TY - JOUR
T1 - Variations in Surgeons' Recovery Expectations for Patients Undergoing Total Joint Arthroplasty
T2 - A survey of the AAHKS Membership
AU - Dy, Christopher J.
AU - Gonzalez Della Valle, Alejandro
AU - York, Sally
AU - Rodriguez, Jose A.
AU - Sculco, Thomas P.
AU - Ghomrawi, Hassan M.K.
PY - 2013/3
Y1 - 2013/3
N2 - 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.
AB - 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.
KW - Patient expectations
KW - Recovery expectations
KW - Total hip arthroplasty
KW - Total knee arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=84874571266&partnerID=8YFLogxK
U2 - 10.1016/j.arth.2012.06.035
DO - 10.1016/j.arth.2012.06.035
M3 - Article
C2 - 23142456
AN - SCOPUS:84874571266
SN - 0883-5403
VL - 28
SP - 401
EP - 405
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
IS - 3
ER -