Chinese patients' satisfaction with total hip arthroplasty: what is important and dissatisfactory?

Hao Tang; Hui Du; Qiheng Tang; Dejin Yang; Hongyi Shao; Yixin Zhou

doi:10.1016/j.arth.2013.12.032

Chinese patients' satisfaction with total hip arthroplasty: what is important and dissatisfactory?

J Arthroplasty. 2014 Dec;29(12):2245-50. doi: 10.1016/j.arth.2013.12.032. Epub 2014 Jan 8.

Authors

Hao Tang¹, Hui Du¹, Qiheng Tang¹, Dejin Yang¹, Hongyi Shao¹, Yixin Zhou¹

Affiliation

¹ Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, Beijing, China.

PMID: 24524778
DOI: 10.1016/j.arth.2013.12.032

Abstract

Through validated self-administered questionnaires, we conducted a retrospective investigation in 818 patients (1009 hips) who underwent primary THA, to collect data on overall satisfaction plus satisfaction and importance rating for 16 specific functions and issues. Overall, 8.1% patients were dissatisfied with the surgery. The top 3 important items are pain relief, squatting, and walking. The top 3 dissatisfactory items are jogging, squatting, and rising after squatting. The strongest risk factors for dissatisfaction with walking were pain (6.1×), muscle weakness(3.7×), and LLD (3.3×). The strongest risk factors for dissatisfaction with squatting were low postoperative HHS ROM (3.7×) and muscle weakness (2.6×). For Chinese patients, ROM, muscle strength and LLD are very important.

Keywords: Importance; Satisfaction; Total hip arthroplasty.

MeSH terms

Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip / psychology*
Asian People / psychology
China
Female
Humans
Male
Middle Aged
Patient Outcome Assessment
Patient Satisfaction*
Retrospective Studies
Surveys and Questionnaires
Young Adult