ReviewEFORT open reviews2020
Do dissatisfied patients have unrealistic expectations? A systematic review and best-evidence synthesis in knee and hip arthroplasty patients.
Review in EFORT open reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 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.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Are preoperative psychological factors associated with chronic postoperative pain after total knee arthroplasty: a systematic review.EFORT open reviews · 2026Pooled it
- Equivalent outcomes of ultra-congruent and standard cruciate-retaining inserts in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Complete fulfillment of expectations is associated with greater satisfaction after shoulder arthroplasty: results from a prospective multicenter cohort study.JSES international · 2026Article
- Evidence-based informed consent forms for total knee arthroplasty and anaesthesia: development and pilot study.Journal of orthopaedic surgery and research · 2026Article
- Outcome measures in prehabilitation interventions for total hip and knee arthroplasty: A scoping review.Clinical rehabilitation · 2026Article
- The Role of Patient Expectations in Treatment Outcome and Satisfaction in Osteoarthritis: A Scoping and Mapping Review.Journal of clinical medicine · 2025Review
- 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
- Combining preoperative expectations and postoperative met expectations to predict patient-reported outcomes after knee surgery.Journal of orthopaedics · 2025Article
- Greater preoperative expectations predict improvement in pain and function two years after knee surgery.Journal of 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
- Pre-operative expectations in patients with endometriosis - a qualitative interview study.BMC women's health · 2025Article
- Observational
- Can KOOS-PS be replaced with a simple anchor question in patients after total knee arthroplasty?: an agreement study of 2,478 primary surgeries.Acta orthopaedica · 2024Article
- Female sex as a negative predictor of outcomes of ankle arthrodesis: a retrospective comparative monocentric study.Journal of orthopaedic surgery and research · 2024Article
- Cranial remolding orthosis for children with deformational skull deformities: A systematic review on the factors affecting success and duration of treatment.World neurosurgery: X · 2024Review
- Comparison of Patients' and Surgeons' Expectations before Shoulder Arthroplasty.Journal of clinical medicine · 2024Article
- Patients' expectations surrounding revision total hip arthroplasty: a literature review.Arthroplasty (London, England) · 2024Review
- Regulation of Oxygen Tension as a Strategy to Control Chondrocytic Phenotype for Cartilage Tissue Engineering and Regeneration.Bioengineering (Basel, Switzerland) · 2024Review
- Exploring the information needs of patients with osteoarthritis of the knee: a content analysis of Facebook group posts.BMC musculoskeletal disorders · 2024Article
- Influence of patients' preoperative expectations on postoperative outcomes after total knee or hip arthroplasty: a systematic review.EFORT open reviews · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
End-stage osteoarthritis is commonly treated with joint replacement. Despite high clinical success rates, up to 28% of patients are dissatisfied with the outcome.This best-evidence synthesis aimed to review studies with different forms of study design and methodology that examined the relationship between (fulfilment of) outcome expectations of hip and knee patients and satisfaction with outcome.A literature search was performed in PubMed, Web of Science, PsycInfo, Cochrane, and Google Scholar to identify studies conducted up to November 2017. The methodological quality of studies was assessed using the Newcastle-Ottawa Scale.In this best-evidence synthesis systematic review, the following main results could be seen. In only half of all studies were preoperative expectations associated with level of satisfaction, while in almost all studies (93%), fulfilment of expectations was related to satisfaction. The effect of met expectations did not differ between hip and knee patients or study design.Fulfilment of expectations seems to be consistently associated with patient satisfaction with outcome. Emphasis in future research must be placed on the operationalization and measurement of expectations and satisfaction to determine the (strength of the) influence of these different forms of assessment on the (existence of the) relationship. Cite this article:
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