ArticleBMC musculoskeletal disorders2020
Patients' experiences of discontentment one year after total knee arthroplasty- a qualitative study.
Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- What's important for recovery after a total knee replacement? A systematic review of mixed methods studies.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Web-based education enhances self-care agency, self-efficacy, and quality of life in patients undergoing total knee arthroplasty: a randomized controlled trial.Journal of orthopaedic surgery and research · 2026Trial
- Preoperative education on realistic expectations improves the satisfaction of patients with central sensitization after total knee arthroplasty: a randomized-controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Trial
- Symptom experience of patients after total knee arthroplasty in China: a longitudinal qualitative study.BMJ open · 2026Article
- Article
- Patients' knowledge influences practice via attitudes toward hyperuricaemia: a mediation analysis.Clinical rheumatology · 2026Article
- Knee extensor muscle strength, physical function and patient-reported outcomes the first year after total knee arthroplasty: a prospective longitudinal study.BMC musculoskeletal disorders · 2025Observational
- Phenomenological exploration of experiences, satisfaction and quality of life after 1-month total knee arthroplasty rehabilitation: "pain decreased; discomfort disappeared".Scientific reports · 2025Article
- Examining the thoughts and experiences of repeatedly revised knee arthroplasty patients-a qualitative study.BMC musculoskeletal disorders · 2025Article
- Article
- Knowledge, attitude, and practice of inpatients with cardiovascular disease regarding obstructive sleep apnea.Scientific reports · 2024Article
- Knowledge, attitude, and practice regarding Sarcopenia in maintenance hemodialysis patients in Northeastern China.Scientific reports · 2024Article
- What recovery domains are important following a total knee replacement? A qualitative, interview-based study.BMJ open · 2024Article
- Exploring the information needs of patients with osteoarthritis of the knee: a content analysis of Facebook group posts.BMC musculoskeletal disorders · 2024Article
- Article
- Importance of Patient Involvement in Creating Content for eHealth Interventions: Qualitative Case Report in Orthopedics.JMIR formative research · 2022Article
- Large variability in recommendations for return to daily life activities after knee arthroplasty among Dutch hospitals and clinics: a cross-sectional study.Acta orthopaedica · 2022Article
- Infection and Mechanical Complications Are Risk Factors for New Diagnosis of a Mental Health Disorder After Total Joint Arthroplasty.Arthroplasty today · 2021Article
- Outcomes of Computer-Assisted Total Knee Arthroplasty Compared to Conventional TKA: A Bicentric Controlled Retrospective Clinical Study.Journal of clinical medicine · 2021Article
- [A cadaveric experimental study on domestic robot-assisted total knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTotal knee arthroplasty is a common procedure with generally good results. However, there are still patients who are dissatisfied without known explanation. Satisfaction and dissatisfaction have previously been captured by quantitative designs, but there is a lack of qualitative studies regarding these patients' experiences. Qualitative knowledge might be useful in creating strategies to decrease the dissatisfaction rate.
methodsOf the 348 patients who responded to a letter asking if they were satisfied or dissatisfied with their surgery, 61 (18%) reported discontent. After excluding patients with documented complications and those who declined to participate, semi-structured interviews were conducted with 44 patients. The interviews were analyzed according to qualitative content analysis. The purpose was to describe patients' experiences of discontentment 1 year after total knee arthroplasty.
resultsThe patients experienced unfulfilled expectations and needs regarding unresolved and new problems, limited independence, and lacking of relational supports. They were bothered by pain and stiffness, and worried that changes were complications as a result of surgery. They described inability to perform daily activities and valued activities. They also felt a lack of relational supports, and a lack of respect and continuity, support from health care, and information adapted to their needs.
conclusionPatient expectation seems to be the major contributing factor in patient discontentment after knee replacement surgery. This qualitative study sheds light on the on the meaning of unfulfilled expectations, in contrast to previous quantitative studies. The elements of unfulfilled expectations need to be dealt with both on the individual staff level and on the organizational level. For instance, increased continuity of healthcare staff and facilities may help to improve patient satisfaction after surgery.
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