caa a22 4500 60617897X CHVBK 20210128100759.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s11136-015-1042-3 doi (NATIONALLICENCE)springer-10.1007/s11136-015-1042-3 Clinical improvement and satisfaction after total joint replacement: a prospective 12-month evaluation on the patients' perspective [Elektronische Daten] [Florian Naal, Franco Impellizzeri, Ulrich Lenze, Vanessa Wellauer, Rüdiger von Eisenhart-Rothe, Michael Leunig] Purpose: To determine short-term improvements, satisfaction rates and the patient acceptable symptom state (PASS) after total joint replacement (TJR) for different patient-reported outcome measures (PROMs). Methods: This prospective cohort study included 426 consecutive patients undergoing total hip (n=193) or knee arthroplasty (n=233). The following PROMs were completed before TJR, and at 3, 6 and 12months after surgery, respectively: WOMAC, Oxford Hip or Knee Score, Lower Extremity Functional Scale, University of California at Los Angeles (UCLA) activity scale and EuroQol-5 dimension (EQ-5D). Satisfaction rates and the PASS thresholds were also assessed. Results: THA patients improved quicker and achieved higher outcome scores than TKA patients. Comorbidities according to the Sangha score were moderately correlated with all PROM values in an inverse direction at all time points (r=−0.27 to −0.47, p<0.01) in both groups. Satisfaction with the result of surgery improved over time. At 12months, more than 90% of the patients were satisfied or very satisfied with the achieved result. The THA group showed a higher proportion of very satisfied patients than the TKA group at all time points. PASS thresholds increased over time for all PROMs except for the UCLA and the EQ-5D in TKA patients. Conclusions: More than 90% of the patients will be satisfied 1year after TJR. THA patients recover faster than TKA patients, i.e., they achieve higher PROM values at earlier follow-up time points. Cutoff values defining a successful result in terms of the PASS could be defined for all PROMs at different time points and can serve as reference for future studies and patient-oriented follow-ups. Springer International Publishing Switzerland, 2015 Total joint replacement nationallicence Hip and knee arthroplasty nationallicence Satisfaction nationallicence PASS nationallicence Patient-reported outcome nationallicence Naal Florian Department of Orthopaedic Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany aut Impellizzeri Franco Department of Research and Development, Schulthess Clinic, Zurich, Switzerland aut Lenze Ulrich Department of Orthopaedic Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany aut Wellauer Vanessa Department of Research and Development, Schulthess Clinic, Zurich, Switzerland aut von Eisenhart-Rothe Rüdiger Department of Orthopaedic Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany aut Leunig Michael Department of Orthopaedic Surgery, Schulthess Clinic, Lengghalde 2, Zurich, Switzerland aut Quality of Life Research Springer International Publishing 24/12(2015-12-01), 2917-2925 0962-9343 24:12<2917 2015 24 11136 https://doi.org/10.1007/s11136-015-1042-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-015-1042-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Naal Florian Department of Orthopaedic Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany aut NATIONALLICENCE 700 1- Impellizzeri Franco Department of Research and Development, Schulthess Clinic, Zurich, Switzerland aut NATIONALLICENCE 700 1- Lenze Ulrich Department of Orthopaedic Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany aut NATIONALLICENCE 700 1- Wellauer Vanessa Department of Research and Development, Schulthess Clinic, Zurich, Switzerland aut NATIONALLICENCE 700 1- von Eisenhart-Rothe Rüdiger Department of Orthopaedic Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany aut NATIONALLICENCE 700 1- Leunig Michael Department of Orthopaedic Surgery, Schulthess Clinic, Lengghalde 2, Zurich, Switzerland aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/12(2015-12-01), 2917-2925 0962-9343 24:12<2917 2015 24 11136