Variations in Surgeons' Recovery Expectations for Patients Undergoing Total Joint Arthroplasty: A survey of the AAHKS Membership

被引：8

作者：

Dy, Christopher J. ^{[1
]}

Della Valle, Alejandro Gonzalez ^{[1
]}

York, Sally ^{[2
]}

Rodriguez, Jose A. ^{[1
]}

Sculco, Thomas P. ^{[1
]}

Ghomrawi, Hassan M. K. ^{[3
]}

机构：

[1] Hosp Special Surg, Dept Orthopaed Surg, New York, NY 10021 USA

[2] Univ Washington, Tacoma, WA USA

[3] Weill Cornell Med Coll, Dept Publ Hlth, New York, NY USA

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 03期

关键词：

recovery expectations; patient expectations; total hip arthroplasty; total knee arthroplasty; PATIENTS PREOPERATIVE EXPECTATIONS; TOTAL KNEE ARTHROPLASTY; TOTAL HIP-REPLACEMENT; AMERICAN ASSOCIATION; WAITING TIME; OUTCOMES; OSTEOARTHRITIS; VARIABILITY; PHYSICIANS; FRACTURES;

D O I：

10.1016/j.arth.2012.06.035

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Recovery expectations (RE) after total hip and knee arthroplasty (THA-TKA) influence outcomes. We surveyed AAHKS members to determine variation in surgeon RE. Four vignettes depicting patients with high and low expectations after THA and TKA were distributed with a validated RE survey. Responses were analyzed for clinically significant differences between surgeons and within surgeons. Of 1049 surgeons surveyed, 358 (34%) responded. There was a clinically significant difference in 85% (high-THA), 46% (low-THA), 74% (high-TKA), and 57% (low-TKA) of pairs. Disagreement was significantly greater in high expectation vignettes. Individual surgeons distinguished between high and low expectation patients in 76% (THA) and 72% (TKA) of cases. There was no association between surgeon RE and practice demographics. Wide variations in RE were observed, especially among high expectation patients. (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：401 / 405

页数：5

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