Outpatient Total Hip and Knee Arthroplasty - Patient Expectations Versus Experience

Overview

Journal J Orthop

Specialty Orthopedics

Date 2024 Feb 19

PMID 38371352

Authors

Justin D Bric

Emilie N Miley

Hari K Parvataneni

Luis Pulido

Hernan A Prieto

Chancellor F Gray

Justin T Deen

Affiliations

Soon will be listed here.

Abstract

Aims & Objectives: With modern advancements in surgical techniques and rapid recovery protocols, incidence of outpatient total joint arthroplasty (TJA) is increasing. Previous literature has historically focused on cost, safety, and clinical outcomes, with few studies investigating patient expectations and experiences. The aim of this study was to survey preoperative patient expectations related to outpatient TJA surgery compared with perioperative perceptions and experience.

Materials & Methods: Prospective study of patients undergoing outpatient total hip or knee arthroplasty at a single Tertiary Academic center. Preoperative and postoperative surveys were administered during routine clinic visits.

Results: One hundred and six patients completed preoperative surveys; 79 completed postoperative surveys and were included in the final data analysis. Fifty (63.3 %) patients reported being aware of outpatient TJA prior to undergoing the procedure. There was no difference between preoperative anticipated pain control and postoperative perceived pain control (6.64 vs. 6.88, p = 0.77). Most postoperative patients (N = 56, 70.9 %) rated outpatient surgery as "much better" or "better" than expected. Most postoperative patients (N = 68, 86 %) would opt to have outpatient surgery again. Fifty-two (65.8 %) of postoperative patients believed outpatient surgery sped up their postoperative rehabilitation.

Conclusion: For most patients, the outpatient surgical experience met or exceeded expectations. Nearly 90 % of patients would prefer to have outpatient surgery in the future, further supporting the continued migration of elective arthroplasty away from inpatient sites of care.

Citing Articles

Comparison of pain, functional and psychological trajectories between total and unicompartmental knee arthroplasties: secondary analysis of a 6-month prospective observational study.

Terradas-Monllor M, Rierola-Fochs S, Merchan-Baeza J, Pares-Martinez C, Font-Jutgla C, Hernandez-Hermoso J Arch Orthop Trauma Surg. 2024; 145(1):32.

PMID: 39666075 PMC: 11638299. DOI: 10.1007/s00402-024-05710-x.

Usage of Tranexamic Acid for Total Hip Arthroplasty: A Matched Cohort Analysis of 144,344 Patients.

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PMID: 39201061 PMC: 11355791. DOI: 10.3390/jcm13164920.

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