The Relationship Between Expectations and Satisfaction in Patients Undergoing Primary Total Knee Arthroplasty

Culliton, Sharon E.; Bryant, Dianne M.; Overend, Tom J.; MacDonald, Steven J.; Chesworth, Bert M.

doi:10.1016/j.arth.2011.10.005

« Previous Next »The Journal of Arthroplasty
Volume 27, Issue 3 , Pages 490-492, March 2012

The Relationship Between Expectations and Satisfaction in Patients Undergoing Primary Total Knee Arthroplasty

Sharon E. Culliton, PhD(C)
- Health and Rehabilitation Sciences Program, Faculty of Health Sciences, The University of Western Ontario, London, ON
- Reprint requests: Sharon E. Culliton, PhD(C), Health and Rehabilitation Sciences Program, Faculty of Health Sciences, Health and Aging Field, The University of Western Ontario, London, ON, N6G 1H1.
Dianne M. Bryant, PhD
- School of Physical Therapy, Faculty of Health Sciences, The University of Western Ontario, London, ON
Tom J. Overend, PhD
- School of Physical Therapy, Faculty of Health Sciences, The University of Western Ontario, London, ON
Steven J. MacDonald, MD
- Department of Surgery, Division of Orthopaedic Surgery, University Hospital, London Health Sciences Centre, London, ON
Bert M. Chesworth, PhD
- School of Physical Therapy, Faculty of Health Sciences, The University of Western Ontario, London, ON

Received 9 August 2011; accepted 7 October 2011. published online 24 November 2011.

Abstract

The objective of this literature review was to examine the relationship between expectations and satisfaction in patients undergoing primary total knee arthroplasty (TKA). Five databases were searched from inception to July 2011. Five studies were eligible on the following inclusion criteria: primary TKA, diagnosis of knee osteoarthritis, presurgery outcome measures, a measure of patient expectations and satisfaction, multivariate analysis of the relationship between expectations and satisfaction reported separately for TKA recipients, and English language. Preoperative expectations did not correlate with postoperative satisfaction. However, postoperative satisfaction was predicted by how well postoperative expectations were met after surgery. Therefore, patient education programs for managing expectations should span part of the postoperative recovery period.

Keywords: total knee arthroplasty, osteoarthritis, patient expectations, patient satisfaction