A total of 106 patients (total hip replacement [THR] = 28; total knee replacement [TKR] = 78) completed questionnaires. No differences were seen in overall expectations between males and females or older or younger patients, although some differences between the age groups were seen for individual expectations on the HSS expectations questionnaires. For THR, a higher rating of the importance of expectations was correlated with a lesser improvement in pain from pre-surgery to 3 months post-surgery, whereas for TKR, a higher rating of expectations was associated with a greater improvement in function to 6 months post-surgery. Conclusions: Patients have high expectations of surgery, which are correlated with post-surgery pain and function. Identifying the broad range of expectations may be helpful in preparation for surgery and gaining greater satisfaction with outcomes.
Formatted abstract
AB Objective: To explore the relationship between preoperative patient expectations and postoperative health status in patients undergoing joint replacement surgery, with particular emphasis on the types of expectations held by patients. Methods: Respondents completed the Hospital for Special Surgery (HSS) Hip/Knee Replacement Expectations Questionnaires pre-surgery, in addition to the Western Ontario and McMaster Osteoarthritis Index (WOMAC(TM)) and the Short-Form 36-Item (SF-36) Health Survey and the Arthritis Self-Efficacy Scale. The WOMAC(TM) Index and SF-36 were also completed 3 and 6 months post-surgery. Results: A total of 106 patients (total hip replacement [THR] = 28; total knee replacement [TKR] = 78) completed questionnaires. No differences were seen in overall expectations between males and females or older or younger patients, although some differences between the age groups were seen for individual expectations on the HSS expectations questionnaires. For THR, a higher rating of the importance of expectations was correlated with a lesser improvement in pain from pre-surgery to 3 months post-surgery, whereas for TKR, a higher rating of expectations was associated with a greater improvement in function to 6 months post-surgery. Conclusions: Patients have high expectations of surgery, which are correlated with post-surgery pain and function. Identifying the broad range of expectations may be helpful in preparation for surgery and gaining greater satisfaction with outcomes.
Keyword Patient expectations
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 8 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 8 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Wed, 17 Mar 2010, 14:44:23 EST by Chesne McGrath on behalf of National Research on Disability and Rehabilitation Medicine