Patient Dissatisfaction Following Total Knee Arthroplasty: A Systematic Review of the Literature

Dissatisfaction following total knee arthroplasty (TKA) is common. Approximately 20% of patients report dissatisfaction following primary TKA. This systematic literature review explores key factors affecting patient dissatisfaction following TKA. Six literature databases published between 2005 and 1...

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Vydáno v:The Journal of arthroplasty Ročník 32; číslo 12; s. 3854 - 3860
Hlavní autoři: Gunaratne, Rajitha, Pratt, Dylan N., Banda, Joseph, Fick, Daniel P., Khan, Riaz J.K., Robertson, Brett W.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 01.12.2017
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ISSN:0883-5403, 1532-8406, 1532-8406
On-line přístup:Získat plný text
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Abstract Dissatisfaction following total knee arthroplasty (TKA) is common. Approximately 20% of patients report dissatisfaction following primary TKA. This systematic literature review explores key factors affecting patient dissatisfaction following TKA. Six literature databases published between 2005 and 1 January 2016 were searched using 3 key search phrases. Papers were included if the study investigated patient dissatisfaction in primary unilateral or bilateral TKA. Information from each article was categorized to the domains of socioeconomic, preoperative, intraoperative, and postoperative factors affecting patient dissatisfaction. This review found that patient dissatisfaction pertains to several key factors. Patient expectations prior to surgery, the degree of improvement in knee function, and pain relief following surgery were commonly cited in the literature. Fewer associations were found in the socioeconomic and surgical domains. Identifying who may be dissatisfied after their TKA is mystifying; however, we note several strategies that target factors whereby an association exists. Further research is needed to better quantify dissatisfaction, so that the causal links underpinning dissatisfaction can be more fully appreciated and strategies employed to target them.
AbstractList Dissatisfaction following total knee arthroplasty (TKA) is common. Approximately 20% of patients report dissatisfaction following primary TKA. This systematic literature review explores key factors affecting patient dissatisfaction following TKA. Six literature databases published between 2005 and 1 January 2016 were searched using 3 key search phrases. Papers were included if the study investigated patient dissatisfaction in primary unilateral or bilateral TKA. Information from each article was categorized to the domains of socioeconomic, preoperative, intraoperative, and postoperative factors affecting patient dissatisfaction. This review found that patient dissatisfaction pertains to several key factors. Patient expectations prior to surgery, the degree of improvement in knee function, and pain relief following surgery were commonly cited in the literature. Fewer associations were found in the socioeconomic and surgical domains. Identifying who may be dissatisfied after their TKA is mystifying; however, we note several strategies that target factors whereby an association exists. Further research is needed to better quantify dissatisfaction, so that the causal links underpinning dissatisfaction can be more fully appreciated and strategies employed to target them.
Dissatisfaction following total knee arthroplasty (TKA) is common. Approximately 20% of patients report dissatisfaction following primary TKA. This systematic literature review explores key factors affecting patient dissatisfaction following TKA.BACKGROUNDDissatisfaction following total knee arthroplasty (TKA) is common. Approximately 20% of patients report dissatisfaction following primary TKA. This systematic literature review explores key factors affecting patient dissatisfaction following TKA.Six literature databases published between 2005 and 1 January 2016 were searched using 3 key search phrases. Papers were included if the study investigated patient dissatisfaction in primary unilateral or bilateral TKA. Information from each article was categorized to the domains of socioeconomic, preoperative, intraoperative, and postoperative factors affecting patient dissatisfaction.METHODSSix literature databases published between 2005 and 1 January 2016 were searched using 3 key search phrases. Papers were included if the study investigated patient dissatisfaction in primary unilateral or bilateral TKA. Information from each article was categorized to the domains of socioeconomic, preoperative, intraoperative, and postoperative factors affecting patient dissatisfaction.This review found that patient dissatisfaction pertains to several key factors. Patient expectations prior to surgery, the degree of improvement in knee function, and pain relief following surgery were commonly cited in the literature. Fewer associations were found in the socioeconomic and surgical domains.RESULTSThis review found that patient dissatisfaction pertains to several key factors. Patient expectations prior to surgery, the degree of improvement in knee function, and pain relief following surgery were commonly cited in the literature. Fewer associations were found in the socioeconomic and surgical domains.Identifying who may be dissatisfied after their TKA is mystifying; however, we note several strategies that target factors whereby an association exists. Further research is needed to better quantify dissatisfaction, so that the causal links underpinning dissatisfaction can be more fully appreciated and strategies employed to target them.CONCLUSIONIdentifying who may be dissatisfied after their TKA is mystifying; however, we note several strategies that target factors whereby an association exists. Further research is needed to better quantify dissatisfaction, so that the causal links underpinning dissatisfaction can be more fully appreciated and strategies employed to target them.
Author Robertson, Brett W.
Khan, Riaz J.K.
Pratt, Dylan N.
Banda, Joseph
Fick, Daniel P.
Gunaratne, Rajitha
Author_xml – sequence: 1
  givenname: Rajitha
  orcidid: 0000-0002-2054-5783
  surname: Gunaratne
  fullname: Gunaratne, Rajitha
  organization: Physics Department, Curtin University, Bentley, Western Australia, Australia
– sequence: 2
  givenname: Dylan N.
  surname: Pratt
  fullname: Pratt, Dylan N.
  organization: Physics Department, Curtin University, Bentley, Western Australia, Australia
– sequence: 3
  givenname: Joseph
  surname: Banda
  fullname: Banda, Joseph
  organization: Physics Department, Curtin University, Bentley, Western Australia, Australia
– sequence: 4
  givenname: Daniel P.
  surname: Fick
  fullname: Fick, Daniel P.
  organization: Physics Department, Curtin University, Bentley, Western Australia, Australia
– sequence: 5
  givenname: Riaz J.K.
  surname: Khan
  fullname: Khan, Riaz J.K.
  organization: Physics Department, Curtin University, Bentley, Western Australia, Australia
– sequence: 6
  givenname: Brett W.
  surname: Robertson
  fullname: Robertson, Brett W.
  organization: Physics Department, Curtin University, Bentley, Western Australia, Australia
BackLink https://www.ncbi.nlm.nih.gov/pubmed/28844632$$D View this record in MEDLINE/PubMed
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Keywords total knee arthroplasty
total knee replacement
dissatisfaction
systematic review
satisfaction
primary
Language English
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Snippet Dissatisfaction following total knee arthroplasty (TKA) is common. Approximately 20% of patients report dissatisfaction following primary TKA. This systematic...
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SubjectTerms Aged
Arthroplasty, Replacement, Knee - psychology
dissatisfaction
Female
Humans
Intraoperative Complications
Knee Joint - surgery
Middle Aged
Osteoarthritis, Knee - psychology
Osteoarthritis, Knee - surgery
Pain Management
Patient Satisfaction
Postoperative Period
primary
satisfaction
Social Class
systematic review
total knee arthroplasty
total knee replacement
Title Patient Dissatisfaction Following Total Knee Arthroplasty: A Systematic Review of the Literature
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0883540317306198
https://dx.doi.org/10.1016/j.arth.2017.07.021
https://www.ncbi.nlm.nih.gov/pubmed/28844632
https://www.proquest.com/docview/1933233338
Volume 32
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