Patient satisfaction with the use of an enhanced recovery programme for primary arthroplasty

Machin, John T. and Phillips, Sioned and Parker, Michael and Carrannante, J. and Hearth, M. W. (2013) Patient satisfaction with the use of an enhanced recovery programme for primary arthroplasty. Annals of The Royal College of Surgeons of England, 95 (8). pp. 577-581. ISSN 1478-7083

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INTRODUCTION: Enhanced recovery programmes (ErPs) are increasingly being used for arthroplasty. One of the core aims of an ErP is to improve the quality of patient experience. However, there is currently no published evaluation of patient satisfaction in relation to this new programme of care within orthopaedic surgery. The aim of this study was to compare the ErP against the standard care programme (SCP) at one centre. METHODS: A satisfaction survey addressing patient opinions on the key objectives of the ErP was conducted by telephone, using a set script. Of the 226 patients contacted, 143 (63.3%) responded (69 from the ErP and 74 from the SCP). Of the respondents, 71 received a total hip arthroplasty and 72 a total knee arthroplasty. Patients were contacted at a mean time from operation to survey of 27.2 weeks. They were asked to rate satisfaction on a five-point scale and complete the EQ-5D™ health questionnaire (EuroQol, rotterdam, Netherlands) to measure healthcare outcomes. RESULTS: The mean patient satisfaction score of 4.07 for speed of recovery in the ErP group was significantly higher than the SCP group's score of 3.68 (p=0.037). Adjusting for the preoperative health score, the postoperative health score was higher for ErP patients at 74.1 compared with 64.7 for SCP patients (p=0.0029). Furthermore, the percentage of patients who had a better than expected recovery was significantly greater in the ErP group at 85.5% compared with 58.1% (p=0.0004) in the SCP group. CONCLUSIONS: We believe that the previously established reduction in length of hospital stay delivered by ErPs is not achieved at the expense of the patient's experience.

Item Type: Journal Article
Keywords: Orthopaedics, Hip arthroplasty, Knee arthroplasty, Recover, Patient satisfaction, Questionnaire
Faculty: ARCHIVED Faculty of Health, Social Care & Education (until September 2018)
Depositing User: Repository Admin
Date Deposited: 03 Dec 2013 11:11
Last Modified: 09 Sep 2021 16:16

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