title: Discordance between patient and surgeon satisfaction after total joint arthroplasty.
abstract: We surveyed 331 patients undergoing total hip or knee arthroplasty pre-operatively, and patients and surgeons were both surveyed 6 and 12 months post-operatively. We identified variables (demographic factors, operative factors and patient expectations) as possible predictors for discordance in patient-surgeon satisfaction. At 12 months, 94.5% of surgeons and 90.3% of patients recorded satisfaction with the outcome. The discordance between patient and surgeon satisfaction was mainly due to patient dissatisfaction-surgeon satisfaction. In an adjusted analysis, the strongest predictors of discordance in patient-surgeon satisfaction were unmet patient expectations and the presence of complications. Advice to potential joint arthroplasty candidates regarding the decision to proceed with surgery should be informed by patient reported outcomes, rather than the surgeon's opinion of the likelihood of success.
authors: Whitlam Orthopaedic Research Centre, Liverpool, NSW, Australia.
authors: Ian A
authors: IA
authors: Harris
authors: Anita M
authors: AM
authors: Harris
authors: Justine M
authors: JM
authors: Naylor
authors: Sam
authors: S
authors: Adie
authors: Rajat
authors: R
authors: Mittal
authors: Alan T
authors: AT
authors: Dao
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D009985:Orthopedics; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D011183:Postoperative Complications; D013997:Time Factors; D016896:Treatment Outcome