PATIENT SATISFACTION FOLLOWING TOTAL HIP REPLACEMENT: PREDICTORS OF SUCCESS

Abstract

Background. Total hip arthroplasty (THA) is reliable and successful intervention in terms of relieving pain and improving joint function. Between 7% and 16% of patients are dissatisfied after THA. To assess predictors and postoperative determinants of satisfaction 3 and 12 months after THA. Material and Methods. During our research from 2015 to 2017 prospectively 1015 patients were interviewed using patient related outcome measures (a questionnaire of functional outcome (Oxford Hip Score, Harris Hip Score), health-related quality of life (EQ-5D)) preoperatively, 3 and 12 months postoperatively. Satisfaction was assessed using Visual Analogue Scale (VAS). Also Univariate and multivariate analyses were performed. Results. A female gender, absence of interventions on the operated joint in history were preoperative predictors of satisfaction. The main postoperative determinant of satisfaction was the fulfillment of patient’s expectations, improve physical function, quality of life, relief of pain. Conclusion. To improve patient satisfaction after THA, patients’ expectations and their fulfillment need to be carefully addressed. Patients with a history of interventions on the operated joint with low physical function or quality of life, high level of pain should be identified and specifically informed on expected surgical outcome

Keywords

• total hip arthroplasty
• expectations’ fulfillment
• satisfaction
• patient reported outcome measures