What Are the Keys to THA Patients’ Satisfaction with Their Hospital Stay?

    What total hip arthroplasty (THA) patients value most during their hospital stay – and then translate into their level of satisfaction with that stay – depends on their gender, according to the results of a study presented at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons.

    “Interestingly, there are differences in perception of care between men and women,” said Michael A. Mont, MD, study author and chairman of orthopaedic surgery at the Cleveland Clinic.

    The investigators analyzed survey results from 692 patients who had undergone THA between November 2009 and January 2015. The patients included 277 men and 414 women. Both groups had a mean age of 62 years.

    The men and women had comparable mean hospital satisfaction scores, and there were no significant differences in the grading of nurse communication, staff responsiveness, physician communication, hospital environment, pain management, and communication about medication.

    However, when patient perception was further analyzed, researchers found a gender bias in the factors that influenced men’s and women’s perceptions of care:

    • For women, patient satisfaction was most influenced by staff responsiveness, followed by communication with nurses and physicians.
    • For men, the way their pain was managed had the strongest impact on their overall satisfaction with care.

    In 2012, the U.S. Centers for Medicare and Medicaid Services shifted from a fee-for-service to a fee-for-performance model. As a result, patient satisfaction, as measured by surveys such as the one analyzed in this study, partially determines reimbursement rates.

    “Overall, patient satisfaction should be the goal of every orthopaedist,” said Anton Khlopas, MD, one of the study authors. “Focusing efforts based on gender may allow for better patient satisfaction.”


    Gwam C, Chughtai M, Khlopas A, et al. Does gender influence how patients rate their patient experience after total hip arthroplasty? Presented at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons, March 14-18, 2017, in San Diego, California.