The influence of patient resilience and health status on satisfaction after total hip and knee arthroplasty

Samuel J. Lynskey, Ferraby Ling, Alana M. Greenberg, Jahan C. Penny-Dimri, Alasdair G. Sutherland

Research output: Contribution to journalArticleResearchpeer-review

6 Citations (Scopus)


Background and purpose: Our research aimed to identify and characterise relationships between patient resilience, health status, and satisfaction following total hip and knee arthroplasty (THA/TKA). A secondary aim was to compare two frequently used instruments for measuring patient satisfaction: The Satisfaction Visual Analogue Scale (Satis VAS) and the Net Promoter Score (NPS). Methods: 140 patients (mean age 69, 60% female) underwent primary THA or TKA at a centre in regional Australia and were recruited to complete questionnaires about their resilience, health status, and satisfaction following arthroplasty. We selected validated instruments to measure patient-reported outcomes: Satis VAS, NPS, EuroQol Group 5D-5L, EuroQol Group Visual Analogue Scale, and the Connor-Davidson 10-item Resilience Scale. Results: Our research demonstrates a strong positive correlation between patient resilience and patient-reported health status. A moderate positive correlation exists between resilience and satisfaction (both Satis VAS and NPS). Resilient patients demonstrated higher health scores and higher satisfaction (by both measures) than lower-resilience patients. Conclusions: Patient satisfaction following arthroplasty, captured by Satis VAS and NPS, may be partly predicted by patient resilience post operatively, with higher-resilience patients demonstrating less dissatisfaction than lower-resilience patients.

Original languageEnglish
Pages (from-to)8-14
Number of pages7
JournalThe Surgeon
Issue number1
Publication statusPublished - Feb 2021
Externally publishedYes


  • Net promoter score
  • Psychology
  • Resilience
  • Satisfaction
  • Total hip arthroplasty
  • Total knee arthroplasty

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