Influence Patient Satisfaction Research Articles

Patient-Centered Care and Process Improvement: A Systematic Review of Impacts on Satisfaction Outcomes

Patient-centered care (PCC) has emerged as a crucial approach in enhancing healthcare delivery, focusing on the needs and preferences of patients. This systematic review explores the impact of process improvement strategies on patient satisfaction outcomes within PCC frameworks. Databases including PubMed, Scopus, and Web of Science were searched for relevant studies published between 2016 and 2024, analyzing the effectiveness of process improvement interventions such as Lean, Six Sigma, and workflow optimization in various healthcare settings. Inclusion criteria focused on studies that specifically measured patient satisfaction as an outcome. The review found that process improvement initiatives positively influence patient satisfaction by streamlining care delivery, reducing wait times, and improving communication between healthcare providers and patients. However, variations in intervention types and healthcare settings highlight the need for context-specific applications. This review underscores the importance of integrating process improvement tools into PCC practices to achieve better satisfaction outcomes and improve overall care quality. Future research should focus on long-term effects and broader applications of these interventions in diverse healthcare environments.

Global Research Trends on Factors Affecting Patient Satisfaction Levels in Hospital Inpatient Wards: A Bibliometric Analysis

ABSTRACT Research on patient satisfaction in hospital inpatient rooms is one of the main focuses in efforts to improve the quality of health services. Understanding the factors that influence patient satisfaction is crucial for policy makers and healthcare practitioners. Although various studies have been conducted, the global map of this research trend is still not clearly depicted. This study aims to fill this gap by conducting a bibliometric analysis of the literature related to patient satisfaction in hospitals, using a visualization approach to provide deeper insights into the dynamics of research in this area. The method used involved data collection of scholarly articles from 2014 to 2024 using Google Scholar's Publish or Perish application. A total of 50 articles were selected based on relevance to keywords such as Patient Satisfaction, Inpatient Room, Satisfaction Factors, Hospital, and Health Services. This data was then analyzed using VOSviewer to visualize the relationship between various elements in the literature through network visualization, overlay visualization, and density visualization. This approach mapped research trends, identified key clusters, and showed collaboration patterns and dominant topics. The results show that service quality and patient satisfaction are the main focus in the literature. Research clusters showed significant attention to basic aspects of healthcare such as hospital care and facilities, while demographic aspects and specific determinants were less explored. Citation analysis showed that articles providing comprehensive reviews or practical models received more attention. In addition, the density visualization revealed the dominance of quality of care aspects, but also showed the potential for further research on topics such as technological innovation and the impact of health policy. The conclusions of this study show that although much research has been conducted, there are still significant research gaps that can be further explored. This study maps global trends in patient satisfaction studies, and provides guidance for researchers to focus on less explored areas, thereby contributing to the improvement of healthcare quality in hospitals. Keywords: Patient Satisfaction, Service Quality, Hospital, Bibliometric Analysis.

A Relationship between Physical Infrastructure and Patient Satisfaction: A Case Study of Kantipur Dental Hospital

This study investigates the impact of physical infrastructure on patient satisfaction at Kantipur Dental Hospital, a prominent dental care facility in Nepal. With the increasing demand for high-quality healthcare services, understanding the factors influencing patient satisfaction is crucial for healthcare providers. The research aims to explore how various aspects of the hospital’s infrastructure—specifically, the use of state-of-the-art equipment, cleanliness and hygiene, sterilization practices, and convenient location—affect patients' perceptions of care quality. A quantitative research design was employed, utilizing a structured questionnaire distributed to 117 patients who had received treatment at Kantipur Dental Hospital within the last six months. The questionnaire measured patients' perceptions of the clinic's infrastructure and their overall satisfaction, with a focus on two key dimensions: confidence after treatment and the acceptability of service fees. Data analysis was conducted using Spearman’s rho correlation to assess the relationships between the perceived infrastructure variables and patient satisfaction outcomes. The findings reveal significant positive correlations between perceptions of the hospital's physical infrastructure and patient satisfaction. Specifically, the use of modern equipment and a clean, hygienic environment were strongly associated with increased patient confidence post-treatment. Furthermore, the accessibility of the hospital location was also found to influence perceptions of service fee acceptability. Notably, while sterilization practices contributed positively to patient confidence, they did not significantly impact fee perceptions, suggesting that patients prioritize cleanliness and modernity in their overall evaluation of care. These results underscore the critical role of physical infrastructure in enhancing patient satisfaction at Kantipur Dental Hospital. The study recommends that healthcare facilities continue to invest in modern technology and maintain high standards of cleanliness to foster patient confidence and satisfaction. This research provides valuable insights for clinic management and policy-makers, emphasizing that improving physical infrastructure is essential for delivering quality healthcare services and ensuring positive patient experiences.

