The effects of patients’ expectations on surgery outcome in total hip and knee arthroplasty

Autor:	Karolin Neubauer, Johannes A. C. Laferton, Thomas Munder, Lara Oeltjen, David Daniel Ebert
Přispěvatelé:	University of Zurich, Laferton, Johannes A C, Clinical, Neuro- & Developmental Psychology
Jazyk:	angličtina
Rok vydání:	2022
Předmět:	medicine.medical_specialty Prognostic factor medicine.medical_treatment Arthroplasty Replacement Hip Osteoarthritis Placebo 03 medical and health sciences 2738 Psychiatry and Mental Health 0302 clinical medicine Medicine Humans 030212 general & internal medicine Arthroplasty Replacement Knee Not evaluated joint replacement surgery Motivation 030505 public health business.industry 10093 Institute of Psychology 3203 Clinical Psychology Random effects model medicine.disease Prognosis Arthroplasty meta-analysis Psychiatry and Mental health Clinical Psychology osteoarthritis Treatment Outcome Patient Satisfaction Meta-analysis Surgery outcome Physical therapy arthroplasty placebo effect 0305 other medical science business 150 Psychology Patients’ expectations
Zdroj:	Laferton, J A C, Oeltjen, L, Neubauer, K, Ebert, D D & Munder, T 2022, ' The effects of patients’ expectations on surgery outcome in total hip and knee arthroplasty : a prognostic factor meta-analysis ', Health Psychology Review, vol. 16, no. 1, pp. 50-66 . https://doi.org/10.1080/17437199.2020.1854051 Health Psychology Review, 16(1), 50-66. Routledge
ISSN:	1743-7199
DOI:	10.1080/17437199.2020.1854051
Popis:	Patients’ expectations are among the most frequently studied psychological prognostic factors in total knee and hip arthroplasty (TKA/THA). So far, however, evidence on the effect of patients’ preoperative expectations on surgery outcome is inconclusive. Heterogeneity of expectation constructs and the use of psychometrically not evaluated measurement instruments have constituted major obstacles for the integration of the current literature. Using a theory-based model of expectation constructs (Laferton, Kube, Salzmann, Auer, & Shedden-Mora, 2017), this meta-analysis set out to disentangle the conflicting results in the current literature. Systematic literature searches yielded k = 46 studies (N = 10,465) that reported associations of preoperative expectations with postoperative pain, functioning and disability, and satisfaction. Random effects meta-analysis revealed a robust small association (r = .16; 95% CI .13, .19) between patients’ positive preoperative expectations and better postoperative outcomes. This effect did not differ between THA and TKA, different outcome categories and different follow-up periods. Studies using psychometrically evaluated expectation measures reported significantly higher effects (r = .19; 95% CI .16, .22). Whether this effect varies among different expectation constructs remains unclear. High-quality studies using validated, multidimensional expectation measures are needed to further understand the role of different expectation constructs in THA and TKA surgery.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::87b283b8cea61a41c415e250ea032d4b https://doi.org/10.1080/17437199.2020.1854051 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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