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. 2024 Mar 18;16(3):e56393.
doi: 10.7759/cureus.56393. eCollection 2024 Mar.

Rate and Predictors of Patient Satisfaction After Total Joint Arthroplasty: A Cross-Sectional Study in a Low-to-Middle-Income Country

Moiz Ali  1 , Fareeha Nisar  1 , Mohammad K Safri  1 , Manzar Abbas  1 , Muhammad Abdullah  1 , Haider A Lakdawala  1 , Riaz H Lakdawala  1 , Shahryar Noordin  1
Affiliations

Rate and Predictors of Patient Satisfaction After Total Joint Arthroplasty: A Cross-Sectional Study in a Low-to-Middle-Income Country

Moiz Ali et al. Cureus. .

Abstract

Objective This study aimed to assess the rate of patient satisfaction after primary total joint arthroplasty (TJA) using a validated satisfaction measure. Materials and methods A cross-sectional study was conducted, including all patients who underwent primary TJA between December 2021 and February 2023. The age of the study population was found to range from 23 to 86 years. Patient satisfaction was assessed using a validated tool comprising four questions and a quality of life (QoL) question. Results A total of 197 patients were included, with a mean age of 60.9 ± 12.7 years. Total knee replacement (TKR) was performed in 124 patients (62.9%), and total hip replacement (THR) in 73 patients (37.1%). The mean patient satisfaction score was 86.6 ± 14.4 out of a maximum of 100. A significant negative correlation was observed between the Charlson Comorbidity Index (CCI) and the overall satisfaction score (p-value = 0.029). The majority of the patients (52.3%, n = 103) answered that their QoL had greatly improved, and a similar level of improvement was noted in elderly vs. adult patients (p-value = 0.17). A significantly higher proportion of male patients reported improvement more than they ever expected compared to female patients, the majority of whom reported their QoL was greatly improved (p-value = 0.025). Conclusion Total joint arthroplasty has been shown to achieve good patient satisfaction and an improvement in QoL. However, an increased comorbidity index and female gender were identified as factors for reduced satisfaction. Hence, it is recommended to consider these factors and counsel patients accordingly based on local patient data.

Keywords: low-to-middle-income country; patient satisfaction; predictors; total hip arthroplasty; total joint arthroplasty; total knee arthroplasty.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Responses to individual patient satisfaction questions
Figure 2
Figure 2. Association of the Charlson Comorbidity Index with the patient satisfaction score
Figure 3
Figure 3. Association of the American Society of Anesthesiologists (ASA) score with the patient satisfaction score
Figure 4
Figure 4. Age group-wise response to the quality of life question
Figure 5
Figure 5. Gender-wise response to the quality of life question
Figure 6
Figure 6. Response to the quality of life question with respect to total knee or hip replacement
*TKR: total knee replacement; **THR: total hip replacement
Figure 7
Figure 7. Response to the quality of life question with respect to unilateral or bilateral total knee replacement
Figure 8
Figure 8. Response to the quality of life question with respect to unilateral or bilateral total hip replacement
Figure 9
Figure 9. Response to the quality of life question with respect to patellar resurfacing with total knee replacement
See this image and copyright information in PMC

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