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Does surgeon experience affect patient-reported outcomes 1 year after primary total hip arthroplasty?: A register-based study of 6,713 cases in western Sweden
BACKGROUND AND PURPOSE: Several studies have reported on the influence of various factors on patient-reported outcomes (PROs) after total hip arthroplasty (THA), but very few have focused on the experience of the surgeon. We investigated any association between surgeons’ experience and PROs 1 year a...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055771/ https://www.ncbi.nlm.nih.gov/pubmed/29508643 http://dx.doi.org/10.1080/17453674.2018.1444300 |
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author | Jolbäck, Per Rolfson, Ola Mohaddes, Maziar Nemes, Szilárd Kärrholm, Johan Garellick, Göran Lindahl, Hans |
author_facet | Jolbäck, Per Rolfson, Ola Mohaddes, Maziar Nemes, Szilárd Kärrholm, Johan Garellick, Göran Lindahl, Hans |
author_sort | Jolbäck, Per |
collection | PubMed |
description | BACKGROUND AND PURPOSE: Several studies have reported on the influence of various factors on patient-reported outcomes (PROs) after total hip arthroplasty (THA), but very few have focused on the experience of the surgeon. We investigated any association between surgeons’ experience and PROs 1 year after primary THA. PATIENTS AND METHODS: Patient characteristics and surgical data at 10 hospitals in western Sweden were linked with PROs (EQ-5D-3L, Satisfaction Visual Analogue Scale (VAS), Pain VAS). These data were retrieved from the Swedish Hip Arthroplasty Register (SHAR). The surgeon’s level of experience was divided into 4 subgroups related to experience: < 8 years, 8–15 years, and >15 years of clinical practice after specialist certificate. If no specialist certificate was obtained the surgery was classified as a trainee surgery. Surgeons with >15 years’ experience as an orthopedic specialist were used as reference group in the analyses. RESULTS: 8,158 primary THAs due to osteoarthritis were identified. We identified the surgeons’ level of experience in 8,116 THAs. Data from SHAR on pre- and postoperative PROs and satisfaction at 1 year were available for 6,713 THAs. We observed a statistically significant difference among the 4 groups of surgeons regarding mean patient age, ASA classification, Charnley classification, diagnosis, and fixation technique. At 1-year follow-up, there were no statistically significant differences in Pain VAS, EQ-5D index, or EQ VAS among the subgroups of orthopedic specialists. Patients operated on by orthopedic trainees reported less satisfaction with the result of the surgery compared with the reference group. INTERPRETATION: These findings indicate that patients can expect similar health improvements, pain reduction, and satisfaction 1 year after a primary THA operation irrespective of years in practice after specialty certification as an orthopedic surgeon. |
format | Online Article Text |
id | pubmed-6055771 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-60557712018-07-24 Does surgeon experience affect patient-reported outcomes 1 year after primary total hip arthroplasty?: A register-based study of 6,713 cases in western Sweden Jolbäck, Per Rolfson, Ola Mohaddes, Maziar Nemes, Szilárd Kärrholm, Johan Garellick, Göran Lindahl, Hans Acta Orthop Hip BACKGROUND AND PURPOSE: Several studies have reported on the influence of various factors on patient-reported outcomes (PROs) after total hip arthroplasty (THA), but very few have focused on the experience of the surgeon. We investigated any association between surgeons’ experience and PROs 1 year after primary THA. PATIENTS AND METHODS: Patient characteristics and surgical data at 10 hospitals in western Sweden were linked with PROs (EQ-5D-3L, Satisfaction Visual Analogue Scale (VAS), Pain VAS). These data were retrieved from the Swedish Hip Arthroplasty Register (SHAR). The surgeon’s level of experience was divided into 4 subgroups related to experience: < 8 years, 8–15 years, and >15 years of clinical practice after specialist certificate. If no specialist certificate was obtained the surgery was classified as a trainee surgery. Surgeons with >15 years’ experience as an orthopedic specialist were used as reference group in the analyses. RESULTS: 8,158 primary THAs due to osteoarthritis were identified. We identified the surgeons’ level of experience in 8,116 THAs. Data from SHAR on pre- and postoperative PROs and satisfaction at 1 year were available for 6,713 THAs. We observed a statistically significant difference among the 4 groups of surgeons regarding mean patient age, ASA classification, Charnley classification, diagnosis, and fixation technique. At 1-year follow-up, there were no statistically significant differences in Pain VAS, EQ-5D index, or EQ VAS among the subgroups of orthopedic specialists. Patients operated on by orthopedic trainees reported less satisfaction with the result of the surgery compared with the reference group. INTERPRETATION: These findings indicate that patients can expect similar health improvements, pain reduction, and satisfaction 1 year after a primary THA operation irrespective of years in practice after specialty certification as an orthopedic surgeon. Taylor & Francis 2018-06 2018-03-06 /pmc/articles/PMC6055771/ /pubmed/29508643 http://dx.doi.org/10.1080/17453674.2018.1444300 Text en © The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation. https://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution-Non-Commercial License (https://creativecommons.org/licenses/by/4.0) |
spellingShingle | Hip Jolbäck, Per Rolfson, Ola Mohaddes, Maziar Nemes, Szilárd Kärrholm, Johan Garellick, Göran Lindahl, Hans Does surgeon experience affect patient-reported outcomes 1 year after primary total hip arthroplasty?: A register-based study of 6,713 cases in western Sweden |
title | Does surgeon experience affect patient-reported outcomes 1 year after primary total hip arthroplasty?: A register-based study of 6,713 cases in western Sweden |
title_full | Does surgeon experience affect patient-reported outcomes 1 year after primary total hip arthroplasty?: A register-based study of 6,713 cases in western Sweden |
title_fullStr | Does surgeon experience affect patient-reported outcomes 1 year after primary total hip arthroplasty?: A register-based study of 6,713 cases in western Sweden |
title_full_unstemmed | Does surgeon experience affect patient-reported outcomes 1 year after primary total hip arthroplasty?: A register-based study of 6,713 cases in western Sweden |
title_short | Does surgeon experience affect patient-reported outcomes 1 year after primary total hip arthroplasty?: A register-based study of 6,713 cases in western Sweden |
title_sort | does surgeon experience affect patient-reported outcomes 1 year after primary total hip arthroplasty?: a register-based study of 6,713 cases in western sweden |
topic | Hip |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055771/ https://www.ncbi.nlm.nih.gov/pubmed/29508643 http://dx.doi.org/10.1080/17453674.2018.1444300 |
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