Observational studyBMC musculoskeletal disorders2018
Revisiting patient satisfaction following total knee arthroplasty: a longitudinal observational study.
Observational study 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 46 papers.
What it found
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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.
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.
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Who cites it
46 citing papers in PubMed, 96 citations in OpenAlex.
- Early application of extracorporeal shock wave therapy improves pain control and functional scores in patients undergoing total knee arthroplasty: a randomized controlled trial.International orthopaedics · 2023Trial
- Health care costs after total knee arthroplasty for satisfied and dissatisfied patients.Canadian journal of surgery. Journal canadien de chirurgieTrial
- Efficacy of prehabilitation modalities in total knee arthroplasty:Osteoarthritis and cartilage open · 2026Review
- Heterogeneity in decision-making engagement among total knee arthroplasty patients in China: a cross-sectional study.BMJ open · 2026Article
- Learning curve in image-based robotic assisted total knee arthroplasty: a MAKO-robot experience.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Observational
- A novel knee implant for total knee arthroplasty meets expectations at 10 years. First long-term follow-up report of clinical outcomes and survivorship.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Preoperative Patellofemoral Malalignment Worsened the Outcome of Patients after Total Knee Arthroplasty.The journal of knee surgery · 2025Observational
- Standardizing definitions of the total knee alignment techniques: recommendations by the Personalized Arthroplasty Society.EFORT open reviews · 2025Review
- High satisfaction and functional improvement following robotic-assisted total knee arthroplasty: A Latin American cohort study.Journal of experimental orthopaedics · 2025Article
- "Neutral Satisfied" Patients Should Not Be Dichotomized to "Satisfied" or "Dissatisfied" in Patient-Reported Outcomes After Total Knee Arthroplasty.Journal of clinical medicine · 2025Article
- Muscle-Driven Total Knee Replacement Stability with Virtual Ligaments.Bioengineering (Basel, Switzerland) · 2025Article
- Conceptual foundations of a REFRAME-based approach to discriminate across total knee implant designs based on the positions of functional centres of rotation.Scientific reports · 2025Article
- Effects of total knee arthroplasty on symptoms, function and activity over 5 years in knee osteoarthritis: A propensity-score matched study.Journal of experimental orthopaedics · 2025Article
- Serial changes in patient-reported outcome measures and satisfaction rate during long-term follow-up after total knee arthroplasty: a systematic review and meta-analysis.Knee surgery & related research · 2024Review
- The Role of Imageless Computer-Assisted Navigation During Total Knee Arthroplasty on Femoral Component Sagittal Alignment and Outcomes.Arthroplasty today · 2024Article
- Comparison of Patients' and Surgeons' Expectations before Shoulder Arthroplasty.Journal of clinical medicine · 2024Article
- Predicting Recovery Following Total Hip and Knee Arthroplasty Using a Clustering Algorithm.Arthroplasty today · 2024Article
- Is 80% satisfaction still the expectation in modern TKA mechanically aligned with robot assist? We think not.Journal of robotic surgery · 2024Article
- Lateral subvastus approach to total knee arthroplasty: A novel surgical technique and retrospective review of 931 consecutive cases.Journal of orthopaedics · 2024Article
- The Early Clinical Outcomes Following Unrestricted Caliper Verified Kinematic Alignment Using a Medial Stabilized Design Total Knee Arthroplasty With a Cruciate Retaining Insert.Arthroplasty today · 2023Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundTotal knee arthroplasty (TKA) is the most common joint replacement surgery in Canada. Earlier Canadian work reported 1 in 5 TKA patients expressing dissatisfaction following surgery. A better understanding of satisfaction could guide program improvement. We investigated patient satisfaction post-TKA in British Columbia (BC).
methodsA cohort of 515 adult TKA patients was recruited from across BC. Survey data were collected preoperatively and at 6 and 12 months, supplemented by administrative health data. The primary outcome measure was patient satisfaction with outcomes. Potential satisfaction drivers included demographics, patient-reported health, quality of life, social support, comorbidities, and insurance status. Multivariable growth modeling was used to predict satisfaction at 6 months and change in satisfaction (6 to 12 months).
resultsWe found dissatisfaction rates ("very dissatisfied", "dissatisfied" or "neutral") of 15% (6 months) and 16% (12 months). Across all health measures, improvements were seen post-surgery. The multivariable model suggests satisfaction at 6 months is predicted by: pre-operative pain, mental health and physical health (odds ratios (ORs) 2.65, 3.25 and 3.16), and change in pain level, baseline to 6 months (OR 2.31). Also, improvements in pain, mental health and physical health from 6 to 12 months predicted improvements in satisfaction (ORs 1.24, 1.30 and 1.55).
conclusionsTKA is an effective intervention for many patients and most report high levels of satisfaction. However, if the TKA does not deliver improvements in pain and physical health, we see a less satisfied patient. In addition, dissatisfied TKA patients typically see limited improvements in mental health.
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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.