alexa Expectation, satisfaction and clinical outcome of patients after total knee arthroplasty.
Bioinformatics & Systems Biology

Bioinformatics & Systems Biology

Journal of Health & Medical Informatics

Author(s): Becker R, Dring C, Denecke A, Brosz M

Abstract Share this page

Abstract PURPOSE: There is a well-known difference between patients expectation, satisfaction and the measured clinical outcome in total knee arthroplasty (TKA). It has been hypothesized that higher expectation prior to surgery and higher satisfaction will show better clinical outcome according to well-established scoring systems, frequently used for assessment after TKA. METHODS: A consecutive group of 102 patients was included who received TKA for degenerative osteoarthritis. A modified patients expectation form was used prior and 8 months after surgery. Furthermore, the KSS, WOMAC and SF-36 served for patient assessment. Patients were grouped in responder and non-responder according to their level of expectation and fulfilment of expectation after surgery using a Likert scale. RESULTS: A total of 54 patients (53\%) showed expectation prior to surgery of 1 or 2 and a satisfaction after surgery of 1 or 2 according to the Likert scales. These patients were classified as responders. Considering the continuous parameters of KSS, SF-36 and WOMAC, a few statistically significant differences were found between the responders and non-responders at baseline (pre-surgery) and at the fulfilment of their expectation after surgery. Patient expectation prior to surgery did not differ between both groups. The more satisfied patients showed significant better results in the KSS, WOMAC and SF-36 after surgery. The parameters general health (SF-36) and role emotional (SF-36) measured prior to surgery dominate the predictive potential to get a responder with sensitivity of 74\%, specificity of 81\% and a rate of correct classification of 78\%. CONCLUSION: This study has shown that patient satisfaction correlates well with the clinical outcome according to the KSS, WOMAC and SF-36. The indication for TKA should consider the general health, emotional role and knee function of the patients as well in order to predict patient's outcome. This article was published in Knee Surg Sports Traumatol Arthrosc and referenced in Journal of Health & Medical Informatics

Relevant Expert PPTs

Relevant Speaker PPTs

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords