University Center of Orthopedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus Dresden, Technical University Dresden, Dresden, Germany.
Center for Evidence-based Healthcare, University Hospital Carl Gustav Carus and Faculty of Medicine Carl Gustav Carus, Technical University Dresden, Dresden, Germany.
J Arthroplasty. 2022 Aug;37(8):1594-1601.e4. doi: 10.1016/j.arth.2022.03.067. Epub 2022 Mar 25.
Total hip arthroplasty (THA) is an elective surgery. Therefore, patient satisfaction with the results of surgery is paramount. The association between fulfillment of patients' expectations and satisfaction is well known. The aim of this study was to identify key expectations of patients with hip osteoarthritis awaiting THA.
A mixed-methods approach was used, consisting of two sequential parts. The questionnaire was developed based on literature review and focus group interviews. A nationwide survey was conducted in 21 orthopedic departments within Germany.
Out of 691 obtained questionnaires, 636 were analyzed (mean age = 65.7 years (±11.3), 56.1% female). A majority of patients (≥75%) reported more than 20 complaints as 'present' due to hip osteoarthritis. A total of 9 key expectations were identified, which were reported by more than 75% of the patients as 'mandatory' for a successful THA. The identified key expectations were related to pain, range of motion, walking abilities, gait pattern, transitions, leisure and sports activities, awareness of the affected hip, satisfaction with health or life, and compensatory posture. A consistently high correlation was found between the complaints and the corresponding expectations.
The expectations of patients have greatly expanded. In this study, a set of mandatory key expectations shared by the majority of patients was identified. The likelihood of fulfillment of key expectations should be assessed for weighing benefits and harms of available treatment options during the indication process. In addition, the results of this study might be used as a resource for shared decision-making.
全髋关节置换术（THA）是一种择期手术。因此，患者对手术结果的满意度至关重要。患者期望与满意度之间的关系是众所周知的。本研究旨在确定等待 THA 的髋骨关节炎患者的关键期望。
采用混合方法，包括两个连续部分。问卷是根据文献回顾和焦点小组访谈制定的。在德国的 21 个骨科部门进行了全国性调查。
在获得的 691 份问卷中，对 636 份进行了分析（平均年龄 65.7 岁（±11.3），女性占 56.1%）。大多数患者（≥75%）报告有超过 20 种因髋骨关节炎而出现的“现有”症状。共确定了 9 个关键期望，超过 75%的患者认为这些期望是 THA 成功的“强制性”。确定的关键期望与疼痛、运动范围、步行能力、步态模式、过渡、休闲和体育活动、对受影响髋关节的认识、对健康或生活的满意度以及代偿姿势有关。发现患者的抱怨与相应的期望之间存在高度一致的相关性。
患者的期望已经大大扩大。在这项研究中，确定了大多数患者共同的一套强制性关键期望。在指征过程中，应该评估满足关键期望的可能性，以权衡可用治疗方案的益处和危害。此外，本研究的结果可作为共同决策的资源。
