Evidence map›Paper›PMID 29168164›Full record

ArticleMusculoskeletal surgery2018

Meeting patient expectations: patient expectations and recovery after hip or knee surgery.

B Wiering, D de Boer, D Delnoij

Abstract read
In one paragraph

Article in Musculoskeletal surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
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  3. "Life Without Symptoms" or "Being Able to Enjoy Life": What does it Mean to be "Well" After Cancer?Journal of cancer education : the official journal of the American Association for Cancer Education · 2024
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  10. What Outcomes Matter to Patients After Joint or Spine Surgery?Journal of patient-centered research and reviews · 2020
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

B WieringTranzo (Scientific Centre for Transformation in Care and Welfare), Tilburg University, PO Box 90153, 5000, LE, Tilburg, The Netherlands. B.M.Wiering@uvt.nl.ORCID http://orcid.org/0000-0001-6708-5705
D de BoerNIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands.
D DelnoijTranzo (Scientific Centre for Transformation in Care and Welfare), Tilburg University, PO Box 90153, 5000, LE, Tilburg, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough patient-centred care could help increase the value of healthcare, practice variations in hip and knee surgery suggest that physicians guide clinical decisions more than patients do. This raises the question whether treatment outcomes still meet patients' expectations. This study investigated whether treatment outcomes measured by patient-reported outcome measures fulfil patients' main expectations (i.e. decreased pain or improved functioning).

methodsPatients who underwent hip or knee surgery in 20 Dutch hospitals in 2014 were invited to a survey consisting of the KOOS Physical Function Short Form or the HOOS Physical Function Short Form, the NRS pain and the EQ-5D. Patients were asked their main reason for surgery and whether the expectations regarding this reason were fulfilled.

resultsA total of 2776 patients completed the survey. The most common reason for surgery was improved functioning (43.7%). Patients who were unable to choose between pain relief and improved functioning and patients who aimed for pain relief experienced more problems before surgery. However, patients who were unable to choose improved more than patients who wanted to improve their functioning on the NRS pain during use and the EQ-5D. More patients who aimed for pain relief felt that their expectations were fulfilled compared to other patients.

conclusionsAlthough an expectation for an outcome was not related to a greater improvement on that outcome, patient expectations were an indication of patients' improvement due to surgery. Differences in expectation fulfilment may be due to unrealistic expectations. To achieve optimal value, tailoring treatment using patient preferences and managing patient expectations is vital.

Indexed as

MotivationPatient SatisfactionAdultAgedArthroplasty, Replacement, HipArthroplasty, Replacement, KneeConvalescenceEducational StatusFemaleHumansMaleMiddle AgedPain ManagementPatient-Centered CarePostoperative PainQuality of LifeHip and knee surgeryPatient expectationsPatient preferencesPatient-reported outcome measures

Identifiers

PMID29168164
PMCPMC6223986

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.