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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 3, 366-373.
doi: 10.1302/0301-620X.88B3.17025  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Do clinical presentation and pre-operative quality of life predict satisfaction with care after total hip or knee replacement?

C. Baumann, MPH, Epidemiologist1; A. C. Rat, MD, MPH, Epidemiologist, Rheumatologist1; G. Osnowycz, MD, Orthopaedic Surgeon2; D. Mainard, MD, PhD, Professor, Orthopaedic Surgeon3; J. P. Delagoutte, MD, Orthopaedic Surgeon3; C. Cuny, MD, Orthopaedic Surgeon4; and F. Guillemin, MD, PhD, Professor, Epidemiologist, Rheumatologist1

1 Clinical Epidemiology Centre – INSERM, Service d’épidémiologie et évaluation cliniques
2 Service de chirurgie Orthopédique, Centre Hospitalier Champ-le-roi, 88300 Neufchateau, France.
3 Service de chirurgie orthopédique et traumatologique Hôpital Marin, CHU CO34, 92 Avenue de Maréchal de Lattre de Tassigny, 54035, Nancy Cedex, France.
4 Service de chirurgie orthopédique et traumatologique, Centre Hospitalier Bon Secaus, 57038 Metz, France.

Correspondence should be sent to Dr F. Guillemin; e-mail: francis.guillemin{at}chu-nancy.fr

We conducted a multicentre cohort study of 228 patients with osteoarthritis followed up after total hip or knee replacement. Quality of life and patient satisfaction were assessed by self-administered questionnaires. Patient satisfaction was the dependent variable in a multivariate linear regression model. Independent variables included sociodemographic factors, pre- and post-operative clinical characteristics and the pre-operative and post-discharge health-related quality of life.

The mean age of the patients was 69 years (SD 9), and 43.8% were male. Pre- and postoperative clinical characteristics were not associated with satisfaction with health care. Only pre-operative bodily pain (p < 0.01) and pre-operative social functioning (p < 0.05) influenced patient satisfaction with care.

The pre-operative health-related quality of life and patient characteristics have little effect on inpatient satisfaction with care. This suggests that the impact of the care process on satisfaction may be independent of observed and perceived initial patient-related characteristics.






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Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General