Preoperative importance of improvement and postoperative satisfaction in patients undergoing total hip replacement
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Torsten Schنfer & Sebastian Biakowski & Achim Walther & Stefan Fickert & Frank Krummenauer & Klaus-Peter Günther
- چاپ و سال / کشور: 2011
Description
Objective We aimed to correlate the preoperative importance of improvement and postoperative satisfaction in patients undergoing total hip replacement with the functional pre- and postoperative (12 months) status. Method Functional status was assessed by Western Ontario and McMasters Universities Osteoarthritis Index (WOMAC) and the preoperative importance was rated for all WOMAC and 13 items of daily living. The postoperative satisfaction was assessed alongside these 37 items. Results One hundred eighteen patients with a mean age of 59 (35–84) years (54% women) were included. Through surgery, WOMAC score increased from 39.5 to 78.6. Preoperative importance was high (73.1) and postoperative satisfaction was moderate to high (66.8). Younger patients were more satisfied (72.4 vs. 60.2, p=0.02). After adjustment for age and gender, the preoperative functional status correlated significantly with the importance (â=0.60, CI= 0.37–0.62), and so did postoperative functional status and satisfaction (â=.0.69, CI=.0.97 to .0.68). Satisfaction in WOMAC-related items correlated with the gain in WOMAC score (â=0.35, CI=0.16–0.45). Conclusion The high patient-rated importance of improvement and satisfaction are associated with age and gender and correlate with the corresponding functional status, i.e. its change.
Eur Orthop Traumatol (2011) 1:143–152 DOI 10.1007/s12570-011-0035-0 Received: 10 July 2010 / Accepted: 10 January 2011 / Published online: 28 January 2011
