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Clinical Orthopaedics and Related Research®

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01-10-2012 | Clinical Research

Do Patient Expectations About Arthroplasty at Initial Presentation for Hip or Knee Pain Differ by Sex and Ethnicity?

Authors: Carlos J. Lavernia, MD, Juan S. Contreras, MD, Javad Parvizi, MD, Peter F. Sharkey, MD, Robert Barrack, MD, Mark D. Rossi, PhD

Published in: Clinical Orthopaedics and Related Research® | Issue 10/2012

Abstract

Background

Many studies show gender and ethnic differences in healthcare utilization and outcomes. Patients’ presurgical cognitions regarding surgical outcomes also may vary by gender and ethnicity and play a role in explaining utilization and outcome differences. However, it is unclear whether and to what extent gender and ethnicity play a role in patients’ presurgical cognitions.

Questions/Purposes

Do gender and ethnicity influence outcome expectations? Is arthroplasty-related knowledge affected by gender and ethnicity? Do gender and ethnicity influence willingness to pay for surgery?

Methods

In a prospective, multicenter study we gave 765 patients an anonymous questionnaire on expectations, arthroplasty knowledge, and preferences before their consultation for hip and/or knee pain, from March 2005 to July 2007.

Results

Six hundred seventy-two of the 765 patients (88%) completed questionnaires. Non-Hispanics and men were more likely to indicate they would be able to engage in more activities. Non-Hispanics and men had greater arthroplasty knowledge. Hispanics and women were more likely to report they would not pay for a total joint arthroplasty (TJA) relative to non-Hispanics and men.

Conclusions

Sex and ethnic differences in patients presenting for their initial visit to the orthopaedists for hip or knee pain influence expectations, knowledge, and preferences concerning TJAs. Longitudinal study of relationships between patients’ perceptions and utilization or outcomes regarding TJA is warranted.

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Title: Do Patient Expectations About Arthroplasty at Initial Presentation for Hip or Knee Pain Differ by Sex and Ethnicity?
Authors: Carlos J. Lavernia, MD
Juan S. Contreras, MD
Javad Parvizi, MD
Peter F. Sharkey, MD
Robert Barrack, MD
Mark D. Rossi, PhD
Publication date: 01-10-2012
Publisher: Springer-Verlag
Published in: Clinical Orthopaedics and Related Research® / Issue 10/2012
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-012-2431-3

At a glance: The STEP trials

Springer Medicine

Do Patient Expectations About Arthroplasty at Initial Presentation for Hip or Knee Pain Differ by Sex and Ethnicity?

Abstract

Background

Questions/Purposes

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Questions/Purposes

Methods

Results

Conclusions

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