Racial Differences in Patient Satisfaction With the Hospital Experience Undergoing Primary Unilateral Hip and Knee Arthroplasty: A Retrospective Study

• Published in: Arthroplasty today Vol. 23; p. 101212
• Main Authors: Burke, Orett C., Gibbons, J. Alex B., Do, Huong T., Y. Lai, Emily, Bradford, Letitia, Bass, Anne R., Amen, Troy B., Russell, Linda A., Mehta, Bella, Parks, Michael, Figgie, Mark, Goodman, Susan
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-10-2023; Elsevier
• Subjects: HCAHPS; Hip arthroplasty; Knee arthroplasty; Original Research; Patient satisfaction; Press Ganey; Race; Racial disparities; Socioeconomic status; Socioeconomic status; Racial disparities; Knee arthroplasty; Hip arthroplasty; Race; Press Ganey; Patient satisfaction; HCAHPS
• ISSN: 2352-3441; 2352-3441
• DOI: 10.1016/j.artd.2023.101212

Press Ganey (PG) inpatient survey is widely used to track patient satisfaction with the hospital experience. Our aim was to use the PG survey to determine if there are racial differences in overall hospital experience and perception of nurses and surgeons following hip and knee arthroplasty.
We retrospectively analyzed Black and White patients from hip and knee arthroplasty registries from a single institution between July 2010 and February 2012. The overall assessment score for the hospital experience and perception of the nurse and surgeon questions from the PG inpatient survey were dichotomized as “not completely satisfied” or “completely satisfied”. Multivariable logistic regression models were developed to determine the impact of race on the likelihood of being ‘completely satisfied’ in the hip and knee cohorts.
There were 2517 hip and 2114 knee patients who underwent surgery and completed the PG survey, of whom 3.9% were Black and 96.0% were White. Black patients were less likely to be completely satisfied with their hospital experience compared to White patients in the hip (odds ratio 0.62, confidence interval 0.39-1.00, P = .049) and knee (odds ratio 0.52, confidence interval 0.33-0.82, P = .005) cohorts. Black patients were also less likely to be completely satisfied with multiple aspects of care they received from the nurse and surgeon in both cohorts.
We found that the PG Survey shows Black patients were less likely to be completely satisfied than White patients with the hospital experience, including their interactions with nurses and surgeons. More work is needed to understand this difference.