Perceptions of physician recommendations for joint replacement surgery in older patients with severe hip or knee osteoarthritis.
Perceptions of physician recommendations for joint replacement surgery in older patients with severe hip or knee osteoarthritis.
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DOI：
10.1111/j.1532-5415.2008.02082.x
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发表时间：
2009-01
影响因子：
6.3
通讯作者：
Hamel MB
中科院分区：
文献类型：
--
作者：
Schonberg MA;Marcantonio ER;Hamel MB
To examine patient perceptions of physician discussions and recommendations around total joint arthroplasty [TJA]. Prospective cohort study. One large academic medical center and 4 community affiliates in Boston. Participants: 174 patients aged ≥65 with severe osteoarthritis of the hip or knee for at least 6 months not controlled with medications. Patient perceptions of primary care physicians [PCPs] and orthopedists communication about TJA were assessed at baseline for all patients and at 12 months for those that did not undergo surgery. Of the 174 patients, 49 were aged ≥80; 82% were non-Hispanic white; and 69% had knee osteoarthritis. Most (87%, 142/163) reported that they had discussed their hip or knee arthritis with their PCP at baseline; 26% (42/163) reported that their PCP discussed TJA as a treatment option. Of the 128 patients that saw an orthopedist, 65% reported that their orthopedist recommended TJA. Only 29% (51/174) of patients received TJA. Those that reported discussing TJA with their PCP at baseline were more likely to undergo TJA (p<0.01). Few (36%, 44/123) of the patients who did not undergo TJA reported that their PCP discussed surgery as a treatment option at baseline or at 12 months follow-up. Patients with severe osteoarthritis of their hip or knee who report discussing TJA as a treatment option with their PCP are more likely to undergo TJA within the next year; however, few older adults report having these discussions. Improvement is needed in communication between PCPs and patients about TJA.
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影响因子：
--
作者：
Lawrence, Reva C.;Felson, David T.;Wolfe, Frederick
通讯作者：
Wolfe, Frederick
影响因子：
3.6
作者：
Hudak, PL;Clark, JP;Wright, JG
通讯作者：
Wright, JG
影响因子：
2.8
作者：
O'Neill, Tracey;Jinks, Clare;Ong, Bie Nio
通讯作者：
Ong, Bie Nio
DOI：
10.1002/art.22670
发表时间：
2007-05-15
期刊：
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH
影响因子：
--
作者：
Weng, Haoling H.;Kaplan, Robert M.;Fitzgerald, John D.
通讯作者：
Fitzgerald, John D.
DOI：
10.1302/0301-620x.90b3.19935
发表时间：
2008-03-01
影响因子：
--
作者：
Parry, M.;Wylde, V.;Blom, A. W.
通讯作者：
Blom, A. W.