SynthesisHealth and quality of life outcomes2012
Systematic review: do patient expectations influence treatment outcomes in total knee and total hip arthroplasty?
Synthesis in Health and quality of life outcomes, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 54 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
54 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Evaluating methodological quality of prognostic prediction models on patient-reported outcome measurements after total hip and total knee arthroplasty : a systematic review.Bone & joint open · 2026Pooled it
- Exploring the expectation-actuality discrepancy: a systematic review of the impact of preoperative expectations on satisfaction and patient reported outcomes in spinal surgery.Neurosurgical review · 2018Pooled it
- [Personality and comorbidity: are there "difficult patients" in hip arthroplasty?].Der Orthopade · 2015Pooled it
- Evaluation of the impact of Comprehensive Medication Management on health outcomes in people living with hypertension: a pragmatic clinical trial.Scientific reports · 2026Trial
- Clinical Efficacy of Electroacupuncture in the Treatment of Chronic Neck Pain: A Randomized Clinical Trial.Journal of pain research · 2025Trial
- Trial
- Patient expectations and long-term outcomes in rheumatoid arthritis patients: results from the SARA (Silicone Arthroplasty in Rheumatoid Arthritis) study.Clinical rheumatology · 2015Trial
- Do patient personality traits influence total joint arthroplasty outcomes? A systematic review.Annals of medicine and surgery (2012) · 2026Article
- Development and Validation of the Brief Inventory of Treatment Expectations in Chronic Pain (BITEC).European journal of pain (London, England) · 2026Article
- Article
- Expectation fulfillment is associated with good outcomes and patient satisfaction after knee arthroplasty: a prospective study in a multi-ethnic Asian population.Scientific reports · 2025Article
- Patients' expectations surrounding revision total hip arthroplasty: a literature review.Arthroplasty (London, England) · 2024Review
- Influence of patients' preoperative expectations on postoperative outcomes after total knee or hip arthroplasty: a systematic review.EFORT open reviews · 2024Article
- Treatment expectations of patients and clinicians: a cross-sectional study.Frontiers in psychiatry · 2024Article
- Differences in healthcare structures, processes and outcomes of neighbouring European countries: the example of Germany and the Netherlands.Research in health services & regions · 2023Article
- Factors Related to Expectations in Individuals Waiting for Total Knee Arthroplasty.Physiotherapy Canada. Physiotherapie Canada · 2023Article
- Patient response to osteotomy around the knee joint at one year post-operation-fulfilment of expectations and current health status.Archives of orthopaedic and trauma surgery · 2023Article
- Article
- Article
- Smart sensor implant technology in total knee arthroplasty.Journal of clinical orthopaedics and trauma · 2021Article
Corrections and comments
- Erratum issuedJansma, Ilse P [corrected to Jansma, Elise P]
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis systematic review aims to summarise all the available evidence related to the association between pre-operative patient expectations (outcome expectations, process expectations and self efficacy expectations) and 5 different treatment outcomes (overall improvement, pain, function, stiffness and satisfaction) in patients with total knee or total hip arthroplasty at three different follow-op periods (>6 weeks; >6 weeks- ≤6 months; >6 months).
methodsEnglish and Dutch language articles were identified through PubMed, EMBASE.com, PsycINFO, CINAHL and The Cochrane Library from inception to September 2012. Articles assessing the association between pre-operative patient expectations and treatment outcomes for TKA/THA in either adjusted or unadjusted analysis were included. Two reviewers, working independently, determined eligibility, rated methodological quality and extracted data on study design, population, expectation measurements, outcome measurements and strength of the associations. Methodological quality was rated by the same reviewers on a 19 item scale. The scores on the quality assessment were taken into account when drawing final conclusions.
resultsThe search strategy generated 2252 unique references, 18 articles met inclusion criteria. Scores on the methodological quality assessment ranged between 6% and 79%. Great variety was seen in definitions and measurement methods of expectations. No significant associations were found between patient expectations and overall improvement, satisfaction and stiffness. Both significant positive and non-significant associations were found for the association between expectations and pain and function.
conclusionsThere was no consistency in the association between patients' pre-operative expectations and treatment outcomes for TKA and THA indentified in this systematic review. There exists a need for a sound theoretical framework underlying the construct of 'patient expectations' and consistent use of valid measurement instruments to measure that construct in order to facilitate future research synthesis.
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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.