Why are patients dissatisfied following a total knee replacement? A systematic review
Autor: | Vikas Khanduja, Naoki Nakano, Ryosuke Kuroda, Tomoyuki Matsumoto, Fernando Olavarria, Haitham Shoman |
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Rok vydání: | 2020 |
Předmět: |
musculoskeletal diseases
medicine.medical_specialty Knee Joint Satisfaction 03 medical and health sciences 0302 clinical medicine Patient satisfaction Informed consent Intervention (counseling) Outcome Assessment Health Care Humans Medicine Orthopedics and Sports Medicine Arthroplasty Replacement Knee Pain Postoperative Original Paper 030222 orthopedics business.industry 030229 sport sciences Osteoarthritis Knee Mental health Low back pain humanities Total knee replacement surgical procedures operative Clinical research Patient Satisfaction Total knee arthroplasty Radiological weapon Orthopedic surgery Systematic review Physical therapy Surgery medicine.symptom business Dissatisfaction |
Zdroj: | International Orthopaedics |
ISSN: | 1432-5195 0341-2695 |
Popis: | BackgroundAlthough total knee replacement (TKR) is an effective intervention for end-stage arthritis of the knee, a significant number of patients remain dissatisfied following this procedure. Our aim was to identify and assess the factors affecting patient satisfaction following a TKR.Materials and methodsIn accordance with the PRISMA guidelines, two reviewers searched the online databases for literature describing factors affecting patient satisfaction following a TKR. The research question and eligibility criteria were established a priori. Any clinical outcome study that described factors relating to overall satisfaction after primary TKR was included. Quality assessment for the included studies was performed by two accredited orthopaedic surgeons experienced in clinical research.ResultsThe systematic review identified 181 relevant articles in total. A history of mental health problems was the most frequently reported factor affecting patient satisfaction (13 reportings). When the results of the quality assessment were taken into consideration, a negative history of mental health problems, use of a mobile-bearing insert, patellar resurfacing, severe pre-operative radiological degenerative change, negative history of low back pain, no/less post-operative pain, good post-operative physical function and pre-operative expectations being met were considered to be important factors leading to better patient satisfaction following a TKR.ConclusionSurgeons performing a TKR should take these factors into consideration prior to deciding whether a patient is suitable for a TKR. Secondarily, a detailed explanation of these factors should form part of the process of informed consent to achieve better patient satisfaction following TKR. There is a great need for a unified approach to assessing satisfaction following a TKR and also the time at which satisfaction is assessed. |
Databáze: | OpenAIRE |
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