Personalized outcomes for hip and knee replacement: the patients point of view

Abstract Background Patient reported outcome measures (PROMs) are increasingly being incorporated into clinical and surgical care for assessing outcomes. This study examined outcomes important to patients in their decision to have hip or knee replacement surgery, their perspectives on PROMs and shar...

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Autores principales:	Robin R. Whitebird, Leif I. Solberg, Jeanette Y. Ziegenfuss, Stephen E. Asche, Christine K. Norton, Marc F. Swiontkowski, Steven P. Dehmer, Elizabeth S. Grossman
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Patient reported outcomes (PRO) Performance measurement Orthopedic surgery Clinical care Patient perspective Shared decision-making Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/666e755b4df34cb5bb330e213809f94e
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spelling	oai:doaj.org-article:666e755b4df34cb5bb330e213809f94e2021-11-08T10:59:00ZPersonalized outcomes for hip and knee replacement: the patients point of view10.1186/s41687-021-00393-z2509-8020https://doaj.org/article/666e755b4df34cb5bb330e213809f94e2021-11-01T00:00:00Zhttps://doi.org/10.1186/s41687-021-00393-zhttps://doaj.org/toc/2509-8020Abstract Background Patient reported outcome measures (PROMs) are increasingly being incorporated into clinical and surgical care for assessing outcomes. This study examined outcomes important to patients in their decision to have hip or knee replacement surgery, their perspectives on PROMs and shared decision-making, and factors they considered important for postoperative care. Methods A cross-sectional study employing survey methods with a stratified random sample of adult orthopedic patients who were scheduled for or recently had hip or knee replacement surgery. Results In a representative sample of 226 respondents, patients identified personalized outcomes important to them that they wanted from their surgery including the ability to walk without pain/discomfort, pain relief, and returning to an active lifestyle. They preferred a personalized outcome (54%) that they identified, compared to a PROM score, for tracking progress in their care and thought it important that their surgeon know their personal outcomes (63%). Patients also wanted to engage in shared decision-making (79%) about their post-surgical care and identified personal factors important to their aftercare, such as living alone and caring for pets. Conclusions Patients identified unique personalized outcomes they desired from their care and that they wanted their orthopedic surgeons to know about. Asking patients to identify their personalized outcomes could add value for both patients and surgeons in clinical care, facilitating more robust patient involvement in shared decision-making.Robin R. WhitebirdLeif I. SolbergJeanette Y. ZiegenfussStephen E. AscheChristine K. NortonMarc F. SwiontkowskiSteven P. DehmerElizabeth S. GrossmanSpringerOpenarticlePatient reported outcomes (PRO)Performance measurementOrthopedic surgeryClinical carePatient perspectiveShared decision-makingPublic aspects of medicineRA1-1270ENJournal of Patient-Reported Outcomes, Vol 5, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Patient reported outcomes (PRO) Performance measurement Orthopedic surgery Clinical care Patient perspective Shared decision-making Public aspects of medicine RA1-1270
spellingShingle	Patient reported outcomes (PRO) Performance measurement Orthopedic surgery Clinical care Patient perspective Shared decision-making Public aspects of medicine RA1-1270 Robin R. Whitebird Leif I. Solberg Jeanette Y. Ziegenfuss Stephen E. Asche Christine K. Norton Marc F. Swiontkowski Steven P. Dehmer Elizabeth S. Grossman Personalized outcomes for hip and knee replacement: the patients point of view
description	Abstract Background Patient reported outcome measures (PROMs) are increasingly being incorporated into clinical and surgical care for assessing outcomes. This study examined outcomes important to patients in their decision to have hip or knee replacement surgery, their perspectives on PROMs and shared decision-making, and factors they considered important for postoperative care. Methods A cross-sectional study employing survey methods with a stratified random sample of adult orthopedic patients who were scheduled for or recently had hip or knee replacement surgery. Results In a representative sample of 226 respondents, patients identified personalized outcomes important to them that they wanted from their surgery including the ability to walk without pain/discomfort, pain relief, and returning to an active lifestyle. They preferred a personalized outcome (54%) that they identified, compared to a PROM score, for tracking progress in their care and thought it important that their surgeon know their personal outcomes (63%). Patients also wanted to engage in shared decision-making (79%) about their post-surgical care and identified personal factors important to their aftercare, such as living alone and caring for pets. Conclusions Patients identified unique personalized outcomes they desired from their care and that they wanted their orthopedic surgeons to know about. Asking patients to identify their personalized outcomes could add value for both patients and surgeons in clinical care, facilitating more robust patient involvement in shared decision-making.
format	article
author	Robin R. Whitebird Leif I. Solberg Jeanette Y. Ziegenfuss Stephen E. Asche Christine K. Norton Marc F. Swiontkowski Steven P. Dehmer Elizabeth S. Grossman
author_facet	Robin R. Whitebird Leif I. Solberg Jeanette Y. Ziegenfuss Stephen E. Asche Christine K. Norton Marc F. Swiontkowski Steven P. Dehmer Elizabeth S. Grossman
author_sort	Robin R. Whitebird
title	Personalized outcomes for hip and knee replacement: the patients point of view
title_short	Personalized outcomes for hip and knee replacement: the patients point of view
title_full	Personalized outcomes for hip and knee replacement: the patients point of view
title_fullStr	Personalized outcomes for hip and knee replacement: the patients point of view
title_full_unstemmed	Personalized outcomes for hip and knee replacement: the patients point of view
title_sort	personalized outcomes for hip and knee replacement: the patients point of view
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/666e755b4df34cb5bb330e213809f94e
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Personalized outcomes for hip and knee replacement: the patients point of view

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