Patient Dissatisfaction Following Total Knee Arthroplasty: A Systematic Review of the Literature
© 2017 Elsevier Inc. Background 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. Methods Six literatur...
| Main Authors: | , , , , , |
|---|---|
| Format: | Journal Article |
| Published: |
2017
|
| Online Access: | http://hdl.handle.net/20.500.11937/73261 |
| _version_ | 1848762967509696512 |
|---|---|
| author | Gunaratne, R. Pratt, D. Banda, Joseph Fick, Daniel Khan, Riaz Robertson, Brett |
| author_facet | Gunaratne, R. Pratt, D. Banda, Joseph Fick, Daniel Khan, Riaz Robertson, Brett |
| author_sort | Gunaratne, R. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © 2017 Elsevier Inc. Background 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. Methods 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. Results 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. Conclusion 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. |
| first_indexed | 2025-11-14T10:55:59Z |
| format | Journal Article |
| id | curtin-20.500.11937-73261 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:55:59Z |
| publishDate | 2017 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-732612018-12-13T09:35:32Z Patient Dissatisfaction Following Total Knee Arthroplasty: A Systematic Review of the Literature Gunaratne, R. Pratt, D. Banda, Joseph Fick, Daniel Khan, Riaz Robertson, Brett © 2017 Elsevier Inc. Background 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. Methods 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. Results 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. Conclusion 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. 2017 Journal Article http://hdl.handle.net/20.500.11937/73261 10.1016/j.arth.2017.07.021 restricted |
| spellingShingle | Gunaratne, R. Pratt, D. Banda, Joseph Fick, Daniel Khan, Riaz Robertson, Brett Patient Dissatisfaction Following Total Knee Arthroplasty: A Systematic Review of the Literature |
| title | Patient Dissatisfaction Following Total Knee Arthroplasty: A Systematic Review of the Literature |
| title_full | Patient Dissatisfaction Following Total Knee Arthroplasty: A Systematic Review of the Literature |
| title_fullStr | Patient Dissatisfaction Following Total Knee Arthroplasty: A Systematic Review of the Literature |
| title_full_unstemmed | Patient Dissatisfaction Following Total Knee Arthroplasty: A Systematic Review of the Literature |
| title_short | Patient Dissatisfaction Following Total Knee Arthroplasty: A Systematic Review of the Literature |
| title_sort | patient dissatisfaction following total knee arthroplasty: a systematic review of the literature |
| url | http://hdl.handle.net/20.500.11937/73261 |