Projects per year
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.
- Arthroplasty, Replacement, Hip/methods
- COVID-19/prevention & control
- Pain Measurement
- Patient Reported Outcome Measures
- Patient Satisfaction
- Postoperative Complications/psychology
FingerprintDive into the research topics of 'Reducing patient–staff contact in fast-track total hip arthroplasty has no effect on patient-reported out-comes, but decreases satisfaction amongst patients with self-perceived complications: analysis of 211 patients'. Together they form a unique fingerprint.
- 1 Active
Forming the patient pathway to fit the patient’s preferences – behavioral economics meets fast-track arthroplasty
01/07/2021 → 31/12/2024
Project: PhD Project