The validation of the visual analogue scale for patient satisfaction after total hip arthroplasty

Brokelman, Roy B. G.; Haverkamp, Daniel; van Loon, Corné; Hol, Annemiek; van Kampen, Albert; Veth, Rene

doi:10.1007/s12570-012-0100-3

Cited by 260Total Knee Arthroplasty OutcomesPatient Satisfaction in HealthcareOrthopaedic implants and arthroplasty

The validation of the visual analogue scale for patient satisfaction after total hip arthroplasty

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Brokelman, Roy B. G., Haverkamp, Daniel, van Loon, Corné, Hol, Annemiek, van Kampen, Albert, Veth, Rene·2012·European Orthopaedics and Traumatology

DOI 10.1007/s12570-012-0100-3PMC PMC3389603

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Abstract

INTRODUCTION: Patient satisfaction becomes more important in our modern health care system. The assessment of satisfaction is difficult because it is a multifactorial item for which no golden standard exists. One of the potential methods of measuring satisfaction is by using the well-known visual analogue scale (VAS). In this study, we validated VAS for satisfaction. PATIENT AND METHODS: In this prospective study, we studied 147 patients (153 hips). The construct validity was measured using the Spearman correlation test that compares the satisfaction VAS with the Harris hip score, pain VAS at rest and during activity, Oxford hip score, Short Form 36 and Western Ontario McMaster Universities Osteoarthritis Index. The reliability was tested using the intra-class coefficient. RESULTS: The Pearson correlation test showed correlations in the range of 0.40-0.80. The satisfaction VAS had a high correlation between the pain VAS and Oxford hip score, which could mean that pain is one of the most important factors in patient satisfaction. The intra-class coefficient was 0.95. CONCLUSIONS: There is a moderate to mark degree of correlation between the satisfaction VAS and the currently available subjective and objective scoring systems. The intra-class coefficient of 0.95 indicates an excellent test-retest reliability. The VAS satisfaction is a simple instrument to quantify the satisfaction of a patient after total hip arthroplasty. In this study, we showed that the satisfaction VAS has a good validity and reliability.

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The 10 cm VAS has been validated for usage as a single measure of patient satisfaction in a similar postoperative time period in adults undergoing arthroscopy.
“It has also been validated for usage in this way and in a similar postoperative time period in adults undergoing arthroscopy [30].”
From Improving access to preparatory information for children undergoing general anaesthesia for tooth extraction and their families: Study protocol for a Phase III randomized controlled trial (2014) · cites this paper as [30]
The Satisfaction visual analogue scale section describes a 100-mm (10-cm) scale, and the Conclusions find it valid for measuring satisfaction after total hip arthroplasty. The study did not validate it in adults undergoing arthroscopy: Patients and methods describes hip arthroplasty patients assessed at an average of 2.5 years. The Conclusions also caution that satisfaction VAS cannot be the only outcome measurement. (LLM, conf=0.89)
Experimental — accuracy not yet measured
The use of a 10 cm VAS is superior to a Lickert scale when used as a single measure of patient satisfaction.
“the use of a 10 cm VAS is superior to a Lickert scale when used as a single measure of patient satisfaction.”
From Improving access to preparatory information for children undergoing general anaesthesia for tooth extraction and their families: Study protocol for a Phase III randomized controlled trial (2014) · cites this paper as [30]

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Self-citation
Assessment of a Satisfaction Measure for Use After Primary Total Joint Arthroplasty
Goodman, S. M., Mehta, B. Y., Kahlenberg, C. A., Krell, E. C., Nguyen, J., Finik, J. M., Figgie, M. P., Parks, M. L., Padgett, D. E., Antao, V. C., et al. (2020) · The Journal of Arthroplasty · doi:10.1016/j.arth.2020.02.039 · Cited by 75 · see citing works
Patient Satisfaction Reporting After Total Hip Arthroplasty: A Systematic Review
Kahlenberg, C. A., Nwachukwu, B. U., Schairer, W. W., Steinhaus, M. E., & Cross, M. B. (2017) · Orthopedics · doi:10.3928/01477447-20170120-04 · Cited by 33 · see citing works

Authors: Brokelman, R. B. G., Haverkamp, D., van Loon, C., Hol, A., van Kampen, A., & Veth, R.
Affiliations: Rijnstate Hospital (NL)
ORCID: Brokelman, Roy B. G.
Venue: European Orthopaedics and Traumatology
Publisher: Springer Science and Business Media LLC
Published: 2012-04-12
Volume: 3
Issue: 2
Pages: 101-105
ISSN: 1867-4569 (ISSN-L)
1867-4577
DOI: 10.1007/s12570-012-0100-3
PMC: PMC3389603
OpenAlex: W2162543662
Cited by: 260
References: 24
Citations by year: 2026: 15 · 2025: 26 · 2024: 16 · 2023: 22 · 2022: 32 · 2021: 21 · 2020: 28 · 2019: 17 · 2018: 15 · 2017: 17 · 2016: 14 · 2015: 15 · 2014: 18 · 2013: 3 · 2012: 1
FWCI: 12.08
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
creativecommons.org/licenses/by/2.0 (tdm)
Locations: European Orthopaedics and Traumatology (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Radboud Repository (Radboud University) (submittedVersion)
Topics: Health Sciences › Medicine › Surgery › Total Knee Arthroplasty Outcomes
Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
Health Sciences › Medicine › Surgery › Orthopaedic implants and arthroplasty
Keywords: patient satisfaction, total hip arthroplasty, visual analogue scale, construct validity, test-retest reliability, Harris hip score, Oxford Hip Score, Short Form-36, postoperative pain

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The validation of the visual analogue scale for patient satisfaction after total hip arthroplasty

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