title: Perceived pain and satisfaction with medical rehabilitation after hospital discharge.
abstract: OBJECTIVE
  To examine the association between pain and satisfaction with medical rehabilitation in patients with hip or knee replacement approximately 90 days after discharge from inpatient medical rehabilitation.
  
  
  METHODS
  A cross-sectional design.
  
  
  METHODS
  The sample included 2507 patients with hip or knee replacement using information from the IT Health Track medical outcome database.
  
  
  METHODS
  Satisfaction with medical rehabilitation.
  
  
  RESULTS
  The average age was 70.2 years, 66.5% were female, and 88.5% were non-Hispanic white. Pain scores were significantly and inversely associated with satisfaction with medical rehabilitation after adjustment for possible confounding factors. In patients with hip replacement each one-point increase in pain score was associated with a 10% decreased odds ratio (OR) of being satisfied with medical rehabilitation (OR 0.90, 95% confidence interval (CI) 0.84, 0.96). In patients with knee replacement, each one-point increase in pain score was associated with a 9% decreased odds ratio (OR 0.91, 95% CI 0.87, 0.96) of being satisfied with medical rehabilitation.
  
  
  CONCLUSIONS
  Our data indicate that postoperative pain from hip or knee replacement is associated with reduced satisfaction with medical rehabilitation. Better postoperative pain control may improve a patient's level of satisfaction.
authors.affiliation: Sealy Center on Aging, University of Texas Medical Branch, Galveston 77555-0460, USA. imberges@utmb.edu
authors.forename: Ivonne-Marie
authors.initials: IM
authors.lastname: Bergés
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Ottenbacher
authors.forename: Pamela M
authors.initials: PM
authors.lastname: Smith
authors.forename: David
authors.initials: D
authors.lastname: Smith
authors.forename: Genn V
authors.initials: GV
authors.lastname: Ostir
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000534:rehabilitation*; D019645:Arthroplasty, Replacement, Knee / Q000534:rehabilitation*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D010147:Pain Measurement; D010351:Patient Discharge; D017060:Patient Satisfaction; D010465:Perception