Assessment of patient satisfaction following revision total knee arthroplasty.

Autor: Quinn J; Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia., Jones P; Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia., Randle R; Gold Coast Centre for Bone and Joint Surgery, Gold Coast, Queensland, Australia.
Jazyk: angličtina
Zdroj: ANZ journal of surgery [ANZ J Surg] 2023 Apr; Vol. 93 (4), pp. 995-1000. Date of Electronic Publication: 2023 Mar 07.
DOI: 10.1111/ans.18375
Abstrakt: Background: Patient satisfaction is becoming an increasingly important measure of healthcare quality. Satisfaction following RTKA is poorly described within the literature, resulting in difficulty for clinicians to manage patient expectations and obtain informed consent.
Methods: We investigated postoperative satisfaction of RTKA patients by a single surgeon, using a single prosthesis, at a single institution. Patient satisfaction was assessed using structured telephone assessment questionnaires and review of orthopaedic/hospital records. The effect of patient and surgical characteristics on satisfaction was assessed using correlation coefficients and binary logistic regression in SPSS.
Results: Two hundred and two RTKAs were performed in 178 patients between 2004 and 2015 inclusive. One hundred and twenty-four patients (143 RTKAs) were contactable to complete satisfaction assessment. Eighty-five percent of patients were satisfied and would have the RTKA again, 8% were unsure, 7% would not. Mean reported satisfaction on a numerical scale (1-10) was 8.17 (range 1-10), with 74% of patients scoring 8 or above, and 35% of patients scoring 10. The Mahomed Satisfaction Scale outcomes demonstrated a mean score of 87.7. High positive correlation was found between assessment tools. Logistic regression analysis identified factors contributing to satisfaction included ROM, OKS, BMI, and surgical time.
Conclusion: This cohort demonstrated high patient satisfaction rate following RTKA, utilizing simple and reliable outcome measurement tools. We found a high positive correlation between methods of assessment, and moderate positive correlation between satisfaction and functional outcomes. These results contribute to the understanding of satisfaction in RTKA patients, which may assist in informing patients of expected post-operative outcomes.
(© 2023 Royal Australasian College of Surgeons.)
Databáze: MEDLINE
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