Abstract
Introduction
Patients’ expectations have become increasingly important over the last decade, as the fulfilment of preoperative expectations has been shown to be associated with postoperative satisfaction. Understanding the pattern of patients’ expectations is necessary to provide a better basis for recommendations to patients opting for arthroplasty. The aim of this study was to show patients’ expectations of joint replacement surgery in Germany and to elucidate factors, which might have an influence.
Materials and methods
A retrospective analysis of anonymously collected data was performed on people participating in a patient information event for joint replacement surgery. They were asked to complete a survey, which consisted of five questions requesting demographic data and three questions regarding preoperative expectations. The latter were taken from the New Knee Society Score. An expectation score (0–12 points) was generated by adding the single point values of the three questions.
Results
180 attendees were included in this study. The distribution of patients’ expectations was remarkably skewed towards high expectations, the mean expectation score was 10.17. 87.2 % of participants had high and very high expectations and only 12.8 % had low and moderate expectations. Patients’ expectations were independent of age and previous participation in a patient information event. Female gender and a history of arthroplasty led to a slightly higher expectation score. Patients with isolated knee pain had significantly lower expectations than patients suffering from isolated hip pain.
Conclusions
This study shows that the majority of patients have high expectations regarding joint replacement surgery. To improve postoperative patients’ satisfaction a straightforward physician–patient communication is necessary to prevent patients from potentially unrealistic expectations and therefore dissatisfaction with surgery.
Similar content being viewed by others
References
Haanstra TM, van den Berg T, Ostelo RW, Poolman RW, Jansma IP, Cuijpers P, de Vet HC (2012) Systematic review: do patient expectations influence treatment outcomes in total knee and total hip arthroplasty? Health Qual Life Outcomes 10:152. doi:10.1186/1477-7525-10-152
Mancuso CA, Graziano S, Briskie LM, Peterson MG, Pellicci PM, Salvati EA, Sculco TP (2008) Randomized trials to modify patients’ preoperative expectations of hip and knee arthroplasties. Clin Orthop Relat Res 466(2):424–431. doi:10.1007/s11999-007-0052-z
Scott CE, Bugler KE, Clement ND, MacDonald D, Howie CR, Biant LC (2012) Patient expectations of arthroplasty of the hip and knee. J Bone Joint Surg Br 94(7):974–981. doi:10.1302/0301-620X.94B7.28219
Yoo JH, Chang CB, Kang YG, Kim SJ, Seong SC, Kim TK (2011) Patient expectations of total knee replacement and their association with sociodemographic factors and functional status. J Bone Joint Surg Br 93(3):337–344. doi:10.1302/0301-620X.93B3.25168
Gandhi R, Davey JR, Mahomed N (2009) Patient expectations predict greater pain relief with joint arthroplasty. J Arthroplasty 24(5):716–721. doi:10.1016/j.arth.2008.05.016
Muniesa JM, Marco E, Tejero M, Boza R, Duarte E, Escalada F, Caceres E (2010) Analysis of the expectations of elderly patients before undergoing total knee replacement. Arch Gerontol Geriatr 51(3):e83–e87. doi:10.1016/j.archger.2010.01.003
Hepinstall MS, Rutledge JR, Bornstein LJ, Mazumdar M, Westrich GH (2011) Factors that impact expectations before total knee arthroplasty. J Arthroplasty 26(6):870–876. doi:10.1016/j.arth.2010.09.010
Mancuso CA, Sculco TP, Salvati EA (2003) Patients with poor preoperative functional status have high expectations of total hip arthroplasty. J Arthroplasty 18(7):872–878
Lingard EA, Sledge CB, Learmonth ID (2006) Patient expectations regarding total knee arthroplasty: differences among the United States, United Kingdom, and Australia. J Bone Joint Surg Am 88(6):1201–1207. doi:10.2106/JBJS.E.00147
Groeneveld PW, Kwoh CK, Mor MK, Appelt CJ, Geng M, Gutierrez JC, Wessel DS, Ibrahim SA (2008) Racial differences in expectations of joint replacement surgery outcomes. Arthritis Rheum 59(5):730–737. doi:10.1002/art.23565
Ghomrawi HM, Franco Ferrando N, Mandl LA, Do H, Noor N, Gonzalez Della Valle A (2011) How often are patient and surgeon recovery expectations for total joint arthroplasty aligned? Results of a pilot study. HSS J 7(3):229–234. doi:10.1007/s11420-011-9203-6
Noble PC, Conditt MA, Cook KF, Mathis KB (2006) The John Insall Award: patient expectations affect satisfaction with total knee arthroplasty. Clin Orthop Relat Res 452:35–43. doi:10.1097/01.blo.0000238825.63648.1e
Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KD (2010) Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clin Orthop Relat Res 468(1):57–63. doi:10.1007/s11999-009-1119-9
Scott CE, Howie CR, MacDonald D, Biant LC (2010) Predicting dissatisfaction following total knee replacement: a prospective study of 1217 patients. J Bone Joint Surg Br 92(9):1253–1258. doi:10.1302/0301-620X.92B9.24394
Hamilton DF, Lane JV, Gaston P, Patton JT, Macdonald D, Simpson AH, Howie CR (2013) What determines patient satisfaction with surgery? A prospective cohort study of 4709 patients following total joint replacement. BMJ Open 3 (4). doi:10.1136/bmjopen-2012-002525
Scuderi GR, Bourne RB, Noble PC, Benjamin JB, Lonner JH, Scott WN (2012) The new knee society knee scoring system. Clin Orthop Relat Res 470(1):3–19. doi:10.1007/s11999-011-2135-0
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Koenen, P., Bäthis, H., Schneider, M.M. et al. How do we face patients’ expectations in joint arthroplasty?. Arch Orthop Trauma Surg 134, 925–931 (2014). https://doi.org/10.1007/s00402-014-2012-x
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-014-2012-x