ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2020
Patient expectations and satisfaction 6 and 12 months following total hip and knee replacement.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 3 of them syntheses that pooled it.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
50 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effectiveness of digital pain management for older adults with musculoskeletal pain: systematic review with meta-analysis.Frontiers in pain research (Lausanne, Switzerland) · 2025Pooled it
- Clinical relevance of patient-reported outcome measures in patients who have undergone total hip arthroplasty: a systematic review.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Pooled it
- The effect of prehabilitation for older patients awaiting total hip replacement. A randomized controlled trial with long-term follow up.BMC musculoskeletal disorders · 2025Trial
- Optimism and pessimism are antithetically associated with post-operative knee function in patients' undergoing total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Trial
- Evaluating a web-based personalized decision report for total knee or hip replacement: Lessons learned from patients.Journal of evaluation in clinical practice · 2023Trial
- Health care costs after total knee arthroplasty for satisfied and dissatisfied patients.Canadian journal of surgery. Journal canadien de chirurgieTrial
- From Trends to Insights: Management of Periprosthetic Joint Infections in the Past Decade in The Netherlands.Microorganisms · 2026Article
- Long term biopsychosocial outcomes and their associations after total knee arthroplasty in individuals with knee osteoarthritis.Scientific reports · 2026Article
- Total knee Arthroplasty: Patient expectations and outcomes in a resource constrained setting.Pakistan journal of medical sciences · 2026Article
- Minimum ten years follow-up of total knee arthroplasty using morphometric implants in patients with osteoarthritis.International orthopaedics · 2026Article
- Patient-reported factors determining long-term follow-up after total knee arthroplasty in individuals with knee osteoarthritis visiting a tertiary care hospital.Journal of orthopaedics · 2025Article
- Assessing the Ability of an Online Education Program to Modify Patient Expectations of Total Knee Arthroplasty Outcomes: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Greater preoperative expectations predict improvement in pain and function two years after knee surgery.Journal of orthopaedics · 2025Article
- Anchor questions to improve patient-reported outcome measure interpretability in patients undergoing knee or hip arthroplasty - a mixed-methods content validity, construct validity, and reliability study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Challenging the neutral axis: 15-year results of under-corrected varus in total knee arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Impact of an in-consult patient decision aid on decisional quality, involvement, and health outcome for patients with severe hip or knee osteoarthritis - a study protocol for a multicentre, cluster randomised controlled trial (PATI-study).BMC musculoskeletal disorders · 2025Article
- Preoperative Expectations Do Not Independently Predict Two-Year Patient-Reported Outcomes Following Hand and Wrist Surgery.Journal of hand surgery global online · 2025Article
- Stairway to heaven via the highway to hell: a qualitative study on patients' experience of knee joint replacement surgery.Journal of orthopaedic surgery and research · 2025Article
- Higher preoperative patient expectations predict better patient-reported psychosocial health outcomes after hip arthroscopy.Journal of orthopaedics · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
purposeTo assess (1) patient expectations before total hip (THR) and knee (TKR) replacement; (2) which expectations are met and unmet 6 and 12 months post-surgery; (3) the role of unmet expectations in satisfaction.
methodsQuestionnaires were mailed to consecutive patients following surgeon referral for primary THR or TKR. Patients listed their own expectations and also completed the Hospital for Special Surgery (HSS) Expectation Survey. We used content analysis to group expectations into themes. At 6 and 12 months post-surgery, patients were given a copy of their own list of individual expectations and reassessed each one as met or unmet. We also assessed fulfilled HSS expectations and satisfaction with surgery.
resultsThe sample of 556 patients (49% THR, 57% female) had a mean age of 64 years (SD10). The five most frequent expectation themes were pain relief, mobility, walking, physical activities, and daily activities. Of these, physical activities had the lowest percentage met 12 months post-surgery. 95% (THR) and 87% (TKR) were satisfied/very satisfied with their surgery 12 months post-surgery. Very satisfied patients had a significantly greater percentage of met expectations (96% THR; 92% TKR) than dissatisfied patients (42% THR; 12% TKR). Although most expectations listed by patients were included in the HSS surveys, some were not, particularly for TKR. From 6 to 12 months, there was a significant increase in patient satisfaction for self-care, daily activities, and met expectations for THR and pain relief, self-care, daily activities, and recreational activities for TKR.
conclusionsExpectations should be explicitly addressed before surgery, including a discussion of realistic expectations, particularly for physical activities.
Indexed as
Identifiers
31741216What OpenQuestion holds
Registered trials
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.