What are patients' preferences for revision surgery after periprosthetic joint infection? A discrete choice experiment.
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ABSTRACT: Objectives
Understanding patients' preferences for treatment is crucial to provision of good care and shared decisions, especially when more than one treatment option exists for a given condition. One such condition is infection of the area around the prosthesis after hip replacement, which affects between 0.4% and 3% of patients. There is more than one treatment option for this major complication, and our study aimed to assess the value that patients place on aspects of revision surgery for periprosthetic hip infection.Design
We identified four attributes of revision surgery for periprosthetic hip infection. Using a discrete choice experiment (DCE), we measured the value placed on each attribute by 57 people who had undergone either one-stage or two-stage revision surgery for infection.Setting
The DCE was conducted with participants from nine National Health Service hospitals in the UK.Participants
Adults who had undergone revision surgery for periprosthetic hip infection (N=57).Results
Overall, the strongest preference was for a surgical option that resulted in no restrictions on engaging in valued activities after a new hip is fitted (β=0.7). Less valued but still important attributes included a shorter time taken from the start of treatment to return to normal activities (6 months; β=0.3), few or no side effects from antibiotics (β=0.2), and having only one operation (β=0.2).Conclusions
The results highlight that people who have had revision surgery for periprosthetic hip infection most value aspects of care that affect their ability to engage in normal everyday activities. These were the most important characteristics in decisions about revision surgery.
SUBMITTER: Carroll FE
PROVIDER: S-EPMC7044986 | biostudies-literature |
REPOSITORIES: biostudies-literature
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