Expectations and Outcome of Total Hip Replacement

Haworth, R. J.; Hopkins, J.; Ells, P.; Ackroyd, C. E.; Mowat, A G

doi:10.1093/rheumatology/20.2.65

Cited by 35 publications

(3 citation statements)

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“…[15][16][17][18][19] As a general rule, one would tend to assume that people who expect less are more easily satisfied. However, according to a systematic review of the predictive association between patients' recovery expectations and their health outcomes in relation to a wide range of medical disorders, 15 of the 16 articles that provided moderate-quality evidence showed that positive expectations were associated with better health outcomes.…”

Section: Discussionmentioning

confidence: 99%

Patientsʼ Expectations and Satisfaction in Lumbar Spine Surgery

Toyone

Tanaka

Kato

et al. 2005

Spine

141

118

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Section: Discussionmentioning

confidence: 99%

Patientsʼ Expectations and Satisfaction in Lumbar Spine Surgery

Toyone

Tanaka

Kato

et al. 2005

Spine

141

118

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show abstract

“…Disparate views on need for total joint arthroplasty (TJA) surgery, expectations and outcomes of surgery have been reported for physicians and patients [13-15], and between surgeons and other health professionals [16]. Hewlett suggests that patients' assessments may differ from those of health professionals due to the influence of needs, attitudes, priorities, experiences and expectations [17].…”

Section: Introductionmentioning

confidence: 99%

Patient and health professional views on rehabilitation practices and outcomes following total hip and knee arthroplasty for osteoarthritis:a focus group study

Westby

Backman

2010

BMC Health Serv Res

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BackgroundThere is worldwide variation in rehabilitation practices after total hip arthroplasty (THA) and total knee arthroplasty (TKA) and no agreement on which interventions will lead to optimal short and long term patient outcomes. As a first step in the development of clinical practice guidelines for post-acute rehabilitation after THA and TKA, we explored experiences and attitudes about rehabilitation practices and outcomes in groups of individuals identified as key stakeholders.MethodsSeparate focus groups and interviews were conducted with patients (THA or TKA within past year) and three health professional groups: allied health professionals (AHPs), orthopaedic surgeons, and other physicians, in Canada and the United States. Pairs of moderators led the focus groups using a standardized discussion guide. Discussions were audiotaped and transcribed verbatim. A content analysis within and across groups identified key themes.ResultsEleven focus groups and eight interviews took place in six sites. Patients (n = 32) varied in age, stage of recovery, and surgical and rehabilitation experiences. Health professionals (n = 44) represented a range of disciplines, practice settings and years of experience. Six key themes emerged: 1) Let's talk (issues related to patient-health professional and inter-professional communication); 2) Expecting the unexpected (observations about unanticipated recovery experiences); 3) It's attitude that counts (the importance of the patient's positive attitude and participation in recovery); 4) It takes all kinds of support (along the continuum of care); 5) Barriers to recovery (at patient, provider and system levels), and 6) Back to normal (reflecting diversity of expected outcomes). Patients offered different, but overlapping views compared to health professionals regarding rehabilitation practices and outcomes following THA and TKA.ConclusionResults will inform subsequent phases of guideline development and ensure stakeholders' perspectives shape the priorities, content and scope of the guidelines.

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“…In evaluating satisfaction with a primary care out of hours services, Mckinley et al state that patients who receive the care they hoped for were more satisfied [5]. It is recognised that patient expectations are an important independent predictor of success or failure of total joint arthroplasty [6] and high but realistic expectations are associated with improved orthopaedic surgery outcomes [7][8][9][10][11][12]. The reverse is also true, in that unrealistically high expectations may adversely influence the outcome of surgery [7,13,14].…”

Section: Introductionmentioning

confidence: 99%

Patient expectations of podiatric surgery in the United Kingdom

Wilkinson

Maher²

2011

Journal of Foot and Ankle Research

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BackgroundPatient expectations can be difficult to conceptualise and are liable to change with time, health and environmental factors. Patient expectation is known to influence satisfaction, however little is known about the expectations of patients attending for podiatric surgery. This paper will explore the expectations of a large cohort of patients undergoing elective foot surgery.MethodsThe UK based podiatric audit of surgery and clinical outcome measurement (PASCOM) audit system was applied to a consecutive cohort of patients undergoing elective podiatric surgery in Doncaster, South Yorkshire between 2004 and 2010. Data was collected relating to the surgical episode and patient expectations. A patient questionnaire was administered at 6 months post intervention.ResultsA total of 2910 unique surgical admissions were completed and satisfaction questionnaires were returned by 1869 patients. A total of 1430 patients answered question 1 which relates to patient expectations. Pain relief was the most frequent expectation with 1191 counts (52.3%), while footwear and mobility accounted for 16.6% and 16.4% respectively. Cosmesis counts occurred less commonly; 12.2%. 709 patients (49.6%) stated only a single expectation, 599 patients (41.9%) stated two expectations, 114 patients (8%) stated three expectations and 7 patients (0.5%) stated 4 expectations. Pain relief was the dominant expectation accounting for 515 counts (72.6%) of patients who provided only one response.ConclusionsThis paper demonstrates the expectations of a large cohort of podiatric surgery patients. For the most part patients expect pain relief, improved mobility and improved shoe fitting, while a small number of patients also expect a cosmetic improvement. Further research is required to determine the relationship between patient expectation and health related quality of life, and to determine whether podiatric surgery is successful in addressing the expectations of patients.

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Expectations and Outcome of Total Hip Replacement

Cited by 35 publications

References 0 publications

Patientsʼ Expectations and Satisfaction in Lumbar Spine Surgery

Patientsʼ Expectations and Satisfaction in Lumbar Spine Surgery

Patient and health professional views on rehabilitation practices and outcomes following total hip and knee arthroplasty for osteoarthritis:a focus group study

Patient expectations of podiatric surgery in the United Kingdom

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