Negative impact of waiting time for primary total knee arthroplasty on satisfaction and patient-reported outcome

Lizaur-Utrilla, Alejandro; Martinez-Mendez, Daniel; Miralles‐Muñoz, Francisco A.; Marco-Gomez, Luis; Lopez‐Prats, Fernando A.

doi:10.1007/s00264-016-3209-0

Cited by 43 publications

(31 citation statements)

References 27 publications

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“…In fact, apart from the degree of disability, retirement status and socioeconomic status were found to influence the scores of LSR [27,31]. A recent study showed that waiting time longer than 6 months negatively influenced post-operative satisfaction and patientrelated outcome because of a lower level of functional reserves and mental health [32]. In such cases, we believe that LSR could also reflect the negative influence brought by the long waiting period, which has been reported to cause a significant deterioration in quality of life and high psychological distress [33].…”

Section: Discussionmentioning

confidence: 99%

Preoperative low scores of Life Satisfaction Rating predicts poor outcomes after total knee arthroplasty: a prospective observational study

et al. 2020

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Background: Despite the continued improvement in the surgical techniques during primary total knee arthroplasty (TKA), literatures indicate that up to 10 to 20% patients are not satisfied with their outcomes. Psychological factors in this dissatisfaction are yet to be clearly identified. The aim of this study is to develop a method to assess whether the patient's current mental state is suitable enough to accept a TKA surgery. Methods: Preoperative demographic and clinical data of 532 patients who underwent TKA were prospectively obtained from January 2012 until December 2016. We recorded the scores evaluated by SF-36 questionnaire and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) preoperatively and 1 year postoperatively. Preoperative Life Satisfaction Rating (LSR) is emphatically evaluated. Results: Poor preoperative score of LSR was a significant predictor of dissatisfaction after TKA. Patients with low LSR reported significant pain and stiffness, although there was no remarkable effect on functionality of the replaced joint. The results also showed that age and BMI were not strong predictors of satisfaction in TKA. Conclusion: Our outcomes can help clinicians evaluate whether a patient's current mental status is favorable for TKA. If patients have extreme low scores of LSR (less than 10), a psychological intervention should be recommended for better satisfaction following a TKA surgery. This would also allow surgeons to individually assess the risks and benefits of surgery.

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Section: Discussionmentioning

confidence: 99%

Preoperative low scores of Life Satisfaction Rating predicts poor outcomes after total knee arthroplasty: a prospective observational study

et al. 2020

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“…[11] Patients waiting more than 6 months for surgery have been shown to experience increased anxiety, depression and unhappiness. [12] Characteristics of an efficient theatre service include prompt starts, quick changeovers, minimal intraoperative delays and few overrunning cases. [13] Efficiency must begin with appropriately booked elective operating lists.…”

Section: Discussionmentioning

confidence: 99%

An audit of operating theatre utilisation and day-of-surgery cancellations at a regional hospital in the Durban metropole

2019

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“…[2] Generally, neither pain nor function seemed to worsen for patients waiting less than 6 months for knee or hip replacements. [3] Our hospital waiting list had a wide range of waiting times, which ranged from 0 to 1 880 days.…”

Section: Discussionmentioning

confidence: 93%

Hip and knee arthroplasty waiting list – how accurate and fair?

Kavalieratos¹,

Nortje²,

Dunn³

2017

S Afr Med J

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Background. Resource-intensive procedures require the use of patient waiting lists in an attempt to increase fairness of access to surgery and improve surgical efficiency. Total hip and knee arthroplasty has waiting lists in excess of years. Objectives. To analyse our tertiary state institution's hip and knee arthroplasty waiting list to assess its accuracy. Methods. At Groote Schuur Hospital, our hospital-maintained database was compared with the surgeons' personally maintained database. Patients were then telephoned to confirm their contactability, and to discover whether they still wanted the procedure, or if they had already had it. Waiting duration and patient demographics were then calculated. Results. Of the 655 patients on the hospital waiting list, only 454 were contactable. Three hundred and nine patients still wanted the surgery, 93 had already undergone surgery and 52 no longer wanted surgery. The last group was the oldest and had had the longest waiting time. Those still waiting had waited 451 days (minimum -maximum (standard deviation), 90 -1 593 (228.5)), those that had had surgery 371 days (0 -1 728 (296)) and those no longer interested 523 days (138 -1 881 (260.9)). A total of 429 patients were present on the surgeons' list but not on the hospital list. They had had longer waiting times than those on the hospital list. Conclusion. The arthroplasty waiting list is inaccurate due to the existence of two concurrent lists and poor data management, particularly of current contact details. The unfairness of a wide range of waiting times was identified, with patients only on the surgeons' personal database disadvantaged. These deficiencies have prompted the introduction of a scoring-based prioritisation system incorporating clinical, radiographic and societal parameters, in an effort to improve fair and appropriate access to this high-cost care.

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Negative impact of waiting time for primary total knee arthroplasty on satisfaction and patient-reported outcome

Cited by 43 publications

References 27 publications

Preoperative low scores of Life Satisfaction Rating predicts poor outcomes after total knee arthroplasty: a prospective observational study

Preoperative low scores of Life Satisfaction Rating predicts poor outcomes after total knee arthroplasty: a prospective observational study

An audit of operating theatre utilisation and day-of-surgery cancellations at a regional hospital in the Durban metropole

Hip and knee arthroplasty waiting list – how accurate and fair?

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