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The rate and predictors of patient satisfaction after total knee arthroplasty are influenced by the focus of the question: a standard satisfaction question is required.
Bone Joint J. 2018 06 01; 100-B(6):740-748.BJ

Abstract

Aims

The primary aim of this study was to assess the rate of patient satisfaction one year after total knee arthroplasty (TKA) according to the focus of the question asked. The secondary aims were to identify independent predictors of patient satisfaction according to the focus of the question.

Patients and Methods

A retrospective cohort of 2521 patients undergoing a primary unilateral TKA were identified from an established regional arthroplasty database. Patient demographics, comorbidities, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and 12-Item Short-Form Health Survey (SF-12) scores were collected preoperatively and one year postoperatively. Patient satisfaction was assessed using four questions, which focused on overall outcome, activity, work, and pain. Logistic regression analysis was used to identify independent preoperative predictors of increased stiffness when adjusting for confounding variables.

Results

Using patient satisfaction with the overall outcome (n = 2265, 89.8%) as the standard, there was no difference in the rate of satisfaction for pain relief (n = 2277, odds ratio (OR) 0.95, 95% confident intervals (CI) 0.79 to 1.14, p = 0.60), but patients were more likely to be dissatisfied with activities (79.3%, n = 2000/2521, OR 2.22, 95% CI 1.96 to 2.70, p < 0.001) and work (85.8%, n = 2163/2521, OR 1.47, 95% CI 1.23 to 1.75, p < 0.001). Logistic regression analysis identified different predictors of satisfaction for each of the focused satisfaction questions. Overall satisfaction was influenced by diabetes (p = 0.03), depression (p = 0.004), back pain (p < 0.001), and SF-12 physical (p = 0.008) and mental (p = 0.01) components. Satisfaction with activities was influenced by depression (p = 0.001), back pain (p < 0.001), WOMAC stiffness score (p = 0.03), and SF-12 physical (p < 0.001) and mental (p < 0.001) components. Satisfaction with work was influenced by depression (p = 0.007), back pain (p < 0.001), WOMAC function (p = 0.04) and stiffness (p = 0.05) scores, and SF-12 physical (p < 0.001) and mental (p < 0.001) components. Satisfaction with pain relief was influenced by diabetes (p < 0.001), back pain (p < 0.001), and SF-12 mental component (p = 0.04).

Conclusion

The focus of the satisfaction question significantly influences the rate and the predictors of patient satisfaction after TKA. Cite this article: Bone Joint J 2018;100-B:740-8.

Authors+Show Affiliations

Department of Orthopaedics, Freeman Hospital, Newcastle-upon-Tyne, UK.Department of Orthopaedics, Freeman Hospital, Newcastle-upon-Tyne, UK.Department of Orthopaedics, Freeman Hospital, Newcastle-upon-Tyne, UK.Department of Orthopaedics, Freeman Hospital, Newcastle-upon-Tyne, UK.Royal National Orthopaedic Hospital, Stanmore, UK.Department of Orthopaedics, Freeman Hospital, Newcastle-upon-Tyne, UK.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29855236

Citation

Clement, N D., et al. "The Rate and Predictors of Patient Satisfaction After Total Knee Arthroplasty Are Influenced By the Focus of the Question: a Standard Satisfaction Question Is Required." The Bone & Joint Journal, vol. 100-B, no. 6, 2018, pp. 740-748.
Clement ND, Bardgett M, Weir D, et al. The rate and predictors of patient satisfaction after total knee arthroplasty are influenced by the focus of the question: a standard satisfaction question is required. Bone Joint J. 2018;100-B(6):740-748.
Clement, N. D., Bardgett, M., Weir, D., Holland, J., Gerrand, C., & Deehan, D. J. (2018). The rate and predictors of patient satisfaction after total knee arthroplasty are influenced by the focus of the question: a standard satisfaction question is required. The Bone & Joint Journal, 100-B(6), 740-748. https://doi.org/10.1302/0301-620X.100B6.BJJ-2017-1292.R1
Clement ND, et al. The Rate and Predictors of Patient Satisfaction After Total Knee Arthroplasty Are Influenced By the Focus of the Question: a Standard Satisfaction Question Is Required. Bone Joint J. 2018 06 1;100-B(6):740-748. PubMed PMID: 29855236.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The rate and predictors of patient satisfaction after total knee arthroplasty are influenced by the focus of the question: a standard satisfaction question is required. AU - Clement,N D, AU - Bardgett,M, AU - Weir,D, AU - Holland,J, AU - Gerrand,C, AU - Deehan,D J, PY - 2018/6/2/entrez PY - 2018/6/2/pubmed PY - 2018/6/13/medline KW - Outcome KW - Predictors KW - Satisfaction KW - Total knee arthroplasty KW - WOMAC SP - 740 EP - 748 JF - The bone & joint journal JO - Bone Joint J VL - 100-B IS - 6 N2 - Aims: The primary aim of this study was to assess the rate of patient satisfaction one year after total knee arthroplasty (TKA) according to the focus of the question asked. The secondary aims were to identify independent predictors of patient satisfaction according to the focus of the question. Patients and Methods: A retrospective cohort of 2521 patients undergoing a primary unilateral TKA were identified from an established regional arthroplasty database. Patient demographics, comorbidities, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and 12-Item Short-Form Health Survey (SF-12) scores were collected preoperatively and one year postoperatively. Patient satisfaction was assessed using four questions, which focused on overall outcome, activity, work, and pain. Logistic regression analysis was used to identify independent preoperative predictors of increased stiffness when adjusting for confounding variables. Results: Using patient satisfaction with the overall outcome (n = 2265, 89.8%) as the standard, there was no difference in the rate of satisfaction for pain relief (n = 2277, odds ratio (OR) 0.95, 95% confident intervals (CI) 0.79 to 1.14, p = 0.60), but patients were more likely to be dissatisfied with activities (79.3%, n = 2000/2521, OR 2.22, 95% CI 1.96 to 2.70, p < 0.001) and work (85.8%, n = 2163/2521, OR 1.47, 95% CI 1.23 to 1.75, p < 0.001). Logistic regression analysis identified different predictors of satisfaction for each of the focused satisfaction questions. Overall satisfaction was influenced by diabetes (p = 0.03), depression (p = 0.004), back pain (p < 0.001), and SF-12 physical (p = 0.008) and mental (p = 0.01) components. Satisfaction with activities was influenced by depression (p = 0.001), back pain (p < 0.001), WOMAC stiffness score (p = 0.03), and SF-12 physical (p < 0.001) and mental (p < 0.001) components. Satisfaction with work was influenced by depression (p = 0.007), back pain (p < 0.001), WOMAC function (p = 0.04) and stiffness (p = 0.05) scores, and SF-12 physical (p < 0.001) and mental (p < 0.001) components. Satisfaction with pain relief was influenced by diabetes (p < 0.001), back pain (p < 0.001), and SF-12 mental component (p = 0.04). Conclusion: The focus of the satisfaction question significantly influences the rate and the predictors of patient satisfaction after TKA. Cite this article: Bone Joint J 2018;100-B:740-8. SN - 2049-4408 UR - https://www.unboundmedicine.com/medline/citation/29855236/The_rate_and_predictors_of_patient_satisfaction_after_total_knee_arthroplasty_are_influenced_by_the_focus_of_the_question:_a_standard_satisfaction_question_is_required_ L2 - https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.100B6.BJJ-2017-1292.R1?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -