Background While total joint replacements (TJR) are frequently performed, there is little qualitative research to define the outcomes most important to patients. Methods Patients who had received total hip (THR) or total knee replacements (TKR) participated in 8 nominal groups to answer the question "What result/results matter the most to a patient undergoing/having a knee or hip replacement?" Total 270 votes were allocated. Results Eight nominal groups were performed with 45 patients, 6 groups with mean age (71.1 ± 9.3), and 2 with 9 younger patients (mean age 36.8 ± 7.4). All had TJR between 2016 and 2018; overall, 40% were male, 15.6% were Black, and 75% were performed for osteoarthritis. While all groups ranked the same top 3 outcomes, responses varied with age: 1) relief of pain (46% vs. 35% in the young groups); 2) improved function including mobility (29% vs. 18% in the young groups); 3) restored quality of life (13% vs 33% of votes in the younger group). Conclusion Relief of pain and restoration of function, and improved quality of life are the 3 outcomes ranked highest by patients, confirming their inclusion in TJR clinical trials.

中文翻译：

---

患者对全膝关节和全髋关节置换术后结果的看法：一项名义小组研究。

背景 虽然经常进行全关节置换术 (TJR)，但很少有定性研究来确定对患者最重要的结果。方法 接受过全髋关节置换术 (THR) 或全膝关节置换术 (TKR) 的患者参加 8 个标称组来回答“什么结果/结果对接受/进行膝关节或髋关节置换术的患者最重要？”的问题。总共分配了 270 票。结果 8 个标称组有 45 名患者，6 组平均年龄（71.1 ± 9.3），2 组有 9 名年轻患者（平均年龄 36.8 ± 7.4）。所有人都在 2016 年至 2018 年期间拥有 TJR；总体而言，40% 为男性，15.6% 为黑人，75% 为骨关节炎。虽然所有组的前 3 名结果相同，但反应随年龄而异：1) 疼痛缓解（年轻组为 46% 对 35%）；2) 改善功能，包括活动能力（年轻组为 29% 对 18%）；3) 恢复生活质量（13% 对年轻组 33% 的选票）。结论 疼痛缓解和功能恢复、生活质量改善是患者排名最高的 3 项结局，证实了他们被纳入 TJR 临床试验。