Assessment patient satisfaction after total knee replacement in Indian population
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20231178Keywords:
Total knee replacement, Patient satisfaction score, ОsteоаrthritisAbstract
Background: We aim to assess the satisfaction of patients after total Knee replacement in Indian population. Tоtаl knee Аrthrорlаsty is most commonly performed for osteoarthritis, and also for other knee diseases such as rheumatoid arthritis and psoriatic arthritis. Knee reрlасement surgeries helрs tо restоre nоrmаl meсhаniсs during level wаlking аs well аs mоre demanding аnd соmрlex асtivities suсh аs stаir negоtiаtiоn. Раtient sаtisfасtiоn rаtes fоr the рrосedure hаve been reроrted between 81-97%. However, this leаves а signifiсаnt роrtiоn оf the TKR рорulаtiоn аs dissаtisfied with the оutсоmes оf the reрlасed knee.
Methods: Patients were assessed at opd visit or with telephonic conversation and scores are calculated and mentioned in excel sheet. Post surgery satisfaction (PSS) score is the score created to measure the satisfaction after total hip replacement. This score contains different questionnaires. These questions include inquiry about relief of pain, ability to do daily routine activities, requirement of walking aids etc. Score contains total 7 questions.
Results: Out of 55 patients we found through this study that about 92.7% were classified as satisfied while 7.3% patients were dissatisfied. Satisfaction rate is more as compared to dissatisfaction rate.
Conclusions: In present study we have tried to eliminate other factors responsible for dissatisfaction such as hospital ward cleanliness, hospital administration, patient and hospital staff communication. we recommend total knee replacement surgery for end stage arthritis and it is more beneficial to the patients in terms of improvement in post-operative pain and function.
References
Felts E, Parratte S, Pauly V, Aubaniac J-M, Argenson J-N. Function and quality of life following medial unicompartmental knee arthroplasty in patients 60 years of age or younger. Orthopaed Traumatol Surg Res. 2010;96(8):861-7.
Weiss JM, Noble PC, Conditt MA, Kohl HW, Roberts S, Cook KF, et al. What functional activities are important to patients with knee replacements?. Clin Orthopaed Relat Res. 2002;404:172-88.
Robertsson O, Dunbar M, Pehrsson T, Knutson K, Lidgren L. Patient satisfaction after knee arthroplasty: a report on 27,372 knees operated on between 1981 and 1995 in Sweden. Acta Orthopaed Scand. 2000;71(3): 262-7.
Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KD. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clinl Orthopaed Related Res. 2010;468(1):57-63.
Dunbar MJ, Richardson G, Robertsson O. I can’t get no satisfaction after my total knee replacement: rhymes and reasons. Bone Joint J. 2013;95(11):148-52.
Bryan S, Goldsmith LJ, Davis JC, Hejazi S, MacDonald V, McAllister P, et al. Revisiting patient satisfaction following total knee arthroplasty: a longitudinal observational study. BMC Musculoskelet Disord. 2018;19(1):1-8.
Ali A, Sundberg M, Robertsson O, Dahlberg LE, Thorstensson CA, Redlund-Johnell I, et al. Dissatisfied patients after total knee arthroplasty: a registry study involving 114 patients with 8-13 years of follow-up. Acta Orthopaed. 2014;85(3):229-33.
Anderson JG, Wixson RL, Tsai D, Stulberg SD, Chang RW. Functional outcome and patient satisfaction in total knee patients over the age of 75. J Arthroplasty. 1996;11(7):831-40.
Baker P, Van der Meulen J, Lewsey J, Gregg P. The role of pain and function in determining patient satisfaction after total knee replacement: data from the National Joint Registry for England and Wales. J Bone J Surg Br. 2007;89(7):893-900.
Scott C, Oliver W, MacDonald D, Wade F, Moran M, Breusch S. Predicting dissatisfaction following total knee arthroplasty in patients under 55 years of age. Bone Joint J. 2016;98(12):1625-34.
Neuprez A, Delcour J-P, Fatemi F, Gillet P, Crielaard J-M, Bruyère O, et al. Patients’ expectations impact their satisfaction following total hip or knee arthroplasty. PLoS One. 2016;11(12):e0167911.
Clement N, Bardgett M, Weir D, Holland J, Gerrand C, Deehan D. The rate and predictors of patient satisfaction after total knee arthroplasty are influenced by the focus of the question: a standard satisfaction question is required. Bone Joint J. 2018;100(6):740-8.
Clement N, Bardgett M, Weir D, Holland J, Gerrand C, Deehan D. Three groups of dissatisfied patients exist after total knee arthroplasty: early, persistent, and late. Bone Joint J. 2018;100(2):161-9.
Patient satisfaction following total knee Arthroplasty: Comparision of short-term results in rheumatoid arthritis and osteoarthritis. Arch Bone Joint Surg. 2019; 7(1):61-6.
Jüni P, Reichenbach S, Dieppe P. Osteoarthritis: rational approach to treating the individual. Res Clin Rheumatol. 2006;20(4):721-40.
Noble PC, Conditt MA, Cook KF, Mathis KB. The John Insall Award: patient expectations affect satisfaction with total knee arthroplasty. Clin Orthopaed Related Res. 2006;452:35-43.
Lau RL, Gandhi R, Mahomed S, Mahomed N. Patient satisfaction after total knee and hip arthroplasty. Clin Ger Med. 2012;28(3):349-65.
Barlow T, Clark T, Dunbar M, Metcalfe A. The effect of expectation on satisfaction in total knee replacements: a systematic review. Springerplus. 2016; 5(1):1-7.
Choi Y-J, Ra HJ. Patient satisfaction after total knee arthroplasty. Knee Surg Related Res. 2016;28(1):1.
Dunbar M, Haddad F. Patient satisfaction after total knee replacement: new inroads. Clin Ger Med. 2014; 10:1285-6.
Gibon E, Goodman MJ, Goodman SB. Patient satisfaction after total knee arthroplasty: a realistic or imaginary goal? Orthoped Clin. 2017;48(4):421-31.
Kahlenberg CA, Nwachukwu BU, McLawhorn AS, Cross MB, Cornell CN, Padgett DE. Patient satisfaction after total knee replacement: a systematic review. HSS J. 2018;14(2):192-201.