REVIEW ARTICLE
THE SURVEY ON METHODS USED FOR THE ASSESSMENT OF PATIENT’S SATISFACTION AFTER TOTAL HIP ARTHROPLASTY
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1
Clinic of Orthopaedics and Traumatology, Medical University of Warsaw, Poland
2
Student Scientific Association of Reconstructive and Oncology Orthopedics of the department
of Orthopedics and Traumatology, Medical University of Warsaw, Poland
Submission date: 2022-05-20
Final revision date: 2023-07-06
Acceptance date: 2023-09-13
Publication date: 2025-11-26
Corresponding author
Krzysztof Romaniuk
Clinic of Orthopaedics and Traumatology, Warszawski Uniwersytet Medyczny, Lindleya 4, 02-005, Warszawa, Poland
Issue Rehabil. Orthop. Neurophysiol. Sport Promot. 2023;44(3):39-51
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ABSTRACT
Introduction:
Total hip arthroplasty (THA) is a surgical procedure that improves the lives of patients with
end-stage osteoarthritis by decreasing pain, improving motor function and mobility. Despite implants and operative techniques being highly advanced, studies report that 7% of patients remain dissatisfied after the procedure. Initial preoperative health status, postoperative function and fulfilment of the patient’s expectations contribute to overall patient’s satisfaction.
Material and Methods:
The aim of our descriptive review was to identify and compare six measurement tools analysing them by focusing on their adequacy and usefulness in measurement of satisfaction after THA: Press Ganey Survey (PG), Visual Analog Scale (VAS), The Patient Satisfaction Questionnaire Short Form (PSQ-18), The Hospital for Special Surgery Hip or Knee Replacement Expectations Survey (HSS-THRES), Self-Administered Patient Satisfaction Scale (SAPS) and Hip and Knee Arthroplasty Satisfaction Scale (HKASS), which can serve as a practical guide for researchers in developing area of managing patient satisfaction as a non-specific means of improving effectiveness of the surgery. A literature review was performed by searching the PubMed, Science Direct, and Google Scholar databases.
Results:
We review the contents of the questionnaire, its properties such as time to complete, recall
period and versions available. We also discuss the impact of various factors on patient satisfaction after total hip arthroplasty such as patient expectations, age, sex, pain management, comorbidities and the length of stay. Analysis of available data shows opportunities for further improvement, as greater understanding of factors that affect patients’ satisfaction may allow healthcare providers to better adjust to expectations and challenges that people undergoing arthroplasty may face before, during and after the treatment. Due to large variety of available scales, physicians and medical personnel have possibility to adjust these tools to own liking and specificly to the patient.
Conclusions:
This is the first review that provides useful information for clinical research and every-day
routine evaluation of patient’s satisfaction after THA. Each of the measurement methods
assesses the satisfaction after THA from a different perspective.