ArticleThe bone & joint journal2013
Patient satisfaction with total knee replacement cannot be predicted from pre-operative variables alone: A cohort study from the National Joint Registry for England and Wales.
Article in The bone & joint journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.
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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
65 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review of International Evidence to Inform Occupational Therapy Practice Guidelines for Total Knee Replacement in the Korean Health System.Occupational therapy international · 2026Pooled it
- Why are patients dissatisfied following a total knee replacement? A systematic review.International orthopaedics · 2020Pooled it
- Factors contributing to 1-year dissatisfaction after total knee arthroplasty: a nomogram prediction model.Journal of orthopaedic surgery and research · 2022Trial
- Physical and mental stress assessment during robotic-arm assisted total knee arthroplasty.Journal of robotic surgery · 2025Article
- Diabetes and total knee arthroplasty: A nationwide analysis of complications, hospitalization outcomes and revision burden.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Healthcare resource utilization for VELYS™ robotic-assisted solution compared to manual surgery for total knee arthroplasty.Journal of robotic surgery · 2025Article
- Improvement in six of the 12 Oxford Knee Score questions is independently associated with patient satisfaction following knee arthroplasty.Bone & joint open · 2025Article
- Current status of Asian joint registries: a review.EFORT open reviews · 2025Article
- The causal role of brain circuits in osteoarthritis pain.Nature reviews. Rheumatology · 2025Review
- Time-dependent, patient-centered perceptions of quality measures for total joint arthroplasty: a cross-sectional, choice modeling study.BMC musculoskeletal disorders · 2025Article
- A clinical risk score enables early prediction of dissatisfaction 1 year after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Correlation between gait analysis parameters and joint function prognosis during rehabilitation after anterior cruciate ligament reconstruction: a retrospective study.American journal of translational research · 2025Article
- Exploration of combined factors related to quality of life after knee replacement surgery.PloS one · 2025Article
- Serial changes in patient-reported outcome measures and satisfaction rate during long-term follow-up after total knee arthroplasty: a systematic review and meta-analysis.Knee surgery & related research · 2024Review
- Can KOOS-PS be replaced with a simple anchor question in patients after total knee arthroplasty?: an agreement study of 2,478 primary surgeries.Acta orthopaedica · 2024Article
- Early insights from the routine use of patient reported outcome measures in elective hip and knee arthroplasty at a public teaching hospital in South Australia.Journal of patient-reported outcomes · 2024Article
- Article
- Do older patients fare worse following unilateral or single stage bilateral total knee arthroplasty?Archives of orthopaedic and trauma surgery · 2023Article
- Prediction of complications and surgery duration in primary TKA with high accuracy using machine learning with arthroplasty-specific data.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Article
5 more citing papers are in PubMed but not listed here.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pre-operative variables are increasingly being used to determine eligibility for total knee replacement (TKR). This study was undertaken to evaluate the relationships, interactions and predictive capacity of variables available pre- and post-operatively on patient satisfaction following TKR. Using nationally collected patient reported outcome measures and data from the National Joint Registry for England and Wales, we identified 22 798 patients who underwent TKR for osteoarthritis between August 2008 and September 2010. The ability of specific covariates to predict satisfaction was assessed using ordinal logistic regression and structural equational modelling. Only 4959 (22%) of 22 278 patients rated the results of their TKR as 'excellent', despite the majority (71%, n = 15 882) perceiving their knee symptoms to be much improved. The strongest predictors of satisfaction were post-operative variables. Satisfaction was significantly and positively related to the perception of symptom improvement (operative success) and the post-operative EuroQol-5D score. While also significant within the models pre-operative variables were less important and had a minimal influence upon post-operative satisfaction. The most robust predictions of satisfaction occurred only when both pre- and post-operative variables were considered together. These findings question the appropriateness of restricting access to care based on arbitrary pre-operative thresholds as these factors have little bearing on post-operative satisfaction.
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