EVALUATION OF PATIENT SATISFACTION IN DELHI- NCR POPULATION AFTER TOTAL KNEE REPLACEMENT
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Keywords
Total Knee Arthroplasty, Osteoarthritis, Post Surgery Satisfaction Score.
Abstract
Introduction: This study was aimed to assess the overall satisfaction among the patients who undergone for total Knee replacement Surgery in Delhi- NCR. The total knee arthroplasty is the successful orthopedic procedures and also considered as economical surgery. TKA offers reliable outcomes for individuals with degenerative, end-stage and tri-compartmental osteoarthritis (OA). Although huge number of people are impacted by OA, The most frequently impacted joint is the knee. The most frequent clinical finding in TKA patients is OA, however there are additional underlying conditions that could be present, such as Inflammatory-Arthritis, Fracture, Dysplasia, and Malignancy.
Material and Methods: This longitudinal study was conducted in patients having a complete knee replacement at the Department of Orthopedics, GS Medical College and Hospital. After knee surgery, they were assessed for post-operative satisfaction at OPD follow-up or telephone interview and postoperative satisfaction score using questionnaires were obtained.
Results: 86% patients were considered satisfied unsatisfied due to uneventful complication that could have happened during or after surgery, while 14% patients were rated as unsatisfied. Patients who received a total score of 15 or less are considered as unsatisfied.
Conclusion: Some of the many factors affecting patient satisfaction are manageable through specialist and should be enhanced by continued research. In the present study, we worked to eliminate other causes of dissatisfaction, including the cleanliness of the ward, hospital management and patient-staff communication. Total knee arthroplasty is recommended for patients with advanced arthritis because it improves postoperative pain and work more efficiently for the patients.
References
2. Guo B, Qin S, Huang Y. [Research progress of knee-salvage treatment for knee osteoarthritis]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 Oct 15;32(10):1292-1296.
3. Ghosh A, Chatterji U. An evidence-based review of enhanced recovery after surgery in total knee replacement surgery. J Perioper Pract. 2019 Sep;29(9):281-290.
4. Metcalfe AJ, Ahearn N, Hassaballa MA, Parsons N, Ackroyd CE, Murray JR, Robinson JR, Eldridge JD, Porteous AJ. The Avon patellofemoral joint arthroplasty: two- to 18-year results of a large single-centre cohort. Bone Joint J. 2018 Sep;100-B(9):1162-1167.
5. Weiss JM, Noble PC, Conditt MA, Kohl HW, Roberts S, Cook KF, et al. What functional activities are important to patients with knee replacements?. Clin Orthopaed Relat Res. 2002;404:172-88.
6. Robertsson O, Dunbar M, Pehrsson T, Knutson K, Lidgren L. Patient satisfaction after knee arthroplasty: a report on 27,372 knees operated on between 1981 and 1995 in Sweden. Acta Orthopaed Scand. 2000;71(3): 262-7.
7. Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KD. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not? Clinl Orthopaed Related Res. 2010;468(1):57-63.
8. Bryan S, Goldsmith LJ, Davis JC, Hejazi S, MacDonald V, McAllister P, et al. Revisiting patient satisfaction following total knee arthroplasty: a longitudinal observational study. BMC Musculoskelet Disord. 2018;19(1):1-8.
9. Scott C, Oliver W, MacDonald D, Wade F, Moran M, Breusch S. Predicting dissatisfaction following total knee arthroplasty in patients under 55 years of age. Bone Joint J. 2016;98(12):1625-34.
10. Clement N, Bardgett M, Weir D, Holland J, Gerrand C, Deehan D. The rate and predictors of patient satisfaction after total knee arthroplasty are influenced by the focus of the question: a standard satisfaction question is required. Bone Joint J. 2018;100(6):740-8.
11. Clement N, Bardgett M, Weir D, Holland J, Gerrand C, Deehan D. Three groups of dissatisfied patients exist after total knee arthroplasty: early, persistent, and late. Bone Joint J. 2018;100(2):161-9.
12. Jüni P, Reichenbach S, Dieppe P. Osteoarthritis: rational approach to treating the individual. Res Clin Rheumatol. 2006;20(4):721-40.
13. Noble PC, Conditt MA, Cook KF, Mathis KB. The John Insall Award: patient expectations affect satisfaction with total knee arthroplasty. Clin Orthopaed Related Res. 2006;452:35-43.
14. Lau RL, Gandhi R, Mahomed S, Mahomed N. Patient satisfaction after total knee and hip arthroplasty. Clin Ger Med. 2012;28(3):349-65.
15. Dunbar M, Haddad F. Patient satisfaction after total knee replacement: new inroads. Clin Ger Med. 2014; 10:1285-6.
16. Gibon E, Goodman MJ, Goodman SB. Patient satisfaction after total knee arthroplasty: a realistic or imaginary goal? Orthoped Clin. 2017;48(4):421-31.
17. Kahlenberg CA, Nwachukwu BU, McLawhorn AS, Cross MB, Cornell CN, Padgett DE. Patient satisfaction after total knee replacement: a systematic review. HSS J. 2018;14(2):192-201.
18. Clement N, Bardgett M, Weir D, Holland J, Gerrand C, Deehan D. Three groups of dissatisfied patients exist after total knee arthroplasty: early, persistent, and late. Bone Joint J. 2018;100(2):161-9
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Dev Reshi Kumar Pandey
1Associate Professor, Department of Orthopedics, GS Medical College & Hospital Pilkhuwa, Hapur- 245304 (U.P.) India
Ripudaman Sharma
Assistant Professor, Department of Orthopedics, GS Medical College & Hospital Pilkhuwa, Hapur-245304 (U.P.) India
Suhail Wani
Senior Resident, Department of Orthopedics, GS Medical College & Hospital Pilkhuwa, Hapur- 245304 (U.P.) India
Jay Prakash Singh Rajput
Assistant Professor, Department of Physiology, GS Medical College & Hospital Pilkhuwa, Hapur- 245304 (U.P.) India