Key Predictors of Patient Satisfaction and Loyalty in Saudi Healthcare Facilities: A Cross-Sectional Analysis.

Patient satisfaction and loyalty are essential indicators of healthcare quality, directly impacting patient outcomes and the long-term success of healthcare facilities. Despite the growing importance of patient-centered care in Saudi Arabia, there is limited research exploring the factors that influence patient satisfaction and loyalty, particularly in the Riyadh region. This study aims to identify the key factors influencing patient satisfaction and loyalty among Saudi patients attending public and private healthcare facilities in the Riyadh region. The study focuses on how healthcare service quality, communication, and demographic factors contribute to patient satisfaction and loyalty. A cross-sectional study was conducted with a sample of 350 Saudi patients from 10 healthcare facilities in Riyadh. Data were collected using the Patient Satisfaction Questionnaire (PSQ-18) and the Patient Loyalty Questionnaire (PLQ). Descriptive statistics, Pearson correlation, and multiple linear regression were employed to identify predictors of patient satisfaction and loyalty. Significant predictors of patient satisfaction included general satisfaction (β = 0.48, p < 0.001), communication (β = 0.35, p < 0.001), and the frequency of healthcare visits (β = 0.13, p = 0.011). Private healthcare facilities had higher satisfaction (p < 0.001) and loyalty scores (p < 0.001) compared to public facilities. Patient loyalty was strongly predicted by general satisfaction (β = 0.55, p < 0.001) and communication (β = 0.42, p < 0.001). Communication quality and patient satisfaction are key drivers of patient loyalty in Saudi healthcare facilities. Private facilities outperform public ones in patient satisfaction and loyalty. These findings emphasize the need for healthcare providers to enhance communication and service quality to foster patient loyalty. Tailored approaches to meet the diverse needs of patients, particularly in terms of education and visit frequency, are crucial for improving healthcare outcomes in Saudi Arabia.

The Measurement of Patients’ Satisfaction as a Key Indicator of Quality of Life for the Elderly: Two Services Compared

AbstractThe ageing population and increasing life expectancy in Italy, and in other developed countries, leads to an increasing number of elderly people suffering from loss of autonomy and dangers due to frailty. As a consequence, elderly patients usually suffer from chronic diseases which require long term care, with increasing healthcare needs and costs. Therefore, services provided by home care, day centers and residential services are necessary; their primary objective being to maximize patient well-being and satisfaction. Patient satisfaction is a key indicator of the quality of care and is an important outcome of care in its own right. This study aimed to develop two generic instruments to elicit patients’ satisfaction in residential care and in home care with a rigorous and systematic methodology. The two instruments were tested for psychometric performance with face-to-face interviews and applied to a Local Health District of the Marche Region. Furthermore, due to physical and mentally frailty, many elderly patients in residential homes or receiving home care, are unable to participate in studies on satisfaction with care services, while their carers/partners can often provide relevant information. Therefore, another aim of this study was to measure patients’ and carers’/partners’ agreement on patient satisfaction in the two services investigated. Finally, the principal factors influencing patient satisfaction in the two services investigated were investigated using logistic regression analysis.

Service Quality Influencing Patient Satisfaction at Luang Prabang Provincial Hospital

The objective of this research were to study 1) the attitude of the patient toward service quality at the Luang Prabang provincial Hospital, and 2) The service quality influencing patient satisfaction at Luang Prabang Provincial Hospital. The participants of this study were 385 patients; these covered the patient and their relatives who received services at the Luang Prabang provincial Hospital. The research used the questionnaire as a tool to collect data. Data were analyzed by calculating mean, standard deviation, analyze the relationship of variables and analyze the multiple regression. The findings indicated that 1) the attitude of the patient toward service quality at the Luang Prabang provincial Hospital found that a high level such as well diagnosis, well convenience, well and quick treatment, well cleanness, for the well hospitality was a median level. 2) The service quality well cleanliness factor, well convenience, and well and quick treatment influencing patient satisfaction at Luang Prabang Provincial Hospital.

