Variations in Surgeons' Recovery Expectations for Patients Undergoing Total Joint Arthroplasty: A survey of the AAHKS Membership

Christopher J. Dy, Alejandro Gonzalez Della Valle*, Sally York, Jose A. Rodriguez, Thomas P. Sculco, Hassan M K Ghomrawi

*Corresponding author for this work

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)401-405
Number of pages5
JournalJournal of Arthroplasty
Volume28
Issue number3
DOIs
StatePublished - Mar 1 2013

Keywords

  • Patient expectations
  • Recovery expectations
  • Total hip arthroplasty
  • Total knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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