Evidence map›Paper›PMID 37386583›Full record

ArticlePatient safety in surgery2023

Lack of alignment between orthopaedic surgeon priorities and patient expectations in total joint arthroplasty.

Harsh N Shah, Andrew A Barrett, Patrick H Le, Prerna Arora, Robin N Kamal, Derek F Amanatullah

Abstract read
In one paragraph

Article in Patient safety in surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Gender-Based Differences in Arthroplasty Utilization Across Two Tertiary Academic Centers.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    Article
  2. Article
  3. Review
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

6 authors.

Harsh N ShahSchool of Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA.
Andrew A BarrettDepartment of Orthopaedic Surgery, University of Pittsburg Medical Center - Hamot, 201 State Street, PA, Erie, 16550, USA.
Patrick H LeDepartment of Orthopaedic Surgery, Stanford University, School of Medicine, 450 Broadway Street, Redwood City, CA, 94063, USA.
Prerna AroraDepartment of Orthopaedic Surgery, Stanford University, School of Medicine, 450 Broadway Street, Redwood City, CA, 94063, USA.
Robin N KamalDepartment of Orthopaedic Surgery, Stanford University, School of Medicine, 450 Broadway Street, Redwood City, CA, 94063, USA.
Derek F AmanatullahDepartment of Orthopaedic Surgery, Stanford University, School of Medicine, 450 Broadway Street, Redwood City, CA, 94063, USA. dfa@stanford.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare systems are shifting toward "patient-centered" care often without assessing the values important to patients. Analogously, the interests of the patient may be disparate with physician interests, as pay-for-performance models become common. The purpose of the study was to determine which medical preferences are essential for patients during their surgical care.

methodsThis prospective, observational study surveyed 102 patients who had undergone a primary knee replacement and/or hip replacement surgery about hypothetical scenarios regarding their surgical experience. Data analysis included categorical variables presented as a number and percent, while continuous variables presented as mean and standard deviation. Statistical analysis for anticoagulation data included the Pearson chi-square test and one-way ANOVA test.

resultsA large majority, 73 patients (72%), would not pay to have a four-centimeter or smaller incision. The remaining 29 patients (28%) would prefer to have a four-centimeter or smaller incision and would pay a mean of $1,328 ± 1,629 for that day. A significant number of patients preferred not to use anticoagulation (p = 0.019); however, the value attributed to avoiding a specific method of anticoagulation was found not to be significant (p = 0.507).

conclusionsThe study determined the metrics prioritized by hospitals and surgeons are not important to the majority of patients when they evaluate their own care. These disconnects in the entitlements patients expect and receive can be solved by including patients in discussions with physicians and hospital systems.

Indexed as

Patient-centered carePatient expectationsSurgeon prioritiesTotal joint arthroplasty

Identifiers

PMID37386583
PMCPMC10308647

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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.