Patient's Perspective on Miniscrews During Orthodontic Treatment-A Systematic Review With Meta-Analysis.

During orthodontic treatment, undesirable reciprocal forces are generated during tooth movement, which explains the use of anchorage strategies to minimise their harmful effects through intra and/or extraoral appliances. Miniscrews are intraoral devices used for temporary skeletal anchorage. Miniscrews are small-sized intraoral devices used for temporary skeletal anchorage and are easy to place and remove. However, some studies refer to adverse effects such as inflammation, pain, and discomfort. This systematic review aims to synthesise the available evidence on the use of miniscrews during orthodontic treatment from the patient's perspective. The literature search was conducted using various databases MedLine through PubMed, Cochrane Library, Web of Science Core Collection, and EMBASE. A search was also carried out in the grey literature. The search terms used were "Orthodontic Anchorage Procedures," "mini-implant," "Mini Dental Implant," "Miniscrew," and "microimplant." Cochrane risk of bias tools was used to assess the quality of included studies. Patients tend to overestimate the pain inherent in this procedure. The insertion of micro implants is more accepted than the tooth extraction procedure, with less postoperative pain reported. The location, surgical technique, and type of anaesthesia used in the placement of miniscrews influence levels of discomfort. Additionally, the execution of a good surgical technique and the clinician's communication skills are factors that influence patient satisfaction and positive perception. The most frequent outcome reported is pain and discomfort, which varies depending on its location (less with mini interradicular screws than with extra-alveolar screws). Most patients are satisfied or very satisfied with this application.

Survey on Patient Satisfaction with the Usability and Formulation of Budesonide Rectal Foam Following a Change in Head and Applicator Shape and Properties

Budesonide Rectal Foam (BF) was introduced in 2017 and changed in November 2022 upon request, addressing the challenges encountered with liquid rectal formulations indicated for ulcerative colitis (UC). This formulation is an important agent in the treatment of rectal to sigmoid colon lesions in moderate UC. As the characteristics of the formulation of the rectal formulation are thought to influence patient satisfaction, a survey was conducted on the formulation and patient satisfaction among patients who used BF before and after the change. The survey spanned from January 2023 to May 2023. As the primary endpoint, the same patients were evaluated on the Visual Analogue Scale (VAS) for patient satisfaction. Significant variations in formulation usability and patient satisfaction were observed in 20 eligible patients before and after the change (p<0.05). Patient satisfaction with the formulation was strongly correlated with formulation usability, ease of pushing the head, and ease of insertion (r>0.7). The change in packaging was thought to improve the usability of the formulation and patient satisfaction. The formulation's usability and ease of insertion had a clear influence on satisfaction with the rectal formulation.

Patient-Perceived Improvement in Facial Appearance and Quality of life: FACE-Q as a Tool to Study Reduction Mandibuloplasty Outcomes.

This study aimed to assess patient satisfaction regarding facial appearance and quality of life pre- and post-reduction mandibuloplasty. In addition, it sought to investigate the factors influencing patient satisfaction. Conducted as a prospective cohort study spanning from November 2020 to October 2023, participants were required to complete the FACE-Q assessment both before and one year following reduction mandibuloplasty. Normative FACE-Q values from individuals aged over 18 years were employed for comparison. A multivariate linear regression model was used to evaluate the impact of various factors on FACE-Q outcomes. Statistically significant enhancements in patient satisfaction were observed with overall appearance, lower face and jawline, and quality of life post-surgery. When compared to normative data, preoperative scores were significantly lower, yet postoperative scores reach levels comparable to those of the normative population. Moreover, patients generally perceived themselves as looking approximately 0.75 years younger post-surgery. Notably, patients aged 30 and younger experienced more pronounced improvements than those above 30. Reduction mandibuloplasty significantly contributes to the enhancement of facial appearance and quality of life, achieving results representative of the general population. Moreover, it positively influences the perception of apparent facial age. The extent of improvement varies among distinct age groups, emphasizing the recommendation for reduction mandibuloplasty at earlier ages, as older patients tended to exhibit less improvement. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Exploring the impact of team engagement on patient satisfaction: insights from social support and transactive memory system

