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The validation of the visual analogue scale for patient satisfaction after total hip arthroplasty
Open accessAbstract
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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“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]
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“the use of a 10 cm VAS is superior to a Lickert scale when used as a single measure of patient satisfaction.”
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Metadata
- 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
- Published
- 2012-04-12
- Volume
- 3
- Issue
- 2
- Pages
- 101-105
- ISSN
- 1867-4569 (ISSN-L)
- 1867-4577
- 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
- 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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