Abstract
BACKGROUND AND PURPOSE: Several studies have compared fast-track with conventional pathways for total hip arthroplasty (THA) patients, but none have compared different fast-track pathways. Due to COVID-19 restrictions, our department had to minimize patient-staff contact in the THA pathway. First, telephone consultations were implemented instead of an outpatient clinic visit and subsequently preoperative patient education was discontinued. This enabled us to compare patient-reported outcomes and satisfaction among 3 fast-track pathways. PATIENTS AND METHODS: We collected data from patients treated for hip osteoarthritis with THA at Gødstrup Hospital between 2018 and 2021. The patients had experienced 1 of 3 pathways and were interviewed via telephone between 2 and 6 months after discharge. We analyzed the influence of patient pathway on patient-reported pain and mobility level, self-perceived complications, and compliance using logistic regression. We then compared the pathway's effect on patient satisfaction both for the total sample and for the patients who experienced complications. RESULTS: The amount of patient-staff contact in the patient pathway did not have any influence on patientreported outcomes or the probability of self-perceived complications. For the full sample, patient-staff contact had no statistically significant influence on patient satisfaction either, but for the subgroup of patients experiencing complications, the pathways with less patient-staff contact reduced satisfaction. Patient satisfaction was primarily related to pain and mobility outcomes. INTERPRETATION: Our results indicate that reducing patient-staff contact in fast-track THA can be done without influencing mobility and pain outcomes, but the overall satisfaction among patients with self-perceived complications will be negatively affected.
Original language | English |
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Journal | Acta Orthopaedica |
Volume | 93 |
Pages (from-to) | 264-270 |
Number of pages | 7 |
ISSN | 1745-3674 |
DOIs | |
Publication status | Published - 24 Jan 2022 |
Keywords
- KNEE ARTHROPLASTY
- RECOVERY
- SURGERY
- Pandemics
- Arthroplasty, Replacement, Hip/methods
- Humans
- Telemedicine/methods
- Patient Satisfaction
- SARS-CoV-2
- Postoperative Complications/psychology
- COVID-19/prevention & control
- Pain Measurement
- Patient Reported Outcome Measures