Personalized outcomes for hip and knee replacement: the patients point of view

Robin R. Whitebird, Leif I Solberg, Jeanette Y. Ziegenfuss, Stephen E. Asche, Christine K. Norton, Marc F. Swiontkowski, Steven P. Dehmer, Elizabeth S. Grossman

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Background: Patient reported outcome measures (PROMs) are increasingly being incorporated into clinical and surgical care for assessing outcomes. This study examined outcomes important to patients in their decision to have hip or knee replacement surgery, their perspectives on PROMs and shared decision-making, and factors they considered important for postoperative care. Methods: A cross-sectional study employing survey methods with a stratified random sample of adult orthopedic patients who were scheduled for or recently had hip or knee replacement surgery. Results: In a representative sample of 226 respondents, patients identified personalized outcomes important to them that they wanted from their surgery including the ability to walk without pain/discomfort, pain relief, and returning to an active lifestyle. They preferred a personalized outcome (54%) that they identified, compared to a PROM score, for tracking progress in their care and thought it important that their surgeon know their personal outcomes (63%). Patients also wanted to engage in shared decision-making (79%) about their post-surgical care and identified personal factors important to their aftercare, such as living alone and caring for pets. Conclusions: Patients identified unique personalized outcomes they desired from their care and that they wanted their orthopedic surgeons to know about. Asking patients to identify their personalized outcomes could add value for both patients and surgeons in clinical care, facilitating more robust patient involvement in shared decision-making.

Original languageEnglish (US)
Article number116
JournalJournal of Patient-Reported Outcomes
Issue number1
StatePublished - Dec 2021

Bibliographical note

Funding Information:
This project was supported by Grant Number R18HS025618 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality.

Publisher Copyright:
© 2021, The Author(s).


  • Clinical care
  • Orthopedic surgery
  • Patient engagement
  • Patient perspective
  • Patient reported outcomes (PRO)
  • Patient-centered care
  • Performance measurement
  • Shared decision-making


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