Evidence map›Paper›PMID 36474554›Full record

ReviewOsteoarthritis and cartilage open2020

Satisfaction after total knee replacement for osteoarthritis is usually high, but what are we measuring? A systematic review.

Nardia-Rose Klem, Peter Kent, Anne Smith, Michelle Dowsey, Robyn Fary, Rob Schütze, Peter O'Sullivan, Peter Choong, Samantha Bunzli

Abstract readReview
In one paragraph

Review in Osteoarthritis and cartilage open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Statistical shape model-based estimation of registration error in computer-assisted total knee arthroplasty.International journal of computer assisted radiology and surgery · 2026
    Article
  6. Article
  7. Evaluating Patient Satisfaction Outcome After Total Knee Arthroplasty Done at Our Hospital's Joint Replacement Registry, Egypt.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nardia-Rose KlemCurtin University, School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Bentley, Western Australia, 6102, Australia.
Peter KentCurtin University, School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Bentley, Western Australia, 6102, Australia.
Anne SmithCurtin University, School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Bentley, Western Australia, 6102, Australia.
Michelle DowseyDepartment of Orthopaedics, St Vincent's Hospital Melbourne.
Robyn FaryCurtin University, School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Bentley, Western Australia, 6102, Australia.
Rob SchützeCurtin University, School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Bentley, Western Australia, 6102, Australia.
Peter O'SullivanCurtin University, School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Bentley, Western Australia, 6102, Australia.
Peter ChoongDepartment of Orthopaedics, St Vincent's Hospital Melbourne.
Samantha BunzliThe University of Melbourne, Department of Surgery, St Vincent's Hospital Melbourne, Level 2, Clinical Sciences Building, 29 Regent St, Fitzroy, Victoria, 3065, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Patient satisfaction is considered an important outcome measure after total knee replacement, but the construct is complex. There is large variation both in how satisfaction is measured and estimates of the proportion of people who are satisfied after surgery. The aim of this systematic review was to i) evaluate the proportion of people reported to be satisfied after total knee replacement for osteoarthritis; and ii) assess the content validity of the utilised satisfaction measures. Methods: We searched four literature databases with search phrases 'Total Knee Arthroplasty' OR 'Total Knee Replacement' AND 'Patient satisfaction' for studies that measured satisfaction at least 6 month post-unilateral primary total knee replacement for knee osteoarthritis. Identified studies were assessed for risk of bias, and studies at high risk of bias were excluded (PROSPERO: CRD42017058936). Meta-analysis was not appropriate due to the heterogeneity in satisfaction instruments, thus satisfaction scores were described. The content validity of satisfaction questionnaires was assessed using the COnsensus-based Standards for the selection of health status Measurement Instruments criteria. Results: The present review found heterogeneity in the satisfaction questions used, as well as the satisfaction estimates from the various studies. Only two satisfaction instruments were relevant for a Total Knee Replacement population and both failed assessment for content validity due to lack of patient involvement during development and testing in accordance with the COnsensus-based Standards for the selection of health status Measurement Instruments criteria. Conclusion: Future research should focus on qualitative methods to elicit patients' perspectives of satisfaction to build theoretical understanding.

Indexed as

Content validityOsteoarthritisSatisfactionTotal knee arthroplastyTotal knee replacement

Identifiers

PMID36474554
PMCPMC9718338

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.