ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2020
Single-item satisfaction scores mask large variations in pain, function and joint awareness in patients following total joint arthroplasty.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Validation of a standardized question and a numerical rating scale for assessment of patient satisfaction after knee arthroplasty at one and two years.Bone & joint open · 2026Article
- Robotic arm-assisted versus manual total hip arthroplasty.Bone & joint research · 2021Article
- Psychometric Assessment of Modified Harris Hip Score for Femoral Neck Fracture in Indian Population.Indian journal of orthopaedics · 2020Article
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5 authors.
Funding
Abstract
introductionSingle-item questions assessing patient satisfaction following total hip or knee arthroplasty (THA/TKA) provide immediate and comprehensible information. However, they have limited reliability as satisfaction as a concept is influenced by factors unrelated to surgery. The aim of this retrospective study was to evaluate variation in pain, function and joint awareness relative to the patients' satisfaction response following THA/TKA.
methodsWe analysed absolute and improvement scores on the Oxford Knee or Hip score (OKS or OHS) and the Forgotten Joint Score-12 (FJS-12) across satisfaction groups. Patient-reported outcome measures were assessed prior to surgery and at 12-month follow-up. Postoperative satisfaction was assessed using a 5-point Likert scale single-item question.
resultsWe analysed data from 434 TKA patients (mean age 70.4 ± 9.2 years; 54.8% female) and 247 THA patients (mean age 67.3 ± 11.8 years; 57.5% female). Satisfied or very satisfied patients showed higher absolute scores and better improvement in function, pain and joint awareness at 12 months (both, p < 0.001). 13.4% of (very) satisfied THA patients scored equally or worse on the FJS-12 than before surgery. On the OHS, this percentage was 2.8%. In TKAs, these percentages were 7.0% on the FJS-12 and 3.2% on the OKS.
conclusionsWhile higher satisfaction is associated with better patient-reported outcomes and stronger postoperative improvement, a certain percentage of patients score poorly while reporting a high satisfaction. Our results highlight the difficulty in interpreting the meaning of a single satisfaction question, as this provides limited information on patients' treatment outcome and may be biased by factors unrelated to the intervention.
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