PurposeResearch on the impact of the engagement of online medical teams (OMTs) on patient evaluation, for example, satisfaction, remains insufficient. This study attempts to recognize the underlying mechanism of how OMTs’ engagement influences patient satisfaction by adopting social support as the mediator. This study also scrutinizes the moderating effects of the transactive memory system (TMS) on the link between OMTs’ engagement and social support.Design/methodology/approachWe utilized a linear model that had fixed effects controlled at the team level for analysis. A bootstrapping approach using 5,000 samples was employed to test the mediation effect.FindingsOur results reveal that OMTs’ engagement improves informational and emotional support, thereby promoting patient satisfaction. Specialization and credibility strengthen the impact of OMTs’ engagement on informational and emotional support. Simultaneously, coordination has an insignificant influence on the link between OMTs’ engagement and social support.Originality/valueThis study contributes to the literature on OMTs, social support, and TMS, providing insights into patients’ perceptions of OMTs’ engagement during online team consultation. This study also generates several implications for the practice of online health communities and OMTs.

Polycystic Ovary Syndrome: A Comprehensive Exploration of Diagnosis Experience in Saudi Women.

Background/Objectives: Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine disorder among women of reproductive age, characterized by symptoms such as menstrual irregularities, hyperandrogenism, and polycystic ovaries. This study aimed to explore the diagnostic experiences of women with PCOS in Saudi Arabia, evaluating the timeline to diagnosis, the adequacy of information provided, and overall patient satisfaction with the healthcare process. Methods: A cross-sectional online survey was conducted with 1182 women diagnosed with PCOS across Saudi Arabia. The survey collected data on sociodemographic characteristics, the timeline from symptom onset to diagnosis, the number of healthcare visits required for diagnosis, and satisfaction with the information and support provided during the diagnostic process. Statistical analyses, including linear regression, were performed to identify factors influencing patient satisfaction. Results: The study found that 43.2% of participants sought medical attention within a year of symptom onset, yet significant delays in diagnosis were common, with 28.6% of women waiting six months or more after seeking medical care. Only 42.7% of women reported receiving adequate information at diagnosis, and satisfaction levels varied across different aspects of care. Key predictors of lower satisfaction included marital status and longer time since diagnosis, while quicker diagnosis and more healthcare visits before diagnosis positively influenced satisfaction. Conclusions: The findings highlight critical gaps in the diagnostic process and patient education for PCOS in Saudi Arabia. The widespread dissatisfaction with the information provided underscores the need for improved patient-centered care, comprehensive education, and standardized diagnostic protocols. Addressing these issues could enhance patient satisfaction and lead to better management of PCOS, both in Saudi Arabia and globally.

A Review-Based Study on the Importance of Doctor-Patient Communication in Healthcare

Effective doctor-patient communication is crucial for delivering quality healthcare, as it directly influences patient satisfaction, treatment adherence, and the incidence of medical errors. This review critically analyzes secondary data from various studies, surveys, and meta-analyses to examine the impact of communication on health outcomes, particularly focusing on vulnerable populations such as those with language barriers and low health literacy. The findings reveal that effective communication enhances patient satisfaction, improves adherence to treatment plans, and reduces medical errors, while poor communication leads to adverse health outcomes, including non-compliance and misdiagnosis. Additionally, improving communication practices lowers malpractice claims and mitigates physician burnout. These insights emphasize the need for targeted interventions to overcome communication barriers and foster equitable healthcare delivery.

Linking Post-Treatment Rehabilitation with Healthcare Roles: How Nurses and Technicians Influence Patient Satisfaction

Post-treatment rehabilitation is a critical component of healthcare that significantly influences patient recovery and long-term outcomes. This review explores the interconnected roles of nurses and technicians in delivering effective post-treatment rehabilitation and its impact on patient satisfaction. Nurses play a vital role in patient education, monitoring, and emotional support, while technicians ensure the proper functioning of medical equipment and therapies. Through a collaborative care model, both healthcare roles contribute to improving service delivery and patient experiences. However, challenges such as resource constraints, communication barriers, and the need for specialized training must be addressed to fully harness their potential. By enhancing the roles of nurses and technicians in rehabilitation services, healthcare systems can improve patient satisfaction and develop more efficient, patient-centered services.

