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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2014

Open Access 01-12-2014 | Research article

A prospective study of the association of patient expectations with changes in health-related quality of life outcomes, following total joint replacement

Authors: Marta Gonzalez Saenz de Tejada, Antonio Escobar, Amaia Bilbao, Carmen Herrera-Espiñeira, Lidia García-Perez, Felipe Aizpuru, Cristina Sarasqueta

Published in: BMC Musculoskeletal Disorders | Issue 1/2014

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Abstract

Background

Patient expectations regarding surgery may be related to outcomes in total joint replacement (TJR). The aim of this study was to determine the association of patient expectations with health related quality of life (HRQoL) outcomes measured by Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Short Form 12 (SF-12) and satisfaction with current symptoms measured on a 4-point Likert scale, one year after surgery, adjusting for Body Mass Index (BMI), age, gender, joint, education, previous intervention and baseline scores.

Methods

Consecutive patients preparing for TJR of the knee or hip due to primary osteoarthritis (OA) in 15 hospitals in Spain were recruited for the study. Patients completed questionnaires before surgery and 12 months afterwards: five questions about expectations before surgery; an item to measure satisfaction; two HRQoL instruments—WOMAC and SF-12; as well as questions about sociodemographic information. To determine the association of patient expectations at baseline, with changes in HRQoL 12 months after surgery and with satisfaction, general linear models and logistic regression analysis were performed.

Results

A total of 892 patients took part in the study. Patients who had higher pain relief or ability to walk expectations improved more in HRQoL at 12 months. Moreover, patients with high daily activity expectations were more satisfied.

Conclusions

Patients with higher baseline expectations for TJR, improved more in HRQoL at one year and had more likelihood to be satisfied than patients with lower expectations, adjusted for BMI, age, gender, joint, education, previous intervention and HRQoL baseline scores.
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Metadata
Title
A prospective study of the association of patient expectations with changes in health-related quality of life outcomes, following total joint replacement
Authors
Marta Gonzalez Saenz de Tejada
Antonio Escobar
Amaia Bilbao
Carmen Herrera-Espiñeira
Lidia García-Perez
Felipe Aizpuru
Cristina Sarasqueta
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2014
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-15-248

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