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Abstract
BACKGROUND AND PURPOSE: Several studies have compared fast-track with conventional pathways for total hip arthroplasty (THA) patients, but none have compared different fast-track pathways. Due to COVID-19 restrictions, our department had to minimize patient-staff contact in the THA pathway. First, telephone consultations were implemented instead of an outpatient clinic visit and subsequently preoperative patient education was discontinued. This enabled us to compare patient-reported outcomes and satisfaction among 3 fast-track pathways. PATIENTS AND METHODS: We collected data from patients treated for hip osteoarthritis with THA at Gødstrup Hospital between 2018 and 2021. The patients had experienced 1 of 3 pathways and were interviewed via telephone between 2 and 6 months after discharge. We analyzed the influence of patient pathway on patient-reported pain and mobility level, self-perceived complications, and compliance using logistic regression. We then compared the pathway's effect on patient satisfaction both for the total sample and for the patients who experienced complications. RESULTS: The amount of patient-staff contact in the patient pathway did not have any influence on patientreported outcomes or the probability of self-perceived complications. For the full sample, patient-staff contact had no statistically significant influence on patient satisfaction either, but for the subgroup of patients experiencing complications, the pathways with less patient-staff contact reduced satisfaction. Patient satisfaction was primarily related to pain and mobility outcomes. INTERPRETATION: Our results indicate that reducing patient-staff contact in fast-track THA can be done without influencing mobility and pain outcomes, but the overall satisfaction among patients with self-perceived complications will be negatively affected.
Originalsprog | Engelsk |
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Tidsskrift | Acta Orthopaedica |
Vol/bind | 93 |
Sider (fra-til) | 264-270 |
ISSN | 1745-3674 |
DOI | |
Status | Udgivet - jan. 2022 |
Fingeraftryk
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Forming the patient pathway to fit the patient’s preferences – behavioral economics meets fast-track arthroplasty
Hansen, J. B. (Ph.d.-studerende), Sørensen, J. F. L. (Vejleder), Angel, S. (Samarbejdspartner) & Hansen, T. B. (Samarbejdspartner)
01/07/2021 → 31/12/2024
Projekter: Projekt › Ph.d-projekt