An Audit of Outcomes in Cosmetic Rhinoplasty with the Mandatory Psychiatric Evaluation Protocol.

With the high demand of rhinoplasty surgery, careful selection and management of aspirants, as well as proper assessment of outcomes after surgery, are imperative for achieving successful outcomes and learning from it. The aim of this study was to answer two important questions: (1) What is the success rate in cosmetic rhinoplasty? (2) How can we best identify candidates who would achieve good outcomes in cosmetic rhinoplasty? In this study cohort, we excluded patients with any functional concerns and confounding factors that could in any way influence patient satisfaction with a cosmetic surgery. This study is a part of the trilogy of articles on "psychology of rhinoplasty" submitted to this volume of Facial Plastic Surgery, using mandatory psychiatric evaluation (MPE) to optimize candidacy. In total, 184 patients (144 females and 40 males) aged 16 to 63 years (M = 31.09) met the inclusion criteria and were included in this study (follow-up: 3-122 months; M = 70.18 months), and outcome satisfaction was assessed using the visual analog scale (VAS) score and a 5-point Likert scale. The mean improvement between preoperative (M = 4.26) and postoperative VAS scores (M = 8.47) was 4.23. Most patients were happy or very happy (95.1%) about the surgical outcome. Patients who were very happy generally scored between 8 and 10 on the VAS (77.2%) and those who were happy generally scored between 6 and 7.9 (21.2%). Some patients, however, were neutral (3.3%) or unhappy (1.6%) about their surgical outcome, and generally scored around ≤7 on the VAS. Although the successful outcome in 95.1% patients reflects a carefully designed protocol for rhinoplasty candidacy, 4.9% patients reported poor satisfaction despite these efforts. An ever-present proportion of unhappy outcomes is a reality of this popular surgery.

Factors influencing patient satisfaction in home care services: A systematic review

Background Home care services are an extension of hospital services provided by hospital staff. The hospital must conduct evaluation, coordination, and education for home care patients to ensure proper care and expedite their recovery. This service also introduces a new concept to the community, as it can help save on costs and equipment Methods A systematic review examined the factors influencing patient satisfaction using home care services by following the PRISMA guidelines. PROSPERO submitted and approved the study protocol with the following numbers: CRD42023482315. Result Researchers have searched articles through the ScienceDirect, Scopus, and Google Scholar databases. Two hundred eighty-eight articles were selected, but 10 met the inclusion criteria. It was found that factors influenced patient satisfaction with home care services and two things that did not affect them: financial aspects and working time. Conclusion Fifteen aspects influence patient satisfaction and two aspects that do not influence patient satisfaction.

Service Quality Factors that Influence Patient Satisfaction at Buleleng Regional Hospital

Service Quality Factors that Influence Patient Satisfaction at Buleleng Regional Hospital

Development of a Video Consultation Patient-Satisfaction Questionnaire (vCare-PSQ): A Cross-Sectional Explorative Study.

Since the COVID-19 pandemic, the use of video consultation (VC) in primary care has expanded considerably in many countries. VC and other telehealth formats are often touted as a solution to improved health care access, with numerous studies showing high satisfaction with this care format among health professionals and patients. However, operationalization and measurement of patient satisfaction with VC varies across studies and often lacks consideration of dynamic contextual factors (eg, convenience, ease-of-use, or privacy) and doctor-patient relational variables that may influence patient satisfaction. We aim to develop a comprehensive and evidence-based questionnaire for assessing patient satisfaction with VC in general practice. The vCare Patient-Satisfaction Questionnaire (the vCare-PSQ) was developed according to the COSMIN (Consensus-Based Standards for the Selection of Health Measurement Instruments) guidelines. To achieve our overall objective, we pursued three aims: (1) a validation analysis of an existing patient-satisfaction scale (the PS-14), (2) an assessment of extrinsic contextual factors that may impact patient satisfaction, and (3) an assessment of pertinent intrinsic and relational satisfaction correlates (eg, health anxiety, information technology literacy, trust in the general practitioner, or convenience). For validation purposes, the questionnaire was filled out by a convenience sample of 188 Danish adults who had attended at least 1 VC. Our validation analysis of the PS-14 in a Danish population produced reliable results, indicating that the PS-14 is an appropriate measure of patient satisfaction with VC in Danish patient populations. Regressing situational and doctor-patient relational factors onto patient satisfaction further suggested that patient satisfaction is contingent on several factors not measured by the PS-14. These include information technology literacy and patient trust in the general practitioner, as well as several contextual pros and cons. Supplementing the PS-14 with dynamic measures of situational and doctor-patient relational factors may provide a more comprehensive understanding of patient satisfaction with VC. The vCare-PSQ may thus contribute to an enhanced methodological approach to assessing patient satisfaction with VC. We hope that the vCare-PSQ format may be useful for future research and implementation efforts regarding VC in a general practice setting.

