Spectrum Health - Department of Orthopaedic Surgery Residency Program, Michigan State College of Human Medicine, Grand Rapids, MI; University of Vermont Medical Center, Department of Orthopaedic Surgery, Burlington, VT.
University of Vermont Medical Center, Department of Orthopaedic Surgery, Burlington, VT.
J Arthroplasty. 2021 Jan;36(1):102-106.e5. doi: 10.1016/j.arth.2020.07.007. Epub 2020 Jul 8.
In 2013, the American Academy of Orthopaedic Surgeons (AAOS) published an evidence-based clinical practice guideline (CPG) on conservative treatment options for patients with knee osteoarthritis (OA). The purpose of this study is to evaluate the effectiveness of a poster outlining the AAOS knee OA CPG on patient comprehension and satisfaction in the clinic.
This is a prospective 2-armed randomized controlled trial. Patients were eligible if they were of age 40-85 years, had degenerative knee OA, and did not consent for surgery. Patients were randomized to nonposter (standard care) and poster rooms. Knee OA treatment options were described to the patient verbally and posters were used as a teaching tool when present. The main outcomes were comprehension and satisfaction scores on a survey.
Of the 105 patients enrolled, 51 (48.6%) were randomized to usual care (control) and 54 (51.4%) to the intervention (poster). Poster patients outperformed control patients with an average of 55.3% ± 16.7% (mean ± SD) compared to 39.5% ± 13.3% correct answers (P < .001). And 66.7% of poster patients and 29.4% of control patients achieved an adequately informed status of >50% correct answers (P < .001; 50.5% overall). With a maximum possible score of 10, visit satisfaction scores were 9.4 ± 1.0 in poster patients and 9.2 ± 1.7 in control patients (P = .50).
Patients educated using an AAOS knee CPG poster showed significant improvements in knowledge and were more likely to achieve an adequately informed status. No difference existed in visit satisfaction. A poster offers a low-cost, effective educational tool.
Level 1.
2013 年，美国骨科医师学会（AAOS）发布了一份针对膝骨关节炎（OA）患者保守治疗选择的基于证据的临床实践指南（CPG）。本研究旨在评估一份概述 AAOS 膝骨关节炎 CPG 的海报对诊所患者理解和满意度的影响。
这是一项前瞻性的 2 臂随机对照试验。符合条件的患者为年龄在 40-85 岁之间、患有退行性膝骨关节炎且不同意手术的患者。患者被随机分配到无海报（标准护理）和海报房间。口头向患者描述膝骨关节炎的治疗选择，并在有海报时将其用作教学工具。主要结局是问卷调查的理解和满意度评分。
在纳入的 105 名患者中，51 名（48.6%）被随机分配到常规护理（对照组），54 名（51.4%）分到干预组（海报）。海报组患者的平均正确率为 55.3%±16.7%（平均值±标准差），而对照组为 39.5%±13.3%（P<.001）。66.7%的海报组患者和 29.4%的对照组患者达到了>50%正确答案的充分知情状态（P<.001；总体 50.5%）。在最大可能得分为 10 的情况下，海报组患者的就诊满意度评分为 9.4±1.0，对照组为 9.2±1.7（P=.50）。
使用 AAOS 膝 CPG 海报进行教育的患者在知识方面有显著提高，并且更有可能达到充分知情的状态。就诊满意度没有差异。海报提供了一种低成本、有效的教育工具。
1 级。
