Hip arthroplasty in Montenegro: satisfaction and experience of hip arthroplasty patients with health care in correlation with comorbidity
Keywords:
hip arthroplasty; satisfaction; health care; comorbidity
Abstract
Introduction/Objective: The goal of this research was to determine the importance of hip arthroplasty in Montenegro through patient satisfaction and experience with health care, as well as the impact of comorbidities on the recovery and general health of patients after surgery.
Methods: This retrospective study was conducted among 184 patients who underwent hip replacement in Montenegro, at the Clinical Center of Montenegro and General Hospital Berane. We collected data during October 2019 to February 2020 at outpatient control visits, where respondents voluntarily filled out the questionnaire.
Resuls: Based on the responses received after the survey, a high level of patient satisfaction with health care was established. The average score of hip pain before surgery in the subjects was 4.35 ± 0.86, and after the surgery there was a statistically significant improvement (t = 23.517; p=0.001), and the average score was 2.46 ± 0.86. Hip-related difficulties were rated as 4.61 ± 0.92 before surgery and 3.09 ± 0.95 after surgery. Using the ANOVA test, a statistically significant difference was found in the quality of mental and general health of subjects with hip surgery in terms of comorbidity present (p < 0.05).
Conslusion: The research results indicated that greater satisfaction with the health care of patients with hip arthroplasty predicts a better quality of recovery. Respondents with metabolic and digestive diseases and respondents with cardiovascular diseases rated the quality of general and mental health the worst after surgery.
References
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17. Matthias J, Bostrom MP, Lane JM. A Comparison of Risks and Benefits Regarding Hip Arthroplasty Fixation. J Am Acad Orthop Surg Glob Res Rev. 2021;5(11):e21.00014. [DOI: 10.5435/JAAOSGlobal-D-21-00014.] [PMID: 34726640]
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19. Wang MC, Chan PH, Paxton EW, Bellows J, Koplan K, Rabrenovich V, et al. Factors Influencing Patient Satisfaction With Care and Surgical Outcomes for Total Hip and Knee Replacement. Perm J. 2021;25:21.043. [DOI: 10.7812/TPP/21.043.] [PMID: 35348097]
20. Eftekhary N, Feng JE, Anoushiravani AA, Schwarzkopf R, Vigdorchik JM, Long WJ. Revision Versus Primary Hospital Consumer Assessment of Healthcare Providers and Systems Scores in Total Joint Arthroplasty. J Arthroplasty. 2019;34(7S):S84-S90. [DOI: 10.1016/j.arth.2018.11.019. Epub 2018 Nov 20.] [PMID: 30545652]
21. Stapleton E, Frane N, Lentz J, Yngstrom K, Healy C, Cohn R, et al. Impact of a Resident-Guided Rounding Initiative on the Hospital Consumer Assessment of Healthcare Providers and Systems Survey Scores in Orthopaedic Surgery Inpatients. J Am Acad Orthop Surg Glob Res Rev. 2019;3(4):e041. [DOI: 10.5435/JAAOSGlobal-D-18-00041.] [PMID: 31334476]
22. Mistry JB, Gwam CU, Chughtai M, Khlopas A, Ramkumar P, Piuzzi NS, et al. Factors Influencing Patients' Hospital Rating After Total Joint Arthroplasty. Orthopedics. 2017;40(6):377-380. [DOI: 10.3928/01477447-20171019-03.] [PMID: 29116323]
23. Ethgen O, Bruyère O, Richy F, Dardennes C, Reginster JY. Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004;86(5):963-74. [DOI: 10.2106/00004623-200405000-00012.] [PMID: 15118039]
