Background In Sweden, one year after primary total hip replacement, implant survival is close to 100% while the patient satisfaction is barely 90%. Through patient reported outcomes, Swedish Hip Arthroplasty Register have identified persons who scored uncertain or dissatisfied with the outcome of surgery at one year follow up. The aim of this study was to illuminate conceptions on the outcome of total hip replacement in persons who reported uncertainty or dissatisfaction with the outcome of surgery one year postoperatively.
Objectives Informants were recruited via Swedish Hip Arthroplasty Register's database of patients with total hip replacement.
Methods Semistructured interviews were conducted with twenty-two persons, (fifteen women and seven men), aged 49-85 years, about their experiences of the outcome after total hip replacement. The interviews were analyzed with qualitative content analysis.
Results The informants were desiring for solid and prolonged support and guidance when life was restricted by disability. They described experiences of limitations due to impairments influencing their well-being and activities of daily life and also a lack of support. Four different categories emerged: Life restrictions by disability, Negative impacts on daily living, Sense of insufficient support and treatment, Caregivers' scarce availability.
Conclusions Dissatisfaction after the outcome of total hip replacement is a complexed issue involving discomfort in many areas of life. None of the informants reported that their expectations were fully met. Guidance and support from healthcare are important issues for patients, even though the intervention is considered complete and is approved by the orthopaedic clinic.
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Rolfson O, Kärrholm J, Dahlberg LE, Garellick G. Patient-reported outcomes in the Swedish Hip Arthroplasty Register: results of a nationwide prospective observational study. J Bone Joint Surg Br. 2011;93(7):867-75.
Acknowledgements The informants who shared their experiences with us.
Disclosure of Interest None declared