ArticleBMC musculoskeletal disorders2018
How do orthopaedic surgeons inform their patients before knee arthroplasty surgery? A cross-sectional study.
Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The Virtual Reality Tour: Immersive Preoperative Information for Elderly Patients.Healthcare (Basel, Switzerland) · 2025Article
- Awareness and Underlying Factors for Total Knee Arthroplasty Reluctance in Saudi Arabia.Cureus · 2024Article
- Information and BMI limits for patients with obesity eligible for knee arthroplasty: the Swedish surgeons' perspective from a nationwide cross-sectional study.Journal of orthopaedic surgery and research · 2022Article
- Carpal Tunnel Syndrome and Ulnar Nerve Entrapment Are Associated with Impaired Psychological Health in Adults as Appraised by Their Increased Use of Psychotropic Medication.Journal of clinical medicine · 2022Article
- A patient satisfaction survey investigating pre- and post-operative information provision in lower limb surgery.BMC musculoskeletal disorders · 2020Article
- Patients' experiences of discontentment one year after total knee arthroplasty- a qualitative study.BMC musculoskeletal disorders · 2020Article
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Abstract
backgroundTotal knee arthroplasty (TKA) is a successful and common procedure. However, 6-28% of patients are dissatisfied postoperatively. The provision of preoperative patient information, inquiring about patients' expectations, and taking a psychiatric history are essential parts of both preoperative evaluation and postoperative outcome. The aim of this study was to investigate how orthopaedic knee surgeons in Sweden inform their patients before surgery.
methodsA questionnaire was distributed to all knee surgeons performing TKA in Sweden. Responses were received from 60 of the 65 orthopaedic departments performing TKA in Sweden (92%), covering 219 of the approximately 311 knee surgeons at the 65 departments (70%). The answers were analysed with descriptive statistics. A content analysis of the surgeons' opinions was also performed using a thematic method.
resultsIn terms of information provision, 58% of the surgeons always gave written information while 92% informed orally. Only 44% always asked about the patient's expectations, and only 42% always informed patients about the 20% dissatisfaction rate after TKA. Additionally, 24% never operated on mild indication of arthrosis, 20% always took a psychiatric history, and half never or seldom consulted a psychiatrist. However, all the knee surgeons believed in a psychiatric impact on TKA outcome. Qualitative analysis revealed five common causes of patient dissatisfaction, which in descending frequency were: patients' expectations, choice of patients to operate on, surgical factors, combinations of factors, and insufficient information provision to patients.
conclusionsKnee surgeons in Sweden have considerable awareness of the importance of preoperative patient information, the impact of patient expectations, and psychiatric illness. However, they need to improve their preoperative routines when it comes to providing written information, asking about the patient's expectations, and psychiatric assessment.
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