24. Frassanito L, Vergari A, Nestorini R, Cerulli G, Placella G, Pace V, et al. Enhanced recovery after surgery (ERAS) in hip and knee replacement surgery: description of a multidisciplinary program to improve management of the patients undergoing major orthopedic surgery. Musculoskelet Surg. 2020;104(1):87-92. [DOI: 10.1007/s12306-019-00603-4. Epub 2019 May 3.] [PMID: 31054080]
25. Institute for Public Health of Montenegro (2017). Research on the quality of life, lifestyles and health risks of the inhabitants of Montenegro 2017: national research report. Podgorica. Available from: https://www.ijzcg.me/me/izvjestaji/izvjestaj-o-kvalitetu-zivota-zivotnim-stilovima-i-rizicima
26. Arbab D, van Ochten JHM, Schnurr C, Bouillon B, König D. Assessment of reliability, validity, responsiveness and minimally important change of the German Hip dysfunction and osteoarthritis outcome score (HOOS) in patients with osteoarthritis of the hip. Rheumatol Int. 2017;37(12):2005-2011. [DOI: 10.1007/s00296-017-3834-y. Epub 2017 Oct 5.] [PMID: 28983666]
27. Jansson MM, Harjumaa M, Puhto AP, Pikkarainen M. Patients' satisfaction and experiences during elective primary fast-track total hip and knee arthroplasty journey: A qualitative study. J Clin Nurs. 2020;29(3-4):567-582. [DOI: 10.1111/jocn.15121. Epub 2019 Dec 8.] [PMID: 31769559]
28. Sinclair ST, Emara AK, Orr MN, McConaghy KM, Klika AK, Piuzzi NS. Comorbidity indices in orthopaedic surgery: a narrative review focused on hip and knee arthroplasty. EFORT Open Rev. 2021;6(8):629-640. [DOI: 10.1302/2058-5241.6.200124.] [PMID: 34584773]
29. Petrović D, Dimić S, Božović A, Tabaković D, Jovanović S, et al. The influence of comorbidities on the postoperative course and mortality in patients with hip fracture', Serbian archive of medicine, 2022;150(7-8) 433-438. [DOI: https://doi.org/10.2298/SARH211229052P]
30. Institute for Public Health of Serbia "Dr. Milan Jovanovic Batut", Republic of Serbia (2020), Analysis of user satisfaction with health care in state health institutions of the Republic of Serbia in 2019. Available from:
https://www.batut.org.rs/download/izvestaji/Analiza%20zadovoljstva%20korisnik%202019.pdf .
2. Gonçalves TJM, Gonçalves SEAB, Nava N, Jorge VC, Okawa AM, Rocha VA, et al. Perioperative Immunonutrition in Elderly Patients Undergoing Total Hip and Knee Arthroplasty: Impact on Postoperative Outcomes. JPEN J Parenter Enteral Nutr. 2021;45(7):1559-1566. [DOI: 10.1002/jpen.2028. Epub 2020 Oct 29.] [PMID: 33044001]
3. Lespasio MJ, Sultan AA, Piuzzi NS, Khlopas A, Husni ME, Muschler GF, et al. Hip Osteoarthritis: A Primer. Perm J. 2018;22:17-084. [DOI: 10.7812/TPP/17-084.] [PMID: 29309269]
4. Miettinen HJA, Mäkirinne-Kallio N, Kröger H, Miettinen SSA. Health-Related Quality of Life after Hip and Knee Arthroplasty Operations. Scand J Surg. 2021;110(3):427-433. [DOI: 10.1177/1457496920952232. Epub 2020 Aug 31] [PMID: 32862793]
5. Świtoń A, Wodka-Natkaniec E, Niedźwiedzki Ł, Gaździk T, Niedźwiedzki T. Activity and Quality of Life after Total Hip Arthroplasty. Ortop Traumatol Rehabil. 2017;19(5):441-450. [DOI: 10.5604/01.3001.0010.5823.] [PMID: 29154234]
6. Quah C, Holmes D, Khan T, Cockshott S, Lewis J, Stephen A. The variability in Oxford hip and knee scores in the preoperative period: is there an ideal time to score? Ann R Coll Surg Engl. 2018;100(1):16-20. [DOI: 10.1308/rcsann.2017.0090. Epub 2017 Sep 15.] [PMID: 29022778]
