ArticleThe Permanente journal2021
Factors Influencing Patient Satisfaction With Care and Surgical Outcomes for Total Hip and Knee Replacement.
Article in The Permanente journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07439315 (The Effect of a Novel Joint Distraction Knee Orthosis for Treating Medial Knee Osteoarthritis), which is not on this map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of a Novel Joint Distraction Knee Orthosis for Treating Medial Knee Osteoarthritis
Who cites it
5 citing papers in PubMed.
- Threats and responses: a qualitative study on the early postoperative ambulation experiences of older patients with kinesiophobia after total hip arthroplasty in Western China.BMC musculoskeletal disorders · 2026Article
- Association of preoperative health status with risk of complications after primary total hip arthroplasty: how useful are the measures self-rated health, ASA classification and comorbidity count?BMC musculoskeletal disorders · 2025Article
- Increasing Value for Patients With Total Joint Replacement: A Model for Hospital-Based Same-Day Discharge in an Integrated Care Setting.The Permanente journal · 2024Article
- Factors Influencing Patient Satisfaction with Total Joint Replacement Surgery.Orthopedic reviews · 2024Article
- Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough patient satisfaction with total joint arthroplasty has been a well-measured outcome, little is known about how preadmission and post-discharge care experiences affect patients' rating of satisfaction.
objectiveThis work aimed to identify actionable factors associated with better ratings of overall care and surgical results.
methodsA 36-item survey assessing care in the preoperative, perioperative, and post-discharge phases of care and across all phases was mailed to 7,031 patients who underwent primary unilateral elective total hip arthroplasty and total knee arthroplasty in 2018. Exploratory factor analysis identified 7 actionable domains. Stepwise logistic regression models identified domains associated with ratings of overall care and satisfaction with surgical outcome.
resultsOf the 3,026 (43%) patients who returned the survey; 2,814 (93%) rated their overall experience of care as very good or excellent and satisfaction with surgical results as ≥ 7 on a 10-point scale. In exploratory factor analysis, four factors predicted higher ratings of both overall care and surgical outcome: knowing what to do with symptoms and pain during recovery (factor 1), self-reported health (factor 3), knowing what to expect before surgery (factor 4), and shared decision making (factor 6). Coordinated information among providers (factor 2), home health experience (factor 5), and patient-provider relationships (factor 7) also predicted overall care ratings.
conclusionPatient-centered quality improvement in total joint replacement care requires thinking of care across the entire episode, including before and after the hospital stay for surgery, in addition to perioperative care. The actionable factors identified from this study can be incorporated into total joint replacement care to improve patients' satisfaction with overall care and surgical results.
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