Validity of patient-reported complications after total hip and knee arthroplasty

Journal article


Dang, Kinh Luan Thanh, Badge, Helen and Harris, Ian A.. (2018). Validity of patient-reported complications after total hip and knee arthroplasty. Journal of Orthopaedic Surgery. 26(3), pp. 1-5. https://doi.org/10.1177/2309499018802493
AuthorsDang, Kinh Luan Thanh, Badge, Helen and Harris, Ian A.
Abstract

Background:
Evaluating the effectiveness of total hip arthroplasty (THA) and total knee arthroplasty (TKA) often relies on accurate patient reporting of postoperative complications. Despite this, there is little research regarding the accuracy of patient reports. We aimed to determine the accuracy of patient-reported significant complications after THA and TKA.

Methods:
Patients were recruited prior to undergoing primary hip or knee arthroplasty at 19 high-volume hospitals. After surgery, follow-up of patients via telephone interviews at 35, 90 and 365 days recorded surgical outcomes including readmission, reoperation and venous thromboembolism (VTE). Patient-reported complications were verified via medical record audits and liaison with surgeons, general practitioners or other health professionals. Surgical and demographic information and patient-reported and verified complications were entered into a database. Patient-reported and verified complications were compared for readmission, reoperation and VTE.

Results:
The sample included 150 of 1811 patients who reported a total of 242 significant complications. Of the 242 patient-reported complications, 224 (92.6%) were correct (true positive). The type of complication had variable levels of accuracy in patient reports. Readmission to hospital was accurately reported by 90.2% (129/143) of patients. Reoperation (including any manipulations under anaesthesia, joint washouts, reductions of dislocated joints and revisions) was accurately reported by 98.7% (75/76) of patients. VTE was accurately reported by 86.7% (20/23) of patients.

Conclusion:
A high level of accuracy in patient-reported experience of complications was demonstrated following THA and TKA. Patient-reported complications may be reliably used for post-operative surveillance of joint replacement surgery.

Keywordsarthroplasty; complications; data accuracy; patient-reported outcome measures
Year2018
JournalJournal of Orthopaedic Surgery
Journal citation26 (3), pp. 1-5
PublisherSage Publications Ltd.
ISSN1022-5536
Digital Object Identifier (DOI)https://doi.org/10.1177/2309499018802493
Scopus EID2-s2.0-85055057120
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-5
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online30 Sep 2018
Publication process dates
Deposited07 Sep 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8wvwy/validity-of-patient-reported-complications-after-total-hip-and-knee-arthroplasty

Download files


Publisher's version
OA_Dang_2018_Validity_of_patient_reported_complications_after.pdf
License: CC BY-NC 4.0
File access level: Open