Refractive Surgery Patient Characteristics Associated With Satisfaction Scores.

To determine factors influencing patient satisfaction scores in recipients of refractive surgery. In this prospective survey-based study, patients who had refractive surgery at an outpatient refractive clinic completed a survey of selected questions from the Press Ganey survey and the National Eye Institute Visual Function Questionnaire-25. Correlation between patient-specific variables and survey questions were assessed using Student's t-tests. Fifty-three patients were recruited over a 3-year period. Most were male (55%) and middle aged (mean age: 34 years). Eleven percent underwent photorefractive keratectomy surgery and the rest had laser in situ keratomileusis, with no complications. Twenty-four percent of surveyed patients reported mild to moderate eye pain postoperatively, with the rest reporting no pain. All patients reported a full score for overall satisfaction. This study found persistent high patient satisfaction score across a variation of characteristics, suggesting that optimal scores are mainstay after refractive surgery procedures with excellent visual outcomes, independent of patient clinical and sociodemographic characteristics. [J Refract Surg. 2024;40(8):e539-e543.].

How do recommendations influence patient satisfaction? Evidence from an online health community

PurposeThis study aims to explore whether seeking recommendations for doctors from offline word-of-mouth or online reviews influences patient satisfaction after treatment, and how the source of recommendation affects this effect.Design/methodology/approachUsing a unique dataset of more than three million reviews from a popular Chinese online health community, this study used the coarsened exact matching method and built fixed-effect models to conduct empirical analysis.FindingsThe results suggest that selecting doctors according to recommendations can improve patient satisfaction and mitigate their dissatisfaction when encountering service failures. However, online recommendations were found to be less effective than offline sources in improving patient satisfaction.Originality/valueThis study provides important insights into patient satisfaction and doctor-patient relationships by revealing the antecedents of satisfaction and the potential for improving this relationship. It also contributes to the understanding of how recommendations in the healthcare context can improve patient satisfaction and alleviate the negative impact of service failures.

Functional Improvement and Patient Satisfaction Following Conversion of Fused Hip to Total Hip Arthroplasty

BackgroundThis study aimed to determine the clinical outcomes, predictors of suboptimal functional improvement, and factors influencing patient satisfaction following conversion of a fused hip to total hip arthroplasty (THA). MethodsA retrospective analysis of clinical and radiographic data was performed on 83 patients (83 hips) who underwent fused hip conversion to THA. Implant survival and predictors of poor functional outcome (Harris hip score < 70) were analyzed. In addition, factors associated with patient dissatisfaction (visual analog scale < 25th percentile) were analyzed in 63 patients (63 hips) who completed a patient-reported outcome measures questionnaire. ResultsThe median Harris hip score improved from 55 (range, 18 to 77) to 78 (range, 36 to 100) at a mean follow-up of 10.2 ± 4.8 years (P < .001). Implant survival was 97.4% at 10 years and 91.3% at 20 years, with any revision as the endpoint. Multivariate analysis identified preoperative reliance on mobility aids as an independent predictor of poor functional outcome (P = .021). There were 48 of 63 patients (76%) satisfied (satisfaction visual analog scale ≥80) with the operated hip. Demographics and preoperative/postoperative clinical data did not differ between satisfied and unsatisfied patients. Among the patient-reported outcome measures, the Forgotten Joint Score-12 emerged as an independent discriminator of patient satisfaction. ConclusionsConversion of a fused hip to THA provides functional improvement, favorable implant survival, and high patient satisfaction. However, patients dependent on mobility aids may experience suboptimal functional recovery, underscoring the need for careful preoperative counseling and patient selection.