Patients Still Wish for Key Improvements after Total Knee Arthroplasty
The Journal of Korean Knee Society
;
: 24-33, 2015.
Article
in English
| WPRIM
| ID: wpr-759163
ABSTRACT
PURPOSE:
Our goals were to rigorously document and explore the interrelationships of various parameters in the aftermath of total knee arthroplasty (TKA), including patient characteristics, clinical scores, satisfaction levels, and patient-perceived improvements. MATERIALS ANDMETHODS:
A questionnaire addressing sociodemographic factors, levels of satisfaction, and "wished-for" improvements was administered to 180 patients at least 1 year post primary TKA. Both satisfaction levels and wished-for improvements were assessed through nine paired parameters. Patients responded using an 11-point visual analogue scale (VAS) and the results were summarized as mean VAS score. Correlations between clinical scores and satisfaction levels and between satisfaction levels and desired improvements were analyzed.RESULTS:
Patient satisfaction levels were only modest (mean score, 4-7) for eight of the nine parameters, including pain relief and restoration of daily living activities, the top two ranked parameters in wished-for improvement while high-flexion activity constituted the top source of discontent. Wished-for improvement was high in seven parameters, the top three being restoration of daily living activities, pain relief, and high-flexion activity. The effects of sociodemographic factors on satisfaction levels and wished-for improvement varied. Satisfaction levels correlated positively with functional outcomes, and satisfaction in pain relief and restoration of daily living activities correlated more often and most strongly with clinical scores.CONCLUSIONS:
Following TKA, patient satisfaction is not high for a number of issues, with improvements clearly needed in restoring daily living activities and relieving pain. Continued efforts to achieve better surgical outcomes should address patient-perceived shortcomings.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arthroplasty
/
Activities of Daily Living
/
Surveys and Questionnaires
/
Patient Satisfaction
/
Knee
Limits:
Humans
Language:
English
Journal:
The Journal of Korean Knee Society
Year:
2015
Type:
Article
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