ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2018
Decision Support for Joint Replacement: Implications for Decisional Conflict and Willingness to Undergo Surgery.
Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Do Decision Aids Benefit Patients with Chronic Musculoskeletal Pain? A Systematic Review.Pain medicine (Malden, Mass.) · 2020Pooled it
- Treatment decisions after interdisciplinary evaluation for nonarthritic hip pain: A randomized controlled trial.PM & R : the journal of injury, function, and rehabilitation · 2022Trial
- Perceived factors shaping preoperative self-preparation among older patients undergoing total knee arthroplasty: a qualitative study.BMJ open · 2026Article
- Cross-national comparison of the association between adult child educational attainment and older parents' functional health.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Patient decision aids for hip and knee arthroplasty decision-making: a scoping review protocol.BMJ open · 2025Article
- Decision experiences in joint replacement surgery for patients with haemophilic arthritis: A qualitative study.BMC medical informatics and decision making · 2025Article
- Navigating decisional conflict: laser peripheral iridotomy for primary angle-closure glaucoma prevention.International journal of ophthalmology · 2025Article
- Psychometric Assessment of the Mandarin Version of the Decisional Conflict Scale with Pregnant Women Making Prenatal Test Decisions.Patient preference and adherence · 2022Article
- Current Status and Future Prospects for Shared Decision Making Before and After Total Knee Replacement Surgery-A Scoping Review.International journal of environmental research and public health · 2021Article
- Roles of attitudes and injunctive norms in decisional conflict and disclosure following receipt of genome sequencing results.Social science & medicine (1982) · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Objectives: The present study investigates age differences in the types of decision support that total joint replacement (TJR) candidates desire and receive when making the decision to pursue surgery. We consider the social structural (relationship to the patient) and experiential factors (network members' experience with TJR) that influence individuals' support preferences and the interactions of these factors with age. We also examine whether a lack of support is linked with increased decisional conflict and reduced willingness to undergo surgery. Method: A telephone survey was conducted with 100 individuals (aged 40+) who were contemplating knee or hip replacement. Results: TJR candidates desired and received decision support from health care providers, family members, and individuals who had previously undergone TJR. They reported higher deficits in informational and emotional support than in instrumental support. Overall, a lack of instrumental support was associated with greater decisional conflict; a lack of instrumental support and a lack of informational support were associated with reduced willingness to undergo TJR. Discussion: Our findings point to the importance of involving both formal and informal network members in TJR discussions, and the need for informational guidance and practical assistance to reduce decisional conflict and uncertainty among individuals considering TJR.
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