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Importance of patient satisfaction with care in predicting osteoarthritis-specific health-related quality of life one year after total joint arthroplasty

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Abstract

Purpose

After previous results observed with a generic health-related quality of life (HRQoL) instrument, we aimed to confirm that immediate postoperative patient satisfaction with care predicts self-perceived health 1 year after total hip replacement/total knee replacement (THR/TKR), using an osteoarthritis (OA)-specific HRQoL questionnaire.

Methods

This was a French multicenter prospective cohort study of patients after THR/TKR. HRQoL was assessed by the OsteoArthritis Knee and Hip Quality Of Life (OAKHQOL) instrument before and after surgery and satisfaction with care by the Quality of Care Scale (QCS).

Results

A total of 189 patients were followed up 12 months after discharge (mean age 68.9 SD = 8.5; 41.9% male). After adjustment for relevant variables, patients satisfied with care postoperatively showed greater 1-year postoperative HRQOL than those less satisfied with care. Patients satisfied with medical information had a higher postoperative HRQoL score than patients less satisfied in 3 of 5 OAKHQOL dimensions (P < 0.001 to P = 0.02), and patients satisfied with relationships with staff and daily routine scored higher on all HRQoL dimensions than did less-satisfied patients (all P < 0.001).

Conclusions

These new findings with an OA-specific HRQOL questionnaire confirm that immediate postoperative satisfaction with care after THR/TKR for OA is a good predictor of self-perceived health status 1 year after surgery. Satisfaction with care therefore represents a relevant indicator of patient-reported health and is quickly accessible to clinicians.

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Acknowledgments

The authors thank the Clinical Epidemiology Centre—INSERM (Nancy); Ministry of Health; Sylvie Klein, the research assistant with responsibility for the quality of data collection; and Pr JP Delagoutte, orthopaedic surgeon, for scientific contribution. This study was funded by a 2001 Programme Hospitalier de Recherche Clinique, Health Ministry grant. The funder had no role in the design of the study, data collection, analysis, interpretation, or writing of the paper.

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Authors and Affiliations

  1. Nancy-Université, Université Paul Verlaine Metz, Université Paris Descartes, EA 4360 Apemac, Nancy, France

    Cédric Baumann, Anne-Christine Rat & Francis Guillemin

  2. INSERM CIC-EC CIE6, Hôpitaux de Brabois, Allée du Morvan, 54500, Vandoeuvre-les-Nancy, France

    Cédric Baumann, Anne-Christine Rat & Francis Guillemin

  3. CHU Nancy, Epidémiologie et Evaluation Cliniques, Nancy, France

    Cédric Baumann, Anne-Christine Rat & Francis Guillemin

  4. CHU Nancy, Chirurgie Orthopédique et Traumatologique, Nancy, France

    Didier Mainard

  5. Hôpital Bonsecours, Chirurgie Orthopédique et Traumatologique, Metz, France

    Christian Cuny

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  1. Cédric Baumann
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  2. Anne-Christine Rat
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Correspondence to Francis Guillemin.

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Baumann, C., Rat, AC., Mainard, D. et al. Importance of patient satisfaction with care in predicting osteoarthritis-specific health-related quality of life one year after total joint arthroplasty. Qual Life Res 20, 1581–1588 (2011). https://doi.org/10.1007/s11136-011-9913-8

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