Satisfaction after total knee replacement for osteoarthritis is usually high, but what are we measuring? A systematic review
Summary: 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 sy...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-03-01
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| Series: | Osteoarthritis and Cartilage Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2665913120300169 |
| _version_ | 1831590716313174016 |
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| author | Nardia-Rose Klem Peter Kent Anne Smith Michelle Dowsey Robyn Fary Rob Schütze Peter O'Sullivan Peter Choong Samantha Bunzli |
| author_facet | Nardia-Rose Klem Peter Kent Anne Smith Michelle Dowsey Robyn Fary Rob Schütze Peter O'Sullivan Peter Choong Samantha Bunzli |
| author_sort | Nardia-Rose Klem |
| collection | DOAJ |
| description | Summary: 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. |
| first_indexed | 2024-12-18T01:10:49Z |
| format | Article |
| id | doaj.art-e34faf9651414cc88c759694e1fb52ac |
| institution | Directory Open Access Journal |
| issn | 2665-9131 |
| language | English |
| last_indexed | 2024-12-18T01:10:49Z |
| publishDate | 2020-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Osteoarthritis and Cartilage Open |
| spelling | doaj.art-e34faf9651414cc88c759694e1fb52ac2022-12-21T21:26:07ZengElsevierOsteoarthritis and Cartilage Open2665-91312020-03-0121100032Satisfaction after total knee replacement for osteoarthritis is usually high, but what are we measuring? A systematic reviewNardia-Rose Klem0Peter Kent1Anne Smith2Michelle Dowsey3Robyn Fary4Rob Schütze5Peter O'Sullivan6Peter Choong7Samantha Bunzli8Curtin University, School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Bentley, Western Australia, 6102, Australia; Corresponding author. Curtin University, School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Bentley, Western Australia, 6102, Australia.Curtin University, School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Bentley, Western Australia, 6102, Australia; Department of Clinical Biomechanics and Sports Science, Campusvej 55, University of Southern Denmark, Odense, M 5230, DenmarkCurtin University, School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Bentley, Western Australia, 6102, AustraliaDepartment of Orthopaedics, St Vincent's Hospital Melbourne; The University of Melbourne, Department of Surgery, St Vincent's Hospital Melbourne, Level 2, Clinical Sciences Building, 29 Regent St, Fitzroy, Victoria, 3065, AustraliaCurtin University, School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Bentley, Western Australia, 6102, AustraliaCurtin University, School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Bentley, Western Australia, 6102, AustraliaCurtin University, School of Physiotherapy and Exercise Science, Building 408, Brand Drive, Bentley, Western Australia, 6102, AustraliaDepartment of Orthopaedics, St Vincent's Hospital Melbourne; The University of Melbourne, Department of Surgery, St Vincent's Hospital Melbourne, Level 2, Clinical Sciences Building, 29 Regent St, Fitzroy, Victoria, 3065, AustraliaThe University of Melbourne, Department of Surgery, St Vincent's Hospital Melbourne, Level 2, Clinical Sciences Building, 29 Regent St, Fitzroy, Victoria, 3065, AustraliaSummary: 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.http://www.sciencedirect.com/science/article/pii/S2665913120300169SatisfactionTotal knee replacementTotal knee arthroplastyOsteoarthritisContent validity |
| spellingShingle | Nardia-Rose Klem Peter Kent Anne Smith Michelle Dowsey Robyn Fary Rob Schütze Peter O'Sullivan Peter Choong Samantha Bunzli Satisfaction after total knee replacement for osteoarthritis is usually high, but what are we measuring? A systematic review Osteoarthritis and Cartilage Open Satisfaction Total knee replacement Total knee arthroplasty Osteoarthritis Content validity |
| title | Satisfaction after total knee replacement for osteoarthritis is usually high, but what are we measuring? A systematic review |
| title_full | Satisfaction after total knee replacement for osteoarthritis is usually high, but what are we measuring? A systematic review |
| title_fullStr | Satisfaction after total knee replacement for osteoarthritis is usually high, but what are we measuring? A systematic review |
| title_full_unstemmed | Satisfaction after total knee replacement for osteoarthritis is usually high, but what are we measuring? A systematic review |
| title_short | Satisfaction after total knee replacement for osteoarthritis is usually high, but what are we measuring? A systematic review |
| title_sort | satisfaction after total knee replacement for osteoarthritis is usually high but what are we measuring a systematic review |
| topic | Satisfaction Total knee replacement Total knee arthroplasty Osteoarthritis Content validity |
| url | http://www.sciencedirect.com/science/article/pii/S2665913120300169 |
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