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Determinants of patient satisfaction after total knee arthroplasty (TKA): a literature review

  • Anggi Dwi Putera ,
  • Muhamad Hasan ,
  • Muhammad Riyadli ,
  • Muhammad Nadlir Fakhry ,

Abstract

Link of Video Abstract: https://youtu.be/VANVlW_pP94

 

Background: The most common form of degenerative joint disease is osteoarthritis. Concomitant with the increased prevalence of osteoarthritis, the incidence of total knee arthroplasty (TKA) also rises. Total knee arthroplasty (TKA) is a surgical procedure for replacing an abnormal knee joint with artificial materials. Total knee arthroplasty (TKA) is a cost-effective orthopedic surgery with good patient outcomes. This literature review aimed to elaborate on the determinants of patient satisfaction after TKA surgery.

Methods: This literature review was carried out by searching studies in three online databases consisting of Google Scholar, PubMed, and Wiley Online Library using the keywords “total knee arthroplasty”, “total knee replacement”, “osteoarthritis”, “satisfaction”, and “determinants” to specify our study results. Appropriate studies were then carried out through a narrative synthesis analysis.

Results: The satisfaction of patients after two broad components determines TKA. Internal and external. The internal component consists of the patient's age, gender, personality, expectations, comorbidity, the severity of the disease, and other factors such as BMI, economic and educational class. While the external component consists of anesthesia and pain management, surgery technique, implant or prosthesis type, post-operative rehabilitation and length of hospital stay. Therefore, the surgical technique, including its indications, alternatives, prospective results, and risk of issues, must be fully discussed between doctors and patients to maintain patient satisfaction following TKA.

Conclusion: The determinant of patient satisfaction following TKA surgery can be classified into internal components (patient-related factor) and external components (surgery-related factor). Although important, patient satisfaction shouldn't be the determining factor for evaluating the efficacy of surgical treatments and patient care.

