Assessment of Patient Satisfaction with the Results of Total Hip Replacement

A. D. Botvinkin, V. A. Koryak, I. D. Zarva, N. Tishkov, O. Chernikova, V. Sorokovikov
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Abstract

Aim. To test a simplified version of assessing the results of total hip replacement based on patient survey data.Materials and Methods. We conducted a cohort retrospective study with historical control. The study included 80 patients interviewed ≥ 1 year after the total hip replacement. Patients were included into the study regardless of gender, age and concomitant pathology. Statistical analysis was performed using EpiInfo software (version 7.2.2.2), Python programming language, and SciPy package version 1.11.4.Results. We developed a compact questionnaire of 33 questions to compare the answers of patients before and after the surgery. After prosthetics, the self-esteem of the patient conditions improved significantly. The results were stratified into 6 blocks of questions by the odds ratio magnitude: emotional state – 49.3 (11.3-215.4); health status – 42.8 (12.4-147.7); ability to move outside the home –14.4 (1.8-113.4); self-care ability at home – 11.7 (5.3-25.7); overall quality of life assessment – 9.3 (3.1-28.4). Such differences before and after surgery were statistically significant for all blocks of questions (p ≤ 0,008). In general, 81.2% (81.2÷81.3) of patients were completely satisfied with the results of the surgery, and 8.8% (8.6÷8.9) were partially satisfied.Conclusion. We tested a study design which allows to evaluate the rate of improvement in selfesteem of patients after the total hip replacement.
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评估患者对全髋关节置换术结果的满意度
目的测试基于患者调查数据的简化版全髋关节置换术结果评估方法。我们进行了一项具有历史对照的队列回顾性研究。研究包括 80 名接受全髋关节置换术后≥ 1 年的患者。研究不考虑患者的性别、年龄和并发症。统计分析使用 EpiInfo 软件(7.2.2.2 版)、Python 编程语言和 1.11.4 版 SciPy 软件包进行。我们编制了一份包含 33 个问题的简明问卷,以比较手术前后患者的回答情况。安装假肢后,患者的自尊状况明显改善。结果按几率大小分为 6 个问题组:情绪状态 - 49.3 (11.3-215.4);健康状况 - 42.8 (12.4-147.7);外出活动能力 - 14.4 (1.8-113.4);家庭自理能力 - 11.7 (5.3-25.7);总体生活质量评估 - 9.3 (3.1-28.4)。在所有问题组中,手术前后的差异均有统计学意义(P ≤ 0,008)。总体而言,81.2%(81.2÷81.3)的患者对手术效果完全满意,8.8%(8.6÷8.9)的患者对手术效果部分满意。我们测试了一种研究设计,它可以评估全髋关节置换术后患者自尊心的改善率。
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