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Patient expectations of second primary joint replacement surgery

Gandhi, Rajiva; Dhotar, Hermana; deBeer, Justinb; Davey, J. Roda; Mahomed, Nizar N.c

doi: 10.1097/BCO.0b013e3181b091bc
Original Research

Background Our primary objective was to identify predictive factors for patient expectations of second primary joint replacement surgery on the contralateral side.

Methods We extracted demographic and outcomes data for those undergoing a second joint replacement on the contralateral side. Expectations were assessed before both surgeries with four survey questions. Linear regression modeling was used to identify the factors predicting higher expectations of the second surgery.

Results In our cohort of 112 patients, the mean duration between surgeries was 2.2 years. There was no difference in the mean expectation score between the two surgeries. Adjusted analysis showed that higher expectations of the first surgery and better preoperative function for the second surgery predicted higher expectations for the second surgery (P<0.05).

Conclusions Patients with low expectations of the first surgery would benefit from further discussions of their expectations between surgeries with the goal of improving outcomes.

aDivision of Orthopaedic Surgery, University Health Network; Department of Surgery, University of Toronto, Toronto, Ontario, Canada

bDivision of Orthopaedic Surgery, Henderson Hospital, Department of Surgery, McMaster University, Hamilton, Ontario, Canada

cDivision of Orthopaedic Surgery, University Health Network; Division of Health Care and Outcomes Research and Arthritis Community Research and Evaluation Unit, Toronto Western Research Institute; Department of Health Policy, Management and Evaluation and Department of Surgery, University of Toronto, Toronto, Ontario, Canada

Correspondence to Rajiv Gandhi, MD, MS, FRCSC, Toronto Western Hospital, University Health Network, 399 Bathurst Street, East Wing 1-439 Toronto, Ontario, Canada M5T-2S8

Tel: +416 603 5642; fax: +416 603 3437;

e-mail: rajiv.Gandhi@uhn.on.ca

© 2010 Lippincott Williams & Wilkins, Inc.