Negative Patient-Experience Comments After Total Shoulder Arthroplasty

The Journal of Bone and Joint Surgery. American Volume
Mariano E MenendezAndrew Jawa

Abstract

There is growing interest in enhancing the patient experience after discretionary orthopaedic surgery. Patient narratives are a potentially valuable but largely unscrutinized source of information. Using machine learning to understand sentiment within patient-experience comments, we explored the content of negative comments after total shoulder arthroplasty (TSA), their associated factors, and their relationship with traditional measures of patient satisfaction and with perioperative outcomes. An institutional registry was used to link the records of 186 patients who had undergone elective primary TSA between 2016 and 2017 with vendor-supplied patient satisfaction data, which included patient comments and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Using a machine-learning-based natural language processing approach, all patient comments were mined for sentiment and classified as positive, negative, mixed, or neutral. Negative comments were further classified into themes. Multivariable logistic regression was employed to determine characteristics associated with providing a negative comment. Most patients (71%) provided at least 1 comment; 32% of the comments were negative, 62% were posi...Continue Reading

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Citations

Aug 8, 2019·Clinical Orthopaedics and Related Research·Elbert J MetsJonathan N Grauer
Apr 8, 2020·Indian Journal of Orthopaedics·Murali PoduvalAniruddha Sinha
Jan 23, 2021·Hand : Official Journal of the American Association for Hand Surgery·Lauren M ShapiroRobin N Kamal
Nov 1, 2020·The Journal of Arthroplasty·Patawut BovonratwetEdwin P Su
Oct 20, 2020·Annals of Surgery·Joseph A MelliaJohn P Fischer
Apr 27, 2021·The American Journal of Sports Medicine·Prem N RamkumarRiley J Williams
May 28, 2021·Orthopedics·Katherine JosephNathan N O'Hara
Nov 9, 2021·Computers, Informatics, Nursing : CIN·Mary Anne SchultzAlvin D Jeffery

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