Mooiweer Yvet, Stewart Roy, Dijkstra Baukje, Oosterveld Robert, Stevens Martin, Seeber Gesine H
Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, Oldenburg, DEU.
Department of Orthopedics, University Medical Center Groningen, University of Groningen, Groningen, NLD.
Cureus. 2025 May 14;17(5):e84088. doi: 10.7759/cureus.84088. eCollection 2025 May.
Objective Total hip arthroplasty (THA) is considered a highly effective treatment for end-stage hip osteoarthritis (OA). THA management in Germany and the Netherlands significantly differs. This study aims to give a first glimpse of the extent to which the way of management in both countries influences patients' preoperative expectations, self-efficacy, and, consequently, their postoperative satisfaction. Methods This was a transnational, prospective, multicenter observational study that included a cohort of primary THA patients from Germany and the Netherlands. Preoperatively, patients completed the Hospital for Special Surgery Hip Replacement Expectations Survey (HSS-HRES), Self-Efficacy of Rehabilitation questionnaire (SER), and the Hip disability and Osteoarthritis Outcome Score (HOOS). Postoperatively, patients rated their satisfaction on a Likert scale (0-10). Scores of German and Dutch patients were compared using student t-tests and Chi-square tests. Simple and multiple regression analyses were used to assess the relationship between preoperative expectations and self-efficacy on postoperative satisfaction with country as the categorical variable. Results A total of 138 German and 152 Dutch participants were included. German patients showed significantly higher levels of preoperative expectations and self-efficacy. In the simple regression analysis, preoperative self-efficacy showed a statistically significant relationship with postoperative satisfaction (SER: B 0.129 (95%CI 0.004 - 0.255), p=.044). In the multiple regression analysis, preoperative HOOS Sport and HOOS QOL (Quality Of Life) showed a statistically significant relationship with postoperative satisfaction (HOOS Sport: B -0.020 (95%CI -0.040 to -.001), p=.042; HOOS QOL: B 0.025 (95%CI 0.002-0.048), p=.034). The country had no influence. Conclusion There is a difference in preoperative expectations and self-efficacy between German and Dutch patients. Moreover, preoperative self-efficacy influences postoperative satisfaction. However, this effect disappeared in the multiple regression analysis, nor was the country of treatment influential. On the other hand, we do see that higher preoperative scores on HOOS Sports and HOOS QOL lead to higher postoperative satisfaction.
目的 全髋关节置换术（THA）被认为是终末期髋关节骨关节炎（OA）的一种高效治疗方法。德国和荷兰的THA管理方式存在显著差异。本研究旨在初步了解两国的管理方式在多大程度上影响患者的术前期望、自我效能感，进而影响其术后满意度。方法 这是一项跨国、前瞻性、多中心观察性研究，纳入了来自德国和荷兰的一组初次THA患者。术前，患者完成了特种外科医院髋关节置换期望调查（HSS-HRES）、康复自我效能量表（SER）以及髋关节功能障碍和骨关节炎结果评分（HOOS）。术后，患者用李克特量表（0-10）对其满意度进行评分。使用学生t检验和卡方检验比较德国和荷兰患者的得分。以国家作为分类变量，采用简单和多元回归分析来评估术前期望和自我效能感与术后满意度之间的关系。结果 共纳入138名德国参与者和152名荷兰参与者。德国患者的术前期望和自我效能感水平显著更高。在简单回归分析中，术前自我效能感与术后满意度存在统计学显著关系（SER：B 0.129（95%CI 0.004 - 0.255），p = 0.044）。在多元回归分析中，术前HOOS运动功能评分和HOOS生活质量评分与术后满意度存在统计学显著关系（HOOS运动功能评分：B -0.020（95%CI -0.040至-0.001），p = 0.042；HOOS生活质量评分：B 0.025（95%CI 0.002 - 0.048），p = 0.034）。国家没有影响。结论 德国和荷兰患者在术前期望和自我效能感方面存在差异。此外，术前自我效能感会影响术后满意度。然而，这种影响在多元回归分析中消失了，治疗国家也没有影响力。另一方面，我们确实看到术前HOOS运动功能评分和HOOS生活质量评分越高，术后满意度越高。
