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Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 4,
495-498.
doi: 10.1302/0301-620X.85B4.13411 Copyright © 2003 by British Editorial Society of Bone and Joint Surgery Patient versus surgeon satisfaction after total hip arthroplastyR. B. G. Brokelman, MD, MS, Resident in Orthopaedic Surgery; C. J. M. van Loon, MD, PhD, Consultant Orthopaedic Surgeon; and W. J. Rijnberg, MD, PhD, Consultant Orthopaedic SurgeonDepartment of Orthopaedic Surgery, Rijnstate Hospital, PO Box 9555, 6800 TA Arnhem, The Netherlands. Correspondence should be sent to Dr C. J. M. van Loon. We compared patient satisfaction with surgeon satisfaction after total hip arthroplasty (THA) in a group of 193 patients (200 THAs, mean follow-up six years) using a visual analogue scale (VAS), and two objective and two subjective scoring systems. We also determined the survival rate with different endpoints. For the 121 hips available for clinical follow-up, we did not find a significant difference in satisfaction between patient and surgeon. In a subgroup with low patient satisfaction, the surgeon was more satisfied than the patient (p = 0.04). The correlation between the patient satisfaction VAS and the different subjective and objective scoring systems suggests that pain during activity is the most important factor for the patient. The survivorship at six years decreased from 96.6% to 83.7% if dissatisfaction (VAS >20) was added to revision as an endpoint in the survival analysis. The patient satisfaction VAS provides additional information to evaluate the outcome of THA. We recommend the use of both subjective and objective scoring systems to evaluate the outcome of THA. This article has been cited by other articles:
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