Evidence map›Paper›PMID 30107814›Full record

Trial reportTrials2018

The EKSPECT study: the influence of Expectation modification in Knee arthroplasty on Satisfaction of PatiEnts: study protocol for a randomized Controlled Trial.

Jaap J Tolk, Rob P A Janssen, Tsjitske M Haanstra, Sita M A Bierma-Zeinstra, Max Reijman

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Review
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

5 authors.

Jaap J TolkMáxima Medical Center, Department of Orthopedic Surgery and Trauma, PO Box 90052, 5600 PD, Eindhoven, The Netherlands.
Rob P A JanssenMáxima Medical Center, Department of Orthopedic Surgery and Trauma, PO Box 90052, 5600 PD, Eindhoven, The Netherlands.
Tsjitske M HaanstraDepartment of Orthopedic Surgery, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Sita M A Bierma-ZeinstraDepartment of General Practice, Erasmus MC, University Medical Center Rotterdam, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
Max ReijmanMáxima Medical Center, Department of Orthopedic Surgery and Trauma, PO Box 90052, 5600 PD, Eindhoven, The Netherlands. m.reijman@erasmusmc.nl.ORCID http://orcid.org/0000-0001-6316-9629

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne out of five patients is unsatisfied to some extent after total knee arthroplasty (TKA). Unmet expectations are the main driver of post-operative dissatisfaction. Improved pre-operative education on realistic expectations for long-term outcome after TKA potentially leads to higher post-operative satisfaction. The effect of expectation modification on post-operative satisfaction in TKA patients has not yet been studied. The primary objective of the presented study is to examine whether an educational module on long-term recovery after TKA will improve patient satisfaction compared to usual pre-operative education.

methodsThe EKSPECT study is a randomized controlled trial. Patients with symptomatic and radiographic knee osteoarthritis who are indicated for a primary TKA will be randomized to the usual pre-operative education (control group) or usual education plus an additional module on realistic expectations for long-term recovery (intervention group). Patients will be naïve to study objective and difference between study groups. Outcome expectations will be measured blinded for group allocation using the HSS Knee Replacement Expectations Survey at baseline (before the intervention), pre-operatively (after the intervention) and fulfillment of expectations at 12-month follow-up. Baseline physical function, quality of life and psychological factors are measured using self-reported questionnaires. The primary outcome measure is satisfaction with treatment result at the 12-month follow-up. DISCUSSION: The EKSPECT study should provide evidence on the effectiveness of an education module on long-term recovery after TKA to improve treatment satisfaction. If beneficial, the education module is a simple intervention with a low burden for patients, which can easily be implemented in clinical practice.

trial registrationDutch Trial Registry registration number: NTR5779 . Registered on 17 March 2016.

Indexed as

Patient SatisfactionArthroplasty, Replacement, KneeClinical ProtocolsHealth Knowledge, Attitudes, PracticeHumansKnee JointNetherlandsOsteoarthritis, KneePatient Education as TopicPostoperative ComplicationsQuality of LifeRecovery of FunctionResearch DesignSelf ReportTime FactorsTreatment OutcomeExpectation managementKnee osteoarthritisOutcome expectationsSatisfactionTotal knee arthroplasty

Identifiers

PMID30107814
PMCPMC6092877

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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.