ArticleArchives of orthopaedic and trauma surgery2017
A patient's perception of their hospital stay influences the functional outcome and satisfaction of total knee arthroplasty.
Article in Archives of orthopaedic and trauma surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Fast-track total knee arthroplasty improved clinical and functional outcome in the first 7 days after surgery: a randomized controlled pilot study with 5-year follow-up.Archives of orthopaedic and trauma surgery · 2018Trial
- Improved early recovery and shorter hospital stay with fast track protocol versus standard care in total hip arthroplasty: 5-year results from a prospective randomised controlled study.Journal of experimental orthopaedics · 2025Article
- Patients in high- and low-revision hospitals have similar outcomes after primary knee arthroplasty: 1-year postoperative results from the Danish prospective multicenter cohort study, SPARK.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Observational
- Patient-reported dissatisfaction following second side in staged bilateral total knee arthroplasty: A systematic review.World journal of orthopedics · 2022Article
- Using a patella reduced technique while balancing a TKA results in restored physiological strain in the collateral ligaments: an ex vivo kinematic analysis.Archives of orthopaedic and trauma surgery · 2022Article
- Outpatient vs. inpatient hip arthroplasty: a matched case-control study on a 90-day complication rate and 2-year patient-reported outcomes.Journal of orthopaedic surgery and research · 2020Article
- Revision total knee arthroplasty versus primary total knee arthroplasty: a matched cohort study.Bone & joint open · 2020Article
- Single-item satisfaction scores mask large variations in pain, function and joint awareness in patients following total joint arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- Effectiveness of early high-intensity balance training for early home life independence after total knee arthroplasty: a pseudo-randomized controlled trial.Physical therapy research · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTo assess whether patient satisfaction with their hospital stay influences the early outcome of total knee arthroplasty (TKA).
methodsDuring a 5-year period patients undergoing primary TKA at the study centre had prospective outcome data recorded (n = 2264). The Oxford knee score (OKS) and the short form (SF)-12 were recorded pre-operatively and 1 year post-operatively when satisfaction with their TKA was also assessed. Patient satisfaction with their hospital stay was also evaluated and their reasons for it were qualitatively documented.
resultsDecreasing level of satisfaction with their hospital stay was associated with a significantly worse post-operative OKS (p < 0.001) and SF-12 score (p < 0.001). Multivariable regression analysis confirmed that the patient's perceived level of satisfaction with their hospital stay was an independent predictor of change in the OKS (p < 0.001) and SF-12 score (p < 0.006) after adjusting for confounding variables. Patient satisfaction with their TKA was significantly influenced by their hospital experience, decreasing from 96% in those with an excellent experience to 42% in those with a poor experience. Food, staff/care, and the hospital environment were the most frequent reasons of why patients rated their hospital experience as fair or poor.
conclusionA patient's perception of their inpatient hospital experience after surgery is an important modifiable predictor of early functional outcome and satisfaction with TKA.
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