High patient satisfaction in 445 patients who underwent fast-track hip or knee replacement

Abstract

Background and purpose — Patient satisfaction is important in fast-track total hip and knee replacement (THR, TKR). We assessed: (1) how satisfied patients were with the treatment; (2) factors related to overall satisfaction; and (3) whether there was a difference between THR and TKR regarding length of stay (LOS) and patient satisfaction.Patients and methods — In this follow-up study, a consecutive series of 445 patients undergoing THR and TKR completed a questionnaire 2 weeks after discharge. LOS and short-term patient satisfaction with the fast-track management were measured. Patient satisfaction was measured using a numerical rating scale (NRS; 0–10).Results — For THR, the median satisfaction score was 9–10 and for TKR it was 8.5–10 in all parameters. Older THR patients had higher overall satisfaction. No association was found between overall satisfaction following THR or TKR and sex comorbidity, or LOS. THR patients had shorter mean LOS than TKR patients, even though the median LOS was 2 days for both groups. THR patients were more satisfied than TKR patients in the first weeks after discharge.Interpretation — Patient satisfaction is high following fast-track THR and TKR, with scores ranging from 8.5 to 10 on the NRS. A qualitative investigation of the first weeks after discharge is required to learn more about how to improve the experience of recovery.

Patient satisfaction and total hip arthroplasty: a review

“…The literature has established an association between age and clinical outcomes [10], with some variability on how age affects patient satisfaction. Some studies have found similar patient satisfaction in all age groups [4,[37][38][39][40][41], while other studies have reported less satisfaction in younger patients undergoing THA [7]. A possible explanation is that younger patients who may be accustomed to a more active lifestyle are more likely to be negatively affected by hip diseases [7] and have higher expectations compared to older patients undergoing total joint replacement [40].…”

“…There are many studies that discuss patient sex and THA satisfaction [4,7,[39][40][41][42][43][44][45]. Outcome scores in women are often lower than in men measured by both pain and satisfaction measures in some studies [40]. One study, which used the short PSQ [11], strongly associated female sex and dissatisfaction (scaled PSQ score of < 50) with the results of primary THA [46].…”

“…Male sex has also been associated with slightly greater satisfaction, despite less improvement in pain [7]. In many studies, however, sex is often a component of secondary analysis that has no association or unclear significance in overall patient satisfaction with THA [39][40][41][42][43][44]. Anakwe et al argued that sex could not be considered as an isolated indicator of patient satisfaction, although it is a preoperative variable [4].…”

Femoral Head and Neck Fenestration Through a Direct Anterior Approach Combined With Compacted Autograft for the Treatment of Early Stage Nontraumatic Osteonecrosis of the Femoral Head: A Retrospective Study

“…In recent years, minimally invasive fast-track surgery has become the goal for treating hip injury [15]. An incision made with a direct anterior approach during hip surgery relies on an intermuscular plane, resulting in less soft tissue damage.…”

CORR ® Insights: Is Local Infiltration Analgesia Superior to Peripheral Nerve Blockade for Pain Management after THA: A Network Meta-analysis

“…In the field of joint replacement surgery, effective pain control has also been shown to result in faster mobilization and earlier patient discharge, reduced complication rates, and increased patient satisfaction [11]. In an era when the quality of medical care is tightly interwoven with economic considerations [1], the implications of those findings are obvious for surgeons and medical institutions alike.…”