Predicting Dissatisfaction After Total Hip Arthroplasty: A Study of 850 Patients

被引：239
作者：
Anakwe, Raymond E. [1 ]
Jenkins, Paul J. [1 ]
Moran, Matthew [1 ]
机构：
[1] Royal Infirm Edinburgh NHS Trust, Dept Orthoped Surg, Edinburgh EH16 4SA, Midlothian, Scotland
来源：
JOURNAL OF ARTHROPLASTY | 2011年 / 26卷 / 02期
关键词：
total hip arthroplasty; dissatisfaction; patient-reported outcomes; QUALITY-OF-LIFE; TOTAL KNEE ARTHROPLASTY; REPLACEMENT SURGERY; JOINT; SATISFACTION; EXPECTATIONS; OUTCOMES; QUESTIONNAIRE;
D O I：
10.1016/j.arth.2010.03.013
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
We conducted a prospective cohort study investigating the rate and predictors of dissatisfaction among patients after primary total hip arthroplasty (THA). Eight hundred fifty patients were assessed preoperatively and 1 year postoperatively using Patient Reported Outcome Measures. There was a 7% rate of dissatisfaction after THA. After univariate analysis, depression, preoperative Short Form 12 mental component score, and symptomatic arthritis of another major joint predicted dissatisfaction at 1 year, but after multivariate analysis, only symptomatic arthritis in another major joint was significant. The development of a major complication did not predict dissatisfaction. Satisfaction also correlates strongly with postoperative functional scores, relief of pain, restoration of function, and success in meeting patient expectations. Pain relief and expectation management are critical in maximizing patient satisfaction after THA.
引用
收藏
页码：209 / 213
页数：5
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