References

  1. Loeser RF, Goldring SR, Scanzello CR, Goldring MB. Osteoarthritis: a disease of the joint as an organ. Arthritis and rheumatism. 2012;64(6):1697-1707.
  2. Sharma L. Osteoarthritis of the Knee. N Engl J Med. 2021;384(1):51-59.
  3. Xing D, Xu Y, Liu Q, Ke Y, Wang B, Li Z, Lin J. Osteoarthritis and all-cause mortality in worldwide populations: grading the evidence from a meta-analysis. Scientific reports. 2016;6:24393.
  4. Scott AM. Total Knee Replacement and Imaging. Radiol Technol. 2015;87(1):65-86.
  5. Gibon E, Goodman MJ, Goodman SB. Patient satisfaction after total knee arthroplasty: a realistic or imaginary goal?. Orthopedic Clinics. 2017;48(4):421-431.
  6. Hamilton DF, Lane JV, Gaston P, Patton JT, Macdonald D, Simpson AHRW, et al. What determines patient satisfaction with surgery? A prospective cohort study of 4709 patients following total joint replacement. BMJ open. 2013;3(4):e002525.
  7. Baker PN, Van der Meulen JH, Lewsey J, Gregg PJ. The role of pain and function in determining patient satisfaction after total knee replacement: data from the National Joint Registry for England and Wales. The Journal of bone and joint surgery. British volume. 2007;89(7):893-900.
  8. Nashi N, Hong CC, Krishna L. Residual knee pain and functional outcome following total knee arthroplasty in osteoarthritic patients. Knee Surgery, Sports Traumatology, Arthroscopy. 2015;23(6):1841-1847.
  9. Whiteside LA, Roy ME. Anatomy, function, and surgical access of the iliotibial band in total knee arthroplasty. J Bone Joint Surg Am. 2009;91(Suppl 6):101-106.
  10. Zeni JA Jr, Axe MJ, Snyder-Mackler L. Clinical predictors of elective total joint replacement in persons with end-stage knee osteoarthritis. BMC Musculoskelet Disord. 2010;11:86.
  11. Kane RL, Saleh KJ, Wilt TJ, Bershadsky B. The functional outcomes of total knee arthroplasty. J Bone Joint Surg Am. 2005;87(8):1719-1724.
  12. Daines BK, Dennis DA. Gap balancing vs. measured resection technique in total knee arthroplasty. Clin Orthop Surg. 2014;6(1):1-8.
  13. Williams DH, Garbuz DS, Masri BA, Duncan CP, Garbuz DS. Total knee arthroplasty: Techniques and results. BC Medical Journal. 2010;52(9):447-454.
  14. Choi YJ, Ra HJ. Patient Satisfaction after Total Knee Arthroplasty. Knee Surg Relat Res. 2016;28(1):1-15.
  15. Bourne RB, Chesworth BM, Davis AM, Mahomed NN, Charron KD. Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?. Clinical Orthopaedics and Related Research. 2010;468(1):57-63.
  16. Dunbar MJ, Richardson G, Robertsson O. I can't get no satisfaction after my total knee replacement: rhymes and reasons. Bone Joint J. 2013;95-B(11 Suppl A):148-152.
  17. Mahomed NN, Liang MH, Cook EF, Daltroy LH, Fortin PR, Fossel AH, et al. The importance of patient expectations in predicting functional outcomes after total joint arthroplasty. The Journal of rheumatology. 2022;29(6):1273-1279.
  18. Noble PC, Fuller-Lafreniere S, Meftah M, Dwyer MK. Challenges in outcome measurement: discrepancies between patient and provider definitions of success. Clinical Orthopaedics and Related Research. 2013;471(11):3437-3445.
  19. Scott CEH, Bugler KE, Clement ND, MacDonald D, Howie CR, Biant LC. Patient expectations of arthroplasty of the hip and knee. The Journal of bone and joint surgery. British volume. 2012;94(7):974-981.
  20. Williams DP, Price AJ, Beard DJ, Hadfield SG, Arden NK, Murray DW, et al. The effects of age on patient-reported outcome measures in total knee replacements. The bone & joint journal. 2013;95(1):38-44.
  21. Parvizi J, Nunley RM, Berend KR, Lombardi AV, Ruh EL, Clohisy JC, et al. High level of residual symptoms in young patients after total knee arthroplasty. Clinical Orthopaedics and Related Research. 2014;472(1):133-137.
  22. Von Keudell A, Sodha S, Collins J, Minas T, Fitz W, Gomoll AH. Patient satisfaction after primary total and unicompartmental knee arthroplasty: an age-dependent analysis. The Knee. 2014;21(1):180-184.
  23. Singh JA, Lewallen DG. Medical and psychological comorbidity predicts poor pain outcomes after total knee arthroplasty. Rheumatology. 2013;52(5):916-923.
  24. Clement ND. Patient factors that influence the outcome of total knee replacement: a critical review of the literature. OA Orthopaedics. 2013;1(2):11.
