Assessment of Patient Reported Outcomes and Satisfaction following various Orthopedic Procedures, Such as Joint Replacements, Spinal Surgeries, or Fracture Management
Authors/Creators
- 1. Assistant Professor, Dept of Orthopaedics, Basaveshwara Medical College & Hospital, Chitradurga
Description
Objective: This study aimed to assess patient-reported outcomes (PROs) and satisfaction following orthopedic procedures, including joint replacements, spinal surgeries, and fracture management. Methods: A total of 208 participants who underwent orthopedic procedures were included. Demographic and clinical characteristics were collected and analyzed using descriptive statistics. PROs were evaluated using validated outcome measures specific to each procedure, including the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Short Form Health Survey (SF-36). Patient satisfaction ratings were collected using a structured survey. Subgroup analyses and regression analyses were conducted to explore associations between PROs, patient satisfaction, and demographic/clinical factors. Results: The study population had a mean age of 52.3 years, with a relatively balanced gender distribution. Joint replacements were performed in 45.2% of participants, followed by spinal surgeries (32.7%) and fracture management (22.1%). Participants reported significant improvements in PROs following joint replacements, with higher WOMAC and SF-36 scores indicating reduced pain, improved physical function, and better health-related quality of life. Spinal surgery patients demonstrated reduced disability and improved well-being as reflected in lower Oswestry Disability Index (ODI) scores and higher SF-36 scores. Fracture management patients showed improved functionality and quality of life, with higher SF-36 scores and lower Disability of Arm, Shoulder, and Hand (DASH) or Lower Extremity Functional Scale (LEFS) scores. Patient satisfaction ratings were high for all procedures, with joint replacement patients reporting high satisfaction with pain relief and functional improvement, spinal surgery patients reporting high satisfaction with pain management and overall treatment, and fracture management patients expressing high satisfaction with pain management and functional recovery. Subgroup analyses revealed significant differences in PRO scores and patient satisfaction ratings across the procedures, with joint replacements consistently demonstrating the highest scores. Conclusion: Orthopedic procedures, including joint replacements, spinal surgeries, and fracture management, result in significant improvements in PROs and high levels of patient satisfaction. These findings emphasize the effectiveness of these interventions in addressing pain, functional limitations, and overall well-being in patients undergoing orthopedic procedures.
Abstract (English)
Objective: This study aimed to assess patient-reported outcomes (PROs) and satisfaction following orthopedic procedures, including joint replacements, spinal surgeries, and fracture management. Methods: A total of 208 participants who underwent orthopedic procedures were included. Demographic and clinical characteristics were collected and analyzed using descriptive statistics. PROs were evaluated using validated outcome measures specific to each procedure, including the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Short Form Health Survey (SF-36). Patient satisfaction ratings were collected using a structured survey. Subgroup analyses and regression analyses were conducted to explore associations between PROs, patient satisfaction, and demographic/clinical factors. Results: The study population had a mean age of 52.3 years, with a relatively balanced gender distribution. Joint replacements were performed in 45.2% of participants, followed by spinal surgeries (32.7%) and fracture management (22.1%). Participants reported significant improvements in PROs following joint replacements, with higher WOMAC and SF-36 scores indicating reduced pain, improved physical function, and better health-related quality of life. Spinal surgery patients demonstrated reduced disability and improved well-being as reflected in lower Oswestry Disability Index (ODI) scores and higher SF-36 scores. Fracture management patients showed improved functionality and quality of life, with higher SF-36 scores and lower Disability of Arm, Shoulder, and Hand (DASH) or Lower Extremity Functional Scale (LEFS) scores. Patient satisfaction ratings were high for all procedures, with joint replacement patients reporting high satisfaction with pain relief and functional improvement, spinal surgery patients reporting high satisfaction with pain management and overall treatment, and fracture management patients expressing high satisfaction with pain management and functional recovery. Subgroup analyses revealed significant differences in PRO scores and patient satisfaction ratings across the procedures, with joint replacements consistently demonstrating the highest scores. Conclusion: Orthopedic procedures, including joint replacements, spinal surgeries, and fracture management, result in significant improvements in PROs and high levels of patient satisfaction. These findings emphasize the effectiveness of these interventions in addressing pain, functional limitations, and overall well-being in patients undergoing orthopedic procedures.
Files
IJPCR,Vol15,Issue7,Article69.pdf
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Additional details
Dates
- Accepted
-
2023-05-25
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue7,Article69.pdf
- Development Status
- Active
References
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