The influence of patient resilience and health status on satisfaction after total hip and knee arthroplasty

Abstract

BACKGROUND AND PURPOSE: Our research aimed to identify and characterise relationships between patient resilience, health status, and satisfaction following total hip and knee arthroplasty (THA/TKA). A secondary aim was to compare two frequently used instruments for measuring patient satisfaction: The Satisfaction Visual Analogue Scale (Satis VAS) and the Net Promoter Score (NPS). METHODS: 140 patients (mean age 69, 60% female) underwent primary THA or TKA at a centre in regional Australia and were recruited to complete questionnaires about their resilience, health status, and satisfaction following arthroplasty. We selected validated instruments to measure patient-reported outcomes: Satis VAS, NPS, EuroQol Group 5D-5L, EuroQol Group Visual Analogue Scale, and the Connor-Davidson 10-item Resilience Scale. RESULTS: Our research demonstrates a strong positive correlation between patient resilience and patient-reported health status. A moderate positive correlation exists between resilience and satisfaction (both Satis VAS and NPS). Resilient patients demonstrated higher health scores and higher satisfaction (by both measures) than lower-resilience patients. CONCLUSIONS: Patient satisfaction following arthroplasty, captured by Satis VAS and NPS, may be partly predicted by patient resilience post operatively, with higher-resilience patients demonstrating less dissatisfaction than lower-resilience patients.