Factors That Impact Expectations Before Total Knee Arthroplasty
Section snippets
Materials and Methods
Since April of 2007, patients scheduled to undergo TKA at our hospital have been recruited to participate in a prospective institutional registry. All patients scheduled for TKA are considered for enrollment. Registry exclusion criteria include patient refusal or inability to complete study instruments and/or the inability of our research staff to encounter the patient before surgery. The battery of study instruments collected preoperatively was modified in early April of 2008. By May 2008, all
Results
During the study period, 3035 patients underwent primary TKA at our institution. Of these, 2925 were successfully encountered before surgery by our research team; and 2382 consented to enroll in the registry. Baseline questionnaires were actually completed by 1943 patients. These 1943 patients constituted our study population. The average age of these patients was 67 (SD 10) years. Baseline general health status as measured by the SF-36, disease severity as measured by the KOOS, and activity as
Discussion
Although knee arthroplasty is an overwhelmingly successful operation, consistently achieving patient satisfaction may be dependent on managing expectations. Previous literature is conflicting and incomplete with regard to the effects of patient factors on expectations. This study sought to describe patient expectations of TKA surgery and to measure the influence of demographics, general health status, and disease severity on those expectations.
The greatest strengths of our study are the large
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Cited by (66)
What do patients want out of their Total Knee Arthroplasty?: An Indian perspective
2022, Journal of Clinical Orthopaedics and TraumaPreoperative activity levels are an important indicator of postoperative activity in cementless TKAs
2020, Journal of OrthopaedicsAllowed Activities After Primary Total Knee Arthroplasty and Total Hip Arthroplasty
2020, Orthopedic Clinics of North AmericaCitation Excerpt :Furthermore, 37% expected that TKA would last more than 20 years, and that was because of their exposure to traditional news media and to the Internet. It has been shown that patients may have unrealistically high expectations for total knee replacement, which can be caused by their constant exposure to media and Internet.23,24 Another study showed that at 5-year follow-up post-TKA, expectations for physical activity were higher than their actual ability to perform postoperatively.25
Changes in Expectation Fulfillment Following Total Knee Arthroplasty: A 10-Year Follow-Up Study
2020, Journal of ArthroplastyPreoperative patient expectations of elective reverse shoulder arthroplasty
2019, Journal of Shoulder and Elbow SurgeryCitation Excerpt :This finding is consistent with other reports on arthroplasty expectations. Hepinstall et al6 found that a history of any joint arthroplasty was associated with diminished expectations before knee arthroplasty. Despite fewer expectations overall, patients seemingly condensed their expectations to factors they deemed realistic after having undergone and recovered from a prior arthroplasty.
Benefits or funds were received in partial or total support of the research material described in this article. These benefits or support were received from the following sources: “Centers for Education & Research on Therapeutics” grant (AHRQ RFA-HS-05-14); Marmor Endowment Committee.