7. Sinclair ST, Emara AK, Orr MN, McConaghy KM, Klika AK, Piuzzi NS. Comorbidity indices in orthopaedic surgery: a narrative review focused on hip and knee arthroplasty. EFORT Open Rev. 2021;6(8):629-640. [DOI: 10.1302/2058-5241.6.200124.] [PMID: 34584773]
8. Buirs LD, Van Beers LW, Scholtes VA, Pastoors T, Sprague S, Poolman RW. Predictors of physical functioning after total hip arthroplasty: a systematic review. BMJ Open. 2016;6(9):e010725. [DOI: 10.1136/bmjopen-2015-010725.] [PMID: 27601486]
9. Ryu IS, Shim JL. The Relationship between Compassion Satisfaction and Fatigue with Shift Nurses' Patient Safety-Related Activities. Iran J Public Health. 2022;51(12):2724-2732. [DOI: 10.18502/ijph.v51i12.11463.] [PMID: 36742240]
10. Wang MC, Chan PH, Paxton EW, Bellows J, Koplan K, Rabrenovich V, et al. Factors Influencing Patient Satisfaction With Care and Surgical Outcomes for Total Hip and Knee Replacement. Perm J. 2021;25:21.043. [DOI: 10.7812/TPP/21.043.] [PMID: 35348097]
11. Saueressig T, Owen PJ, Zebisch J, Herbst M, Belavy DL. Evaluation of Exercise Interventions and Outcomes After Hip Arthroplasty: A Systematic Review and Meta-analysis. JAMA Netw Open. 2021;4(2):e210254. [DOI: 10.1001/jamanetworkopen.2021.0254.] [PMID: 33635329]
12. Nagappa M, Querney J, Martin J, John-Baptiste A, Subramani Y, Lanting B, et al. Perioperative Satisfaction and Health Economic Questionnaires in Patients Undergoing an Elective Hip and Knee Arthroplasty: A Prospective Observational Cohort Study. Anesth Essays Res. 2021;15(4):413-438. [DOI: 10.4103/aer.aer_5_22. Epub 2022 Mar 30.] [PMID: 35422546]
13. Zečević-Luković T, Mladenović K, Kostić N, Đonović N, Milenković, B, Mladenović R. Dislocation after placement of primary unilateral total hip arthroplasty - hip geometry and risk factors - a matched cohort study. Serbian archive for all medicine, 2020;148(11-12), 711-717. [DOI: https://doi.org/10.2298/SARH190927051Z]
14. Ray GS, Ekelund P, Nemes S, Rolfson O, Mohaddes M. Changes in health-related quality of life are associated with patient satisfaction following total hip replacement: an analysis of 69,083 patients in the Swedish Hip Arthroplasty Register. Acta Orthop. 2020;91(1):48-52. [DOI: 10.1080/17453674.2019.1685284. Epub 2019 Nov 4.] [PMID: 31680594]
15. Statistical office of Montenegro - MONSTAT (2022), Directorate for Statistics of Montenegro, Statistical Yearbook, Podgorica, 189. Available from: https://www.monstat.org/uploads/files/publikacije/godisnjak%202022/25.pdf
16. Lyman S, Lee YY, McLawhorn AS, Islam W, MacLean CH. What Are the Minimal and Substantial Improvements in the HOOS and KOOS and JR Versions After Total Joint Replacement? Clin Orthop Relat Res. 2018;476(12):2432-2441. [DOI: 10.1097/CORR.0000000000000456.] [PMID: 30179951]
17. Matthias J, Bostrom MP, Lane JM. A Comparison of Risks and Benefits Regarding Hip Arthroplasty Fixation. J Am Acad Orthop Surg Glob Res Rev. 2021;5(11):e21.00014. [DOI: 10.5435/JAAOSGlobal-D-21-00014.] [PMID: 34726640]
18. Jain D, Bendich I, Nguyen LL, Nguyen LL, Lewis CG, Huddleston JI, et al. Do Patient Expectations Influence Patient-Reported Outcomes and Satisfaction in Total Hip Arthroplasty? A Prospective, Multicenter Study. J Arthroplasty. 2017;32(11):3322-3327. [DOI: 10.1016/j.arth.2017.06.017. Epub 2017 Jun 16.] [PMID: 28693888]
19. Wang MC, Chan PH, Paxton EW, Bellows J, Koplan K, Rabrenovich V, et al. Factors Influencing Patient Satisfaction With Care and Surgical Outcomes for Total Hip and Knee Replacement. Perm J. 2021;25:21.043. [DOI: 10.7812/TPP/21.043.] [PMID: 35348097]