  25. Vissers MM, de Groot IB, Reijman M, Bussmann JB, Stam HJ, Verhaar JA. Functional capacity and actual daily activity do not contribute to patient satisfaction after total knee arthroplasty. BMC musculoskeletal disorders. 2010;11:1121.
  26. Wylde V, Dieppe P, Hewlett S, Learmonth ID. Total knee replacement: is it really an effective procedure for all?. The Knee. 2007;14(6):417-423.
  27. Gong L, Dong JY. Patient's personality predicts recovery after total knee arthroplasty: a retrospective study. Journal of Orthopaedic Science. 2014;19(2):263-269.
  28. Haanstra TM, van den Berg T, Ostelo RW, Poolman RW, Jansma IP, Cuijpers P, et al. Systematic review: do patient expectations influence treatment outcomes in total knee and total hip arthroplasty?. Health and Quality of Life Outcomes. 2012;10:1-14.
  29. Culliton SE, Bryant DM, Overend TJ, MacDonald SJ, Chesworth BM. The relationship between expectations and satisfaction in patients undergoing primary total knee arthroplasty. The Journal of arthroplasty. 2012;27(3):490-492.
  30. Maratt JD, Lee YY, Lyman S, Westrich GH. Predictors of satisfaction following total knee arthroplasty. The Journal of arthroplasty. 2015;30(7):1142-1145.
  31. Kim TK, Chang CB, Kang YG, Kim SJ, Seong SC. Causes and predictors of patient's dissatisfaction after uncomplicated total knee arthroplasty. The Journal of arthroplasty. 2009;24(2):263-271.
  32. Schnurr C, Jarrous M, Güdden I, Eysel P, König DP. Pre-operative arthritis severity as a predictor for total knee arthroplasty patients' satisfaction. Int Orthop. 2013;37(7):1257-1261.
  33. Polkowski GG 2nd, Ruh EL, Barrack TN, Nunley RM, Barrack RL. Is pain and dissatisfaction after TKA related to early-grade preoperative osteoarthritis?. Clin Orthop Relat Res. 2013;471(1):162-168.
  34. Fischer HBJ, Simanski CJP, Sharp C, Bonnet F, Camu F, Neugebauer EAM, et al. A procedure‐specific systematic review and consensus recommendations for postoperative analgesia following total knee arthroplasty. Anaesthesia. 2008;63(10):1105-1123.
  35. Mann MA, Smith K, Banack HR, Tanzer M. Changing surgeons improves outcome of subsequent primary total joint arthroplasty in previously dissatisfied patients. The Journal of Arthroplasty. 2013;28(5):736-739.
  36. Harsten A, Kehlet H, Toksvig-Larsen S. Recovery after total intravenous general anaesthesia or spinal anaesthesia for total knee arthroplasty: a randomized trial. British Journal of Anaesthesia. 2013;111(3):391-399.
  37. Anderson JG, Wixson RL, Tsai D, Stulberg SD, Chang RW. Functional outcome and patient satisfaction in total knee patients over the age of 75. The Journal of Arthroplasty. 1996;11(7):831-840.
  38. Hernandez-Vaquero D, Noriega-Fernandez A, Suarez-Vazquez A. Total knee arthroplasties performed with a mini-incision or a standard incision. Similar results at six months follow-up. BMC Musculoskeletal Disorders. 2010;11:1-8.
  39. Levine M, McElroy K, Stakich V, Cicco J. Comparing conventional physical therapy rehabilitation with neuromuscular electrical stimulation after TKA. Orthopedics. 2013;36(3):e319-e324.
  40. Satoto HH, Paramitha A, Barata SH, Sugiri, Suhartono, Wahyudati S, et al. Effect of preoperative inspiratory muscle training on right ventricular systolic function in patients after heart valve replacement surgery. Bali Medical Journal. 2021;10(1):340-346.
  41. Sakti M, Saleh R, Yudha K, Akbar T. Predicting factors for walking ability of postoperative patients with hemiarthroplasty at Wahidin Sudirohusodo Hospital in Makassar. Bali Medical Journal. 2021;10(1):249-255.
  42. Hartono A, Lesmana T. A novel scoring system to predict postoperative mortality after colorectal cancer surgery: a retrospective cohort study. Bali Medical Journal. 2022;11(1):96-102.

How to Cite

Putera, A. D., Hasan, M., Riyadli, M., & Fakhry, M. N. (2023). Determinants of patient satisfaction after total knee arthroplasty (TKA): a literature review. Bali Medical Journal, 12(2), 1813–1820. https://doi.org/10.15562/bmj.v12i2.4529

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Anggi Dwi Putera
Google Scholar
Pubmed
BMJ Journal


Muhamad Hasan
Google Scholar
Pubmed
BMJ Journal


Muhammad Riyadli
Google Scholar
Pubmed
BMJ Journal


Muhammad Nadlir Fakhry
Google Scholar
Pubmed
BMJ Journal