Racial Differences in Patient Satisfaction With the Hospital Experience Undergoing Primary Unilateral Hip and Knee Arthroplasty: A Retrospective Study

Orett C. Burke, Jr., BS; J. Alex B. Gibbons, BA; Huong T. Do, MA; Emily Y. Lai, MS; Letitia Bradford, MD; Anne R. Bass, MD; Troy B. Amen, MD, MBA; Linda A. Russell, MD; Bella Mehta, MBBS, MS; Michael Parks, MD; Mark Figgie, MD; Susan Goodman, MD

Arthroplasty Today (Oct 2023)

Racial Differences in Patient Satisfaction With the Hospital Experience Undergoing Primary Unilateral Hip and Knee Arthroplasty: A Retrospective Study

Orett C. Burke, Jr., BS,
J. Alex B. Gibbons, BA,
Huong T. Do, MA,
Emily Y. Lai, MS,
Letitia Bradford, MD,
Anne R. Bass, MD,
Troy B. Amen, MD, MBA,
Linda A. Russell, MD,
Bella Mehta, MBBS, MS,
Michael Parks, MD,
Mark Figgie, MD,
Susan Goodman, MD

Affiliations

Orett C. Burke, Jr., BS: Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Corresponding author. Rutgers Robert Wood Johnson Medical School, 675 Hoes Lane West, Piscataway, NJ 08854, USA.
J. Alex B. Gibbons, BA: Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USA
Huong T. Do, MA: Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USA
Emily Y. Lai, MS: Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USA
Letitia Bradford, MD: Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA
Anne R. Bass, MD: Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USA
Troy B. Amen, MD, MBA: Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USA
Linda A. Russell, MD: Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USA
Bella Mehta, MBBS, MS: Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USA
Michael Parks, MD: Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USA
Mark Figgie, MD: Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USA
Susan Goodman, MD: Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA; Division of Rheumatology, Department of Medicine, Hospital for Special Surgery, New York, NY, USA; Division of Research Administration, Hospital for Special Surgery, New York, NY, USA; Department of Orthopedics, University of Nevada, Reno, Reno, NV, USA; Division of Rheumatology, Department of Medicine, Weill Cornell Medicine, New York, NY, USA; Department of Orthopedics, Hospital for Special Surgery, New York, NY, USA

Journal volume & issue: Vol. 23
p. 101212

Abstract

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Background: Press Ganey (PG) inpatient survey is widely used to track patient satisfaction with the hospital experience. Our aim was to use the PG survey to determine if there are racial differences in overall hospital experience and perception of nurses and surgeons following hip and knee arthroplasty. Methods: We retrospectively analyzed Black and White patients from hip and knee arthroplasty registries from a single institution between July 2010 and February 2012. The overall assessment score for the hospital experience and perception of the nurse and surgeon questions from the PG inpatient survey were dichotomized as “not completely satisfied” or “completely satisfied”. Multivariable logistic regression models were developed to determine the impact of race on the likelihood of being ‘completely satisfied’ in the hip and knee cohorts. Results: There were 2517 hip and 2114 knee patients who underwent surgery and completed the PG survey, of whom 3.9% were Black and 96.0% were White. Black patients were less likely to be completely satisfied with their hospital experience compared to White patients in the hip (odds ratio 0.62, confidence interval 0.39-1.00, P = .049) and knee (odds ratio 0.52, confidence interval 0.33-0.82, P = .005) cohorts. Black patients were also less likely to be completely satisfied with multiple aspects of care they received from the nurse and surgeon in both cohorts. Conclusions: We found that the PG Survey shows Black patients were less likely to be completely satisfied than White patients with the hospital experience, including their interactions with nurses and surgeons. More work is needed to understand this difference.

Published in Arthroplasty Today

ISSN: 2352-3441 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery
Website: https://www.journals.elsevier.com/arthroplasty-today/

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Abstract

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