How do patients appraise satisfaction, and pain and function outcomes after total knee replacement?
Nardia-Rose Klem* (1), Samantha Bunzli (2), Michelle Dowsey (2), Rob Schutze (1), Peter O’Sullivan (1), Peter Kent (1), Peter Choong (2), Anne Smith (1)
1 School of Physiotherapy and Exercise Science, Curtin University
2 Department of Surgery, The University of Melbourne
Purpose: i) To explore the factors that shape the understanding and level of satisfaction in people with a range of pain and function outcomes after Total Knee Replacement (TKR). ii) To explore how levels of satisfaction on a self-report questionnaire relate to perceptions of surgical success. Methods: A cross-sectional qualitative study using a Thematic Analysis methodological approach was conducted in an urban Australian public health care setting. Forty three participants were purposively selected from an orthopaedic registry based on their responder status at 12 months post TKR as calculated by OMERACT/ OARSI criteria, and level of satisfaction with surgery based on a 4-item satisfaction questionnaire. We sought to recruit ten participants from each of the following categories: responder satisfied, responder dissatisfied, non-responder satisfied, non-responder dissatisfied. Interview questions aimed to understand what the concept of satisfaction meant to a participant. Results: In total, 10 responder satisfied; 13 responder dissatisfied; 10 non-responder satisfied; and 10 non-responder dissatisfied consented to being interviewed. The responder satisfied group all perceived their outcome as successful and were satisfied. In this group participants appeared to have high self-efficacy, expressing no concern about any residual symptoms. In contrast, for the other three groups, responder status did not necessarily reflect the individual’s perception of success or satisfaction. Other social and contextual variables appeared to have a strong influence on an individual’s perception of outcome. Additionally, at the time of the interview, individuals tended to describe their level of satisfaction differently from the time they completed their 12 month registry satisfaction questionnaires. Conclusions: The findings suggest that an individual’s conceptualisation of satisfaction after TKR is complex and highly subject to change according to a myriad of external factors.
[pdf-embedder url=”https://opus-tjr.org.au/wp-content/uploads/2019/04/Klem-N_poster.pdf” title=”Klem N_poster”]
For more information about this abstract, please contact:
Nardia Klem, School of Physiotherapy and Exercise Science, Curtin University
- OPUS Forum 2019 Poster Presentations
-
- The combined effect of physiotherapy, intra-articular steroid injection and bracing on knee OA
- Telehealth v face-to-face physiotherapy for knee OA: a contingent valuation preference exercise
- Effectiveness of behavioural interventions on physical activity levels after joint replacement
- Opioid use prior to elective surgery is strongly associated with persistent use following surgery. An analysis of 14,354 Medicare patients
- Design of a text message intervention to support home exercise for people with knee osteoarthritis
- Candidacy and the Pathway to Total Knee Replacement: A Qualitative Study
- Community Osteoarthritis Hip and Knee Services may be a solution to keeping patients out of hospital
- Are illness perceptions a barrier to uptake of evidence-based interventions for knee osteoarthritis?
- How do patients appraise satisfaction, and pain and function outcomes after total knee replacement?
- Quality of Life Trajectories in Total Knee Replacement Patients: What can they tell us?
- Engaging in an evidence-based osteoarthritis management program: Referrer and patient perspectives
- Implementing evidence based education and exercise for knