PDF(Pubmed)
Abstract：
UNASSIGNED: A minority of geriatric hip fracture patients pursue non-operative treatment. Compared with surgical patients, non-operative patients have higher mortality rates. However, patient satisfaction following non-operative vs operative treatment has not been investigated extensively. The purpose of this study was to compare satisfaction among non-operatively vs operatively treated hip fracture patients.
UNASSIGNED: We identified patients aged 60+ years with proximal femur fractures treated over a 10-year period. Excluded were patients with isolated greater/lesser trochanteric fractures. Patients or relatives were asked to complete a 6-question survey about their treatment satisfaction.
UNASSIGNED: Survey responses from 56 operative and 28 non-operative patients were recorded. Overall, 91.1% of operative and 82.1% of non-operative patients were satisfied with their treatment course (P = 0.260). However, only 71.4% of non-operative patients were satisfied with treatment option explanations vs 83.9% of operative patients (P = 0.014). While only 64.3% of non-operative respondents were satisfied with the ultimate treatment outcome (vs 85.7% of operative patients, P = 0.025), 89.3% of patients in each cohort would choose the same treatment plan again.
UNASSIGNED: Our findings highlight the complexity of defining patient satisfaction, particularly in a geriatric hip fracture population. Unlike previous studies, we chose a direct approach to quantifying patient satisfaction by asking participants specifically about satisfaction with treatment outcome and the overall treatment course. Additional survey questions were then included to assess factors considered important in treatment satisfaction, such as health care provider treatment explanations, post-treatment mobility, and palliative care service involvement.
UNASSIGNED: We identified significant differences between non-operatively and operatively treated geriatric hip fracture patients regarding satisfaction with the explanation of treatment options, and ultimate treatment outcomes. There was no significant difference in overall satisfaction with the treatment course or likelihood of choosing the same treatment again. Further research investigating patient satisfaction following geriatric hip fracture treatment is warranted.
UNASSIGNED: We identified patients aged 60+ years with proximal femur fractures treated over a 10-year period. Excluded were patients with isolated greater/lesser trochanteric fractures. Patients or relatives were asked to complete a 6-question survey about their treatment satisfaction.
UNASSIGNED: Survey responses from 56 operative and 28 non-operative patients were recorded. Overall, 91.1% of operative and 82.1% of non-operative patients were satisfied with their treatment course (P = 0.260). However, only 71.4% of non-operative patients were satisfied with treatment option explanations vs 83.9% of operative patients (P = 0.014). While only 64.3% of non-operative respondents were satisfied with the ultimate treatment outcome (vs 85.7% of operative patients, P = 0.025), 89.3% of patients in each cohort would choose the same treatment plan again.
UNASSIGNED: Our findings highlight the complexity of defining patient satisfaction, particularly in a geriatric hip fracture population. Unlike previous studies, we chose a direct approach to quantifying patient satisfaction by asking participants specifically about satisfaction with treatment outcome and the overall treatment course. Additional survey questions were then included to assess factors considered important in treatment satisfaction, such as health care provider treatment explanations, post-treatment mobility, and palliative care service involvement.
UNASSIGNED: We identified significant differences between non-operatively and operatively treated geriatric hip fracture patients regarding satisfaction with the explanation of treatment options, and ultimate treatment outcomes. There was no significant difference in overall satisfaction with the treatment course or likelihood of choosing the same treatment again. Further research investigating patient satisfaction following geriatric hip fracture treatment is warranted.
摘要：
■少数老年髋部骨折患者寻求非手术治疗。与手术患者相比，非手术患者死亡率较高。然而,非手术与手术治疗后的患者满意度尚未得到广泛调查。这项研究的目的是比较非手术和手术治疗的髋部骨折患者的满意度。
■我们确定了60岁以上的股骨近端骨折患者，治疗时间为10年。排除了孤立的大/小转子骨折患者。要求患者或亲属完成有关其治疗满意度的6个问题的调查。
■记录了56名手术患者和28名非手术患者的调查反应。总的来说,91.1%的手术患者和82.1%的非手术患者对治疗过程满意(P=0.260)。然而,只有71.4%的非手术患者对治疗方案解释满意,而手术患者为83.9%(P=0.014).虽然只有64.3%的非手术受访者对最终治疗结果感到满意(相比之下，85.7%的手术患者，P=0.025),每个队列中89.3%的患者会再次选择相同的治疗方案。
■我们的研究结果突出了定义患者满意度的复杂性，特别是在老年髋部骨折人群中。与以往的研究不同,我们选择了一种直接量化患者满意度的方法,具体询问参与者对治疗结果和整个疗程的满意度.然后纳入其他调查问题，以评估治疗满意度中被认为重要的因素，例如医疗保健提供者的治疗解释，治疗后的流动性，和姑息治疗服务的参与。
■我们发现了非手术和手术治疗的老年髋部骨折患者在对治疗方案的解释满意度方面的显著差异。和最终的治疗结果。对疗程的总体满意度或再次选择相同治疗的可能性没有显着差异。需要进一步研究老年髋部骨折治疗后患者的满意度。
■我们确定了60岁以上的股骨近端骨折患者，治疗时间为10年。排除了孤立的大/小转子骨折患者。要求患者或亲属完成有关其治疗满意度的6个问题的调查。
■记录了56名手术患者和28名非手术患者的调查反应。总的来说,91.1%的手术患者和82.1%的非手术患者对治疗过程满意(P=0.260)。然而,只有71.4%的非手术患者对治疗方案解释满意,而手术患者为83.9%(P=0.014).虽然只有64.3%的非手术受访者对最终治疗结果感到满意(相比之下，85.7%的手术患者，P=0.025),每个队列中89.3%的患者会再次选择相同的治疗方案。
■我们的研究结果突出了定义患者满意度的复杂性，特别是在老年髋部骨折人群中。与以往的研究不同,我们选择了一种直接量化患者满意度的方法,具体询问参与者对治疗结果和整个疗程的满意度.然后纳入其他调查问题，以评估治疗满意度中被认为重要的因素，例如医疗保健提供者的治疗解释，治疗后的流动性，和姑息治疗服务的参与。
■我们发现了非手术和手术治疗的老年髋部骨折患者在对治疗方案的解释满意度方面的显著差异。和最终的治疗结果。对疗程的总体满意度或再次选择相同治疗的可能性没有显着差异。需要进一步研究老年髋部骨折治疗后患者的满意度。
