Why two-thirds of patients accepted the second session in staged bilateral total knee arthroplasty: a prospective analysis of 111 patients

Verfasser / Beitragende:
[Hakan Sesen, Ismail Demirkale, Mert Karaduman, Celal Vural, Mustafa Okkaoglu, Murat Altay]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/12(2015-12-01), 3585-3590
Format:
Artikel (online)
ID: 605457670
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024 7 0 |a 10.1007/s00167-014-3251-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3251-7 
245 0 0 |a Why two-thirds of patients accepted the second session in staged bilateral total knee arthroplasty: a prospective analysis of 111 patients  |h [Elektronische Daten]  |c [Hakan Sesen, Ismail Demirkale, Mert Karaduman, Celal Vural, Mustafa Okkaoglu, Murat Altay] 
520 3 |a Purpose: In staged bilateral total knee arthroplasty (TKA), regaining functional recovery and a painless joint with fulfilment of patients' expectations at the first stage is an integral part for a patient to progress to the second stage. As patient expectations drive postoperative satisfaction, the challenge is to match patient and surgeon expectations before surgery. Therefore, this study aimed to evaluate the postoperative patient expectations and clinical outcomes and to evaluate the rate of second stage in bilateral staged TKA. Methods: The study included 111 patients; 81 females and 30 males with a median age at surgery of 68years (range 59-85years) and 46 were older than 70years. Postoperative functional data included Knee Society Scores (KSS). Expectation data were collected according to the post-visit ‘Questionnaire of Patient Expectations of Healthcare'. Results: The overall refusal rate for the second stage was 36.9% (n=41). The patients older than 70years had a higher refusal rate compared to relatively younger patients (<70years old) (p=0.038). Younger age, postoperatively improved KSS, fulfilment of patient expectations of the healthcare process, treatment outcomes and whole expectations were the main determinants for patients accepting the second stage. The most important determinative factors for attendance were ‘Process of Healthcare' and subsequently ‘Treatment Outcomes' and total questionnaire scores (p<0.001). Conclusion: The postoperative perception of healthcare and the treating surgeon's knowledge and responsivity are the major concerns for patients considering second stage TKA. Level of evidence: III. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 
690 7 |a Bilateral gonarthrosis  |2 nationallicence 
690 7 |a Total knee arthroplasty  |2 nationallicence 
690 7 |a Staged  |2 nationallicence 
690 7 |a Patient expectations  |2 nationallicence 
700 1 |a Sesen  |D Hakan  |u Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey  |4 aut 
700 1 |a Demirkale  |D Ismail  |u Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey  |4 aut 
700 1 |a Karaduman  |D Mert  |u Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey  |4 aut 
700 1 |a Vural  |D Celal  |u Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey  |4 aut 
700 1 |a Okkaoglu  |D Mustafa  |u Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey  |4 aut 
700 1 |a Altay  |D Murat  |u Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3585-3590  |x 0942-2056  |q 23:12<3585  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3251-7  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3251-7  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sesen  |D Hakan  |u Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Demirkale  |D Ismail  |u Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Karaduman  |D Mert  |u Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Vural  |D Celal  |u Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Okkaoglu  |D Mustafa  |u Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Altay  |D Murat  |u Department of Orthopaedics and Traumatology, Kecioren Education and Research Hospital, Ardahan S no 25 Kecioren, 06380, Ankara, Turkey  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3585-3590  |x 0942-2056  |q 23:12<3585  |1 2015  |2 23  |o 167