ArticleThe Journal of arthroplasty2018
Evaluating Patients' Expectations From a Novel Patient-Centered Perspective Predicts Knee Arthroplasty Outcome.
Article in The Journal of arthroplasty, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- PainDETECT as a Potential Tool for Personalized Medicine: Predicting Outcome One Year After Knee Arthroplasty.Mayo Clinic proceedings. Innovations, quality & outcomes · 2025Article
- A 10-point preoperative checklist: selecting patients for outpatient joint replacement surgery.Arthroplasty (London, England) · 2024Article
- Influence of patients' preoperative expectations on postoperative outcomes after total knee or hip arthroplasty: a systematic review.EFORT open reviews · 2024Article
- Clinical and Radiographic Outcomes of Inversed Restricted Kinematic Alignment Total Knee Arthroplasty by Asia Specific (Huang's) Phenotypes, a Prospective Pilot Study.Journal of clinical medicine · 2023Article
- Patients' expectation of postoperative course and satisfaction following cardiac surgery.Annals of the Royal College of Surgeons of England · 2023Article
- Short-Term Clinical and Return-to-Work Outcomes After Arthroscopic Suprapectoral Onlay Biceps Tenodesis With a Single Suture Anchor.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- [Research progress in unicompartmental knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020Article
- Patients' experiences of discontentment one year after total knee arthroplasty- a qualitative study.BMC musculoskeletal disorders · 2020Article
- Social determinants associated to chronic pain after total knee arthroplasty.International orthopaedics · 2019Article
- Detailing postoperative pain and opioid utilization after periacetabular osteotomy with automated mobile messaging.Journal of hip preservation surgery · 2019Article
- Predictors of return to desired activity 12 months following unicompartmental and total knee arthroplasty.Acta orthopaedica · 2019Article
- How do orthopaedic surgeons inform their patients before knee arthroplasty surgery? A cross-sectional study.BMC musculoskeletal disorders · 2018Article
- Predictors of met expectations two years after knee surgery.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundOne-in-five patients are dissatisfied following knee arthroplasty and <50% have fulfilled expectations. The relationship between knee-arthroplasty expectations and surgical outcome remains unclear. PURPOSE: Are expectations regarding the impact of pain on postoperative life predictive of one-year outcome? Does the impact of pain on preoperative quality of life (QOL) influence this relationship?
methodsLongitudinal cohort of 1044 uni-compartmental (43%) or total knee-arthroplasty (57%) (UKA or TKA) patients, aged mean 69 ± 9 years. Preoperatively, patients reported the impact of pain on QOL and expected impact of pain on life one-year post-arthroplasty. One-year postoperative outcomes: non-return to desired activity, surgical dissatisfaction, not achieving Oxford Knee Score minimal important change (OKS <MIC). Logistic regression including covariates was performed for all patients and subgroups (better vs worse pre-operative pain-related QOL; UKA vs TKA).
resultsExpecting moderate-to-extreme pain (vs no pain) predicted non-return to activity (odds ratio [95% confidence interval], 2.3 [1.3, 4.1]), dissatisfaction (4.0 [1.7, 9.3]), OKS <MIC (3.1 [1.5, 6.3]). Expecting mild pain (vs no pain) predicted worse outcomes for patients with better preoperative pain-related QOL (non-return to activity: 2.7 [1.5, 4.8], OKS <MIC: 2.5 [1.1, 5.5]). Expecting moderate-to-extreme pain (vs. no pain) predicted worse outcomes for patients with worse preoperative pain-related QOL (non-return to activity: 2.4 [1.1, 5.5], dissatisfaction: 5.0 [1.7, 14.8], OKS <MIC: 3.4 [1.4, 8.6]). The odds of a poor outcome in people with worse expectations was higher for UKA patients.
conclusionsExpecting a worse outcome predicted surgical dissatisfaction, less clinical improvement and non-return to desired activity. Patients expecting a more optimistic outcome relative to preoperative status achieved better surgical outcomes.
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