Web-Based Education Prior to Outpatient Orthopaedic Surgery Enhances Early Patient Satisfaction Scores: A Prospective Randomized Controlled Study

Carola F van Eck, Aneet Toor, Michael B Banffy, Ralph A Gambardella, Carola F van Eck, Aneet Toor, Michael B Banffy, Ralph A Gambardella

Abstract

Background: A good patient-surgeon relationship relies on adequate preoperative education and counseling. Several multimedia resources, such as web-based education tools, have become available to enhance aspects of perioperative care.

Purpose/hypothesis: The purpose of this study was to evaluate the effect of an interactive web-based education tool on perioperative patient satisfaction scores after outpatient orthopaedic surgery. It was hypothesized that web-based education prior to outpatient orthopaedic surgery enhances patient satisfaction scores.

Study design: Randomized controlled trial; Level of evidence, 1.

Methods: All patients undergoing knee arthroscopy with meniscectomy, chondroplasty, or anterior cruciate ligament reconstruction or shoulder arthroscopy with rotator cuff repair were eligible for inclusion and were randomized to the study or control group. The control group received routine education by the surgeon, whereas the study group received additional web-based education. At the first postoperative visit, all patients completed the OAS CAHPS (Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems) survey. Differences in patient satisfaction scores between the study and control groups were determined with an independent t test.

Results: A total of 177 patients were included (104 [59%] males; mean age, 42 ± 14 years); 87 (49%) patients were randomized to receive additional web-based education. Total patient satisfaction score was significantly higher in the study group (97 ± 5) as compared with the control group (94 ± 8; P = .019), specifically for the OAS CAHPS core measure "recovery" (92 ± 13 vs 82 ± 23; P = .001). Age, sex, race, workers' compensation status, education level, overall health, emotional health, procedure type and complexity, and addition of a video did not influence patient satisfaction scores.

Conclusion: Supplemental web-based patient education prior to outpatient orthopaedic surgery enhances patient satisfaction scores.

Keywords: OAS CAHPS; education; orthopaedic surgery; outpatient; patient satisfaction; web based.

Conflict of interest statement

One or more of the authors declared the following potential conflict of interest or source of funding: M.B.B. is a paid consultant for Stryker. R.A.G. has stock/stock options in Johnson & Johnson, is a paid consultant for Smith & Nephew, is a paid presenter/speaker for Smith & Nephew, and receives research support from Smith & Nephew.

Figures

Figure 1.
Figure 1.
Consolidated Standards Of Reporting Trials (CONSORT) flow diagram.
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