ArticleBMJ open2021
What influences patient satisfaction after total knee replacement? A qualitative long-term follow-up study.
Article in BMJ open, 2021. 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, 14 citations in OpenAlex.
- Exploratory Spinopelvic Compensation Patterns Are Associated with a Strict Composite 12-Month MCID Endpoint After Total Knee Arthroplasty: A Retrospective Risk-Stratification Study.Medicina (Kaunas, Lithuania) · 2026Article
- WOMAC-based recovery after total knee arthroplasty in a multiethnic Asian cohort: a 5-year registry-based study of interval-specific predictors of improvement.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Examining the thoughts and experiences of repeatedly revised knee arthroplasty patients-a qualitative study.BMC musculoskeletal disorders · 2025Article
- Impact of changes in native coronal plane alignment of the knee (CPAK) on patient-reported outcome measures (PROMS). A bilateral single implant study.Journal of orthopaedics · 2025Article
- Using Two Predictive Models to Capture Two Types of Poor Outcomes in Knee Arthroplasty: A Multisite Longitudinal Cohort Study.Arthritis & rheumatology (Hoboken, N.J.) · 2024Article
- Six-month pain and function outcome expectations were established for total knee arthroplasty using the smallest worthwhile effect.PloS one · 2024Article
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore whether a conceptual model of patient satisfaction previously developed 1-2 years post-total knee replacement (TKR) is still relevant 3-4 years post-TKR. Specifically, (i) what is the stability in satisfaction levels 3-4 years post-TKR? and (ii) does the existing conceptual model of patient satisfaction after TKR apply at this later follow-up?
designA constructivist grounded theory qualitative follow-up study. The present study was theoretically governed by the findings of the initial qualitative inquiry. One-on-one semi-structured interviews were used to test the assumptions of the model developed from the findings of the previous study.
settingAn urban Australian public hospital
participantsFrom 40 people who participated in the original study, 11 participants were purposively sampled based on their level of satisfaction and factors driving satisfaction as reported in their first interview. There were six women and five men, the average time since TKR was 3 years and 5 months, and the average age at time of interview was 77 years.
resultsSatisfaction levels were mostly stable with the exception of three participants; two transitioned in a positive direction; one in a negative direction. The meaning of satisfaction and the factors that influenced satisfaction were consistent with the original findings. However, beliefs relating to the influence of ageing on persistent knee symptoms and functional limitations were more dominant in the present study.
conclusionsThe findings provide support for patient satisfaction being a multifactorial construct that is potentially modifiable over time. Clinicians may apply the conceptual model we have described to optimise satisfaction in patients up to 3-4 years post-TKR.
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