20. Eftekhary N, Feng JE, Anoushiravani AA, Schwarzkopf R, Vigdorchik JM, Long WJ. Revision Versus Primary Hospital Consumer Assessment of Healthcare Providers and Systems Scores in Total Joint Arthroplasty. J Arthroplasty. 2019;34(7S):S84-S90. [DOI: 10.1016/j.arth.2018.11.019. Epub 2018 Nov 20.] [PMID: 30545652]
21. Stapleton E, Frane N, Lentz J, Yngstrom K, Healy C, Cohn R, et al. Impact of a Resident-Guided Rounding Initiative on the Hospital Consumer Assessment of Healthcare Providers and Systems Survey Scores in Orthopaedic Surgery Inpatients. J Am Acad Orthop Surg Glob Res Rev. 2019;3(4):e041. [DOI: 10.5435/JAAOSGlobal-D-18-00041.] [PMID: 31334476]
22. Mistry JB, Gwam CU, Chughtai M, Khlopas A, Ramkumar P, Piuzzi NS, et al. Factors Influencing Patients' Hospital Rating After Total Joint Arthroplasty. Orthopedics. 2017;40(6):377-380. [DOI: 10.3928/01477447-20171019-03.] [PMID: 29116323]
23. Ethgen O, Bruyère O, Richy F, Dardennes C, Reginster JY. Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004;86(5):963-74. [DOI: 10.2106/00004623-200405000-00012.] [PMID: 15118039]
24. Frassanito L, Vergari A, Nestorini R, Cerulli G, Placella G, Pace V, et al. Enhanced recovery after surgery (ERAS) in hip and knee replacement surgery: description of a multidisciplinary program to improve management of the patients undergoing major orthopedic surgery. Musculoskelet Surg. 2020;104(1):87-92. [DOI: 10.1007/s12306-019-00603-4. Epub 2019 May 3.] [PMID: 31054080]
25. Institute for Public Health of Montenegro (2017). Research on the quality of life, lifestyles and health risks of the inhabitants of Montenegro 2017: national research report. Podgorica. Available from: https://www.ijzcg.me/me/izvjestaji/izvjestaj-o-kvalitetu-zivota-zivotnim-stilovima-i-rizicima
26. Arbab D, van Ochten JHM, Schnurr C, Bouillon B, König D. Assessment of reliability, validity, responsiveness and minimally important change of the German Hip dysfunction and osteoarthritis outcome score (HOOS) in patients with osteoarthritis of the hip. Rheumatol Int. 2017;37(12):2005-2011. [DOI: 10.1007/s00296-017-3834-y. Epub 2017 Oct 5.] [PMID: 28983666]
27. Jansson MM, Harjumaa M, Puhto AP, Pikkarainen M. Patients' satisfaction and experiences during elective primary fast-track total hip and knee arthroplasty journey: A qualitative study. J Clin Nurs. 2020;29(3-4):567-582. [DOI: 10.1111/jocn.15121. Epub 2019 Dec 8.] [PMID: 31769559]
28. Sinclair ST, Emara AK, Orr MN, McConaghy KM, Klika AK, Piuzzi NS. Comorbidity indices in orthopaedic surgery: a narrative review focused on hip and knee arthroplasty. EFORT Open Rev. 2021;6(8):629-640. [DOI: 10.1302/2058-5241.6.200124.] [PMID: 34584773]
29. Petrović D, Dimić S, Božović A, Tabaković D, Jovanović S, et al. The influence of comorbidities on the postoperative course and mortality in patients with hip fracture', Serbian archive of medicine, 2022;150(7-8) 433-438. [DOI: https://doi.org/10.2298/SARH211229052P]
30. Institute for Public Health of Serbia "Dr. Milan Jovanovic Batut", Republic of Serbia (2020), Analysis of user satisfaction with health care in state health institutions of the Republic of Serbia in 2019. Available from:
https://www.batut.org.rs/download/izvestaji/Analiza%20zadovoljstva%20korisnik%202019.pdf .
Published
2024/06/30
Section
Original Scientific Paper