title: Routine follow-up office visits after total joint replacement: do asymptomatic patients wish to comply?
abstract: A total of 100 patients presenting for routine office follow-up after total hip or knee arthroplasty completed questionnaires evaluating whether they preferred to come to the office for routine follow-up evaluation or whether they would have preferred an evaluation without an office visit. Of 100 patients, 45 would have preferred not to come into the office for a routine evaluation. They were content to mail completed questionnaires and radiographs to their physicians. The other 55 patients preferred office visits. These 2 groups were comparable for age, sex, height, weight, and number of surgeries (P > .11) Preoperative and postoperative scores were similar between the 2 groups (P > .39). None of the patients that would have preferred not to come in to the office believed that quality of care would be compromised. A significant number (45%) of patients would prefer not to come to the office because of the wages saved and time spared. Routine office visits may be eliminated for these patients through the use of health outcome devices, such as the SF-36, along with routine radiographs. The potential to decrease healthcare costs and increase patient satisfaction warrants the identification of these patients. Assessment of the effect on quality of care with elimination of routine follow-up visits requires further study.
authors.affiliation: Department of Orthopaedic Surgery, Jefferson Medical College, and the Rothman Institute, Philadelphia, Pennsylvania 19107, USA.
authors.forename: V
authors.initials: V
authors.lastname: Sethuraman
authors.forename: J
authors.initials: J
authors.lastname: McGuigan
authors.forename: W J
authors.initials: WJ
authors.lastname: Hozack
authors.forename: P F
authors.initials: PF
authors.lastname: Sharkey
authors.forename: R H
authors.initials: RH
authors.lastname: Rothman
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D005260:Female; D005500:Follow-Up Studies; D017048:Health Care Costs; D006801:Humans; D008297:Male; D009819:Office Visits; D010349:Patient Compliance; D017060:Patient Satisfaction; D013689:Telephone