  • 79
    total views
  • 80
    total downloads
  • 0
    views this month
  • 1
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Compliance with Australian Orthopaedic Association guidelines does not reduce the risk of venous thromboembolism after total hip and knee arthroplasty
Hawke, Helen, Churches, Tim, Maree Naylor, Justine, Xuan, Wei, Armstrong, Elizabeth, Gray, Leeanne, Fletcher, John, Gosbell, Iain, Christine Lin, Chung-Wei and Harris, Ian A.. (2024). Compliance with Australian Orthopaedic Association guidelines does not reduce the risk of venous thromboembolism after total hip and knee arthroplasty. Scientific Reports. 14(5955), pp. 1-11. https://doi.org/10.1038/s41598-024-54916-x
Comparative effectiveness of aspirin for symptomatic venous thromboembolism prophylaxis in patients undergoing total joint arthroplasty, a cohort study
Sidhu, Verinder, Hawke, Helen, Churches, Tim, Naylor, Justine, Adie, Sam and Harris, Ian A.. (2023). Comparative effectiveness of aspirin for symptomatic venous thromboembolism prophylaxis in patients undergoing total joint arthroplasty, a cohort study. BMC Musculoskeletal Disorders. 24(1), pp. 1-8. https://doi.org/10.1186/s12891-023-06750-x
Timing and duration of antibiotic prophylaxis is associated with the risk of infection after hip and knee arthroplasty
Hawke, Helen, Churches, Tim, Xuan, Wei, Naylor, Justine and Harris, Ian A.. (2022). Timing and duration of antibiotic prophylaxis is associated with the risk of infection after hip and knee arthroplasty. Bone and Joint Open. 3(3), pp. 252-260. https://doi.org/10.1302/2633-1462.33.BJO-2021-0181.R1
Association between VTE and antibiotic prophylaxis guideline compliance and patient-reported outcomes after total hip and knee arthroplasty : an observational study
Hawke, Helen, Churches, Tim, Naylor, Justine, Xuan, Wei, Armstrong, Elizabeth, Gray, Leeanne, Fletcher, John, Gosbell, Iain, Christine Lin, Chung-Wei and Harris, Ian A.. (2022). Association between VTE and antibiotic prophylaxis guideline compliance and patient-reported outcomes after total hip and knee arthroplasty : an observational study. Journal of Patient-Reported Outcomes. 6(1), pp. 1-15. https://doi.org/10.1186/s41687-022-00502-6
Non-compliance with clinical guidelines increases the risk of complications after primary total hip and knee joint replacement surgery
Badge, Helen Mary, Churches, Tim, Naylor, Justine M., Xuan, Wei, Armstrong, Elizabeth, Gray, Leeanne, Fletcher, John, Gosbell, Iain, Lin, Christine and Harris, Ian A.. (2021). Non-compliance with clinical guidelines increases the risk of complications after primary total hip and knee joint replacement surgery. PLoS ONE. 16(11), p. Article e0260146. https://doi.org/10.1371/journal.pone.0260146
Current airway management practices after a failed intubation attempt in Australian and New Zealand emergency departments
Arnold, Isaac, Alkhouri, Hatem, Hawke, Helen, Fogg, Toby, McCarthy, Sally and Vassiliadis, John. (2021). Current airway management practices after a failed intubation attempt in Australian and New Zealand emergency departments. Emergency Medicine Australasia. 33(5), pp. 808-816. https://doi.org/10.1111/1742-6723.13729
Association between pre-operative anxiety and/or depression and outcomes following total hip or knee arthroplasty
Seagrave, Kurt G., Lewin, Adriane M., Harris, Ian A., Badge, Helen and Naylor, Justine. (2021). Association between pre-operative anxiety and/or depression and outcomes following total hip or knee arthroplasty. Journal of Orthopaedic Surgery. 29(1), pp. 1-10. https://doi.org/10.1177/2309499021992605
Patient satisfaction and perception of success after total knee arthroplasty are more strongly associated with patient factors and complications than surgical or anaesthetic factors
Khatib, Yasser, Badge, Helen, Xuan, Wei, Naylor, Justine M. and Harris, Ian A.. (2020). Patient satisfaction and perception of success after total knee arthroplasty are more strongly associated with patient factors and complications than surgical or anaesthetic factors. Knee Surgery, Sports Traumatology, Arthroscopy. 28(10), pp. 3156-3163. https://doi.org/10.1007/s00167-019-05804-9
Paediatric intubation in Australasian emergency departments : A report from the ANZEDAR
Ghedina, Nicole, Alkhouri, Hatem, Badge, Helen, Fogg, Toby and McCarthy, Sally. (2020). Paediatric intubation in Australasian emergency departments : A report from the ANZEDAR. Emergency Medicine Australasia. 32(3), pp. 401-408. https://doi.org/10.1111/1742-6723.13416
The provision of brain injury rehabilitation services for people living in rural and remote New South Wales, Australia
Mitsch, Virginia, Curtin, Michael and Hawke, Helen. (2014). The provision of brain injury rehabilitation services for people living in rural and remote New South Wales, Australia. Brain Injury. 28(12), pp. 1504-1513. https://doi.org/10.3109/02699052.2014.938120