Preoperative vs Postoperative Patient Outcome and Recovery Expectations of Total Joint Arthroplasty
Background: Patient satisfaction with total joint arthroplasty (TJA) remains a challenge, with up to 20% of patients expressing dissatisfaction despite good clinical outcomes. This study aims to assess patient expectations and experiences prior to and after undergoing a primary TJA. Methods: A 13-qu...
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| Language: | English |
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Elsevier
2025-04-01
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| Series: | Arthroplasty Today |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344125000135 |
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| author | Siddhartha Dandamudi, BBA Kyleen Jan, MD Madelyn Malvitz, BS Anne DeBenedetti, MSc Omar Behery, MD, MPH Brett R. Levine, MD, MS |
| author_facet | Siddhartha Dandamudi, BBA Kyleen Jan, MD Madelyn Malvitz, BS Anne DeBenedetti, MSc Omar Behery, MD, MPH Brett R. Levine, MD, MS |
| author_sort | Siddhartha Dandamudi, BBA |
| collection | DOAJ |
| description | Background: Patient satisfaction with total joint arthroplasty (TJA) remains a challenge, with up to 20% of patients expressing dissatisfaction despite good clinical outcomes. This study aims to assess patient expectations and experiences prior to and after undergoing a primary TJA. Methods: A 13-question survey assessing patient expectations around surgical risks, logistics, physical therapy (PT), and pain was distributed in the clinics of multiple surgeons at an academic center. Each patient was categorized as either preoperative or postoperative, with similar questions for both groups. No identifying information was collected. Results: One hundred eight preoperative and 344 postoperative responses were collected. Preoperatively, 91.3% of patients felt they had enough time to ask questions compared to 98.5% (P = .01) postoperatively. Preoperative patients named risks of TJA more accurately (P < .00001). Expectations of long-term pain differed: 48.3% of preoperative patients expected no pain and 1.7% expected to be unable to move; postoperatively, 7.3% (P < .0001) reported no pain and 10.3% (P = .03) were unable to move; 17.3% of patients finished PT within 2 weeks, compared to 1.7% who believed this was possible (P =.0027). A total of 73.1% of postoperative patients requested additional weeks of PT. Only 52.1% or patients had a long-term follow-up plan in place. Conclusions: Expectations vary in patients undergoing TJA. Preoperative patients may have unrealistic expectations regarding postoperative pain and mobility. The need for more PT and the lack of a long-term follow-up plan highlight the importance of comprehensive perioperative communication to align expectations and potentially improve satisfaction and follow-up compliance. |
| format | Article |
| id | doaj-art-61ece7119b9a42a2bc48944163a65258 |
| institution | Kabale University |
| issn | 2352-3441 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj-art-61ece7119b9a42a2bc48944163a652582025-02-12T05:31:18ZengElsevierArthroplasty Today2352-34412025-04-0132101626Preoperative vs Postoperative Patient Outcome and Recovery Expectations of Total Joint ArthroplastySiddhartha Dandamudi, BBA0Kyleen Jan, MD1Madelyn Malvitz, BS2Anne DeBenedetti, MSc3Omar Behery, MD, MPH4Brett R. Levine, MD, MS5Department of Orthopaedics, Rush University Medical Center, Chicago, IL, USADepartment of Orthopaedics, Rush University Medical Center, Chicago, IL, USADepartment of Orthopaedics, Rush University Medical Center, Chicago, IL, USADepartment of Orthopaedics, Rush University Medical Center, Chicago, IL, USADepartment of Orthopaedics, Rush University Medical Center, Chicago, IL, USAMedStar Georgetown University Hospital, Georgetown University School of Medicine, Washington, DC, USA; Corresponding author. MedStar Georgetown University Hospital, 3800 Reservoir Rd, NW G-PHC, Washington, DC 20007, USA. Tel.: +1 202 444 8766.Background: Patient satisfaction with total joint arthroplasty (TJA) remains a challenge, with up to 20% of patients expressing dissatisfaction despite good clinical outcomes. This study aims to assess patient expectations and experiences prior to and after undergoing a primary TJA. Methods: A 13-question survey assessing patient expectations around surgical risks, logistics, physical therapy (PT), and pain was distributed in the clinics of multiple surgeons at an academic center. Each patient was categorized as either preoperative or postoperative, with similar questions for both groups. No identifying information was collected. Results: One hundred eight preoperative and 344 postoperative responses were collected. Preoperatively, 91.3% of patients felt they had enough time to ask questions compared to 98.5% (P = .01) postoperatively. Preoperative patients named risks of TJA more accurately (P < .00001). Expectations of long-term pain differed: 48.3% of preoperative patients expected no pain and 1.7% expected to be unable to move; postoperatively, 7.3% (P < .0001) reported no pain and 10.3% (P = .03) were unable to move; 17.3% of patients finished PT within 2 weeks, compared to 1.7% who believed this was possible (P =.0027). A total of 73.1% of postoperative patients requested additional weeks of PT. Only 52.1% or patients had a long-term follow-up plan in place. Conclusions: Expectations vary in patients undergoing TJA. Preoperative patients may have unrealistic expectations regarding postoperative pain and mobility. The need for more PT and the lack of a long-term follow-up plan highlight the importance of comprehensive perioperative communication to align expectations and potentially improve satisfaction and follow-up compliance.http://www.sciencedirect.com/science/article/pii/S2352344125000135Total joint arthroplastySatisfactionExpectationsMobility and pain |
| spellingShingle | Siddhartha Dandamudi, BBA Kyleen Jan, MD Madelyn Malvitz, BS Anne DeBenedetti, MSc Omar Behery, MD, MPH Brett R. Levine, MD, MS Preoperative vs Postoperative Patient Outcome and Recovery Expectations of Total Joint Arthroplasty Arthroplasty Today Total joint arthroplasty Satisfaction Expectations Mobility and pain |
| title | Preoperative vs Postoperative Patient Outcome and Recovery Expectations of Total Joint Arthroplasty |
| title_full | Preoperative vs Postoperative Patient Outcome and Recovery Expectations of Total Joint Arthroplasty |
| title_fullStr | Preoperative vs Postoperative Patient Outcome and Recovery Expectations of Total Joint Arthroplasty |
| title_full_unstemmed | Preoperative vs Postoperative Patient Outcome and Recovery Expectations of Total Joint Arthroplasty |
| title_short | Preoperative vs Postoperative Patient Outcome and Recovery Expectations of Total Joint Arthroplasty |
| title_sort | preoperative vs postoperative patient outcome and recovery expectations of total joint arthroplasty |
| topic | Total joint arthroplasty Satisfaction Expectations Mobility and pain |
| url | http://www.sciencedirect.com/science/article/pii/S2352344125000135 |
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