Patients' Perspectives of Outcomes After Total Knee and Total Hip Arthroplasty: a Nominal Group Study

Overview

Journal BMC Rheumatol

Specialty Rheumatology

Date 2020 Jan 16

PMID 31938765

Citations 17

Authors

Susan M Goodman

Bella Mehta

Serene Z Mirza

Mark P Figgie

Michael Alexiades

Jose Rodriguez

Peter Sculco

Michael Parks

Jasvinder A Singh

Affiliations

Soon will be listed here.

Abstract

Background: While total joint replacements (TJR) are frequently performed, there is little qualitative research to define the outcomes most important to patients.

Methods: Patients who had received total hip (THR) or total knee replacements (TKR) participated in 8 nominal groups to answer the question "What result/results matter the most to a patient undergoing/having a knee or hip replacement?" Total 270 votes were allocated.

Results: Eight nominal groups were performed with 45 patients, 6 groups with mean age (71.1 ± 9.3), and 2 with 9 younger patients (mean age 36.8 ± 7.4). All had TJR between 2016 and 2018; overall, 40% were male, 15.6% were Black, and 75% were performed for osteoarthritis. While all groups ranked the same top 3 outcomes, responses varied with age: 1) relief of pain (46% vs. 35% in the young groups); 2) improved function including mobility (29% vs. 18% in the young groups); 3) restored quality of life (13% vs 33% of votes in the younger group).

Conclusion: Relief of pain and restoration of function, and improved quality of life are the 3 outcomes ranked highest by patients, confirming their inclusion in TJR clinical trials.

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