ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2011
Expectation, satisfaction and clinical outcome of patients after total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 4 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
83 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Robotic-assisted mechanically aligned total knee arthroplasty does not lead to better clinical and radiological outcomes when compared to conventional TKA: a systematic review and meta-analysis of randomized controlled trials.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Outpatient total knee arthroplasty leads to a higher number of complications: a meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- Pooled it
- Measuring expectations in orthopaedic surgery: a systematic review.Clinical orthopaedics and related research · 2013Pooled it
- Patient expectations and long-term outcomes in rheumatoid arthritis patients: results from the SARA (Silicone Arthroplasty in Rheumatoid Arthritis) study.Clinical rheumatology · 2015Trial
- Effects of an educational audiovisual videodisc on patients' pre-operative expectations with total knee arthroplasty: a prospective randomized comparative study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2013Trial
- The unhappy total knee arthroplasty (TKA) patient: higher WOMAC and lower KSS in depressed patients prior and after TKA.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2013Trial
- Patient-reported outcome after fast-track knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2012Trial
- Stratified Recovery Curves for Patient-Reported Outcomes After Primary Total Knee Arthroplasty.Arthroplasty today · 2026Article
- Patient Perceptions Regarding Clinical Follow-Up After Total Joint Arthroplasty.Arthroplasty today · 2025Article
- Intraoperative kinematics of the bicruciate retaining TKA using functional alignment and their influence on the clinical outcomes.Arthroplasty (London, England) · 2025Article
- Improvement in Central Sensitization Following Total Knee Arthroplasty Is Associated With Severe Preoperative Pain and Affects Postoperative Quality of Life: A Retrospective Study.Orthopaedic surgery · 2025Article
- Investigation of Expectations and Satisfaction After Sinus Surgery for Chronic Rhinosinusitis.The Laryngoscope · 2025Article
- Temporal changes of tibial eminence after bi-cruciate retaining total knee arthroplasty.BMC musculoskeletal disorders · 2025Article
- Timing and risk factors of complications following total knee arthroplasty.Annals of medicine and surgery (2012) · 2024Article
- Patient Expectations and Satisfaction in Pediatric Orthopedics.Current reviews in musculoskeletal medicine · 2024Review
- Maximum flexion and lateral rollback revealed better patient satisfaction after total knee arthroplasty.Knee surgery & related research · 2024Article
- Short-term clinical results of bicruciate-retaining total knee arthroplasty using personalized alignment.BMC musculoskeletal disorders · 2023Article
- Comparison of traditional PS versus kinematically designs in primary total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Trajectory of patient-rated outcomes and association with patient acceptable symptom state in patients with musculoskeletal shoulder pain.The Journal of manual & manipulative therapy · 2023Article
23 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is a well-known difference between patients expectation, satisfaction and the measured clinical outcome in total knee arthroplasty (TKA). It has been hypothesized that higher expectation prior to surgery and higher satisfaction will show better clinical outcome according to well-established scoring systems, frequently used for assessment after TKA.
methodsA consecutive group of 102 patients was included who received TKA for degenerative osteoarthritis. A modified patients expectation form was used prior and 8 months after surgery. Furthermore, the KSS, WOMAC and SF-36 served for patient assessment. Patients were grouped in responder and non-responder according to their level of expectation and fulfilment of expectation after surgery using a Likert scale.
resultsA total of 54 patients (53%) showed expectation prior to surgery of 1 or 2 and a satisfaction after surgery of 1 or 2 according to the Likert scales. These patients were classified as responders. Considering the continuous parameters of KSS, SF-36 and WOMAC, a few statistically significant differences were found between the responders and non-responders at baseline (pre-surgery) and at the fulfilment of their expectation after surgery. Patient expectation prior to surgery did not differ between both groups. The more satisfied patients showed significant better results in the KSS, WOMAC and SF-36 after surgery. The parameters general health (SF-36) and role emotional (SF-36) measured prior to surgery dominate the predictive potential to get a responder with sensitivity of 74%, specificity of 81% and a rate of correct classification of 78%.
conclusionThis study has shown that patient satisfaction correlates well with the clinical outcome according to the KSS, WOMAC and SF-36. The indication for TKA should consider the general health, emotional role and knee function of the patients as well in order to predict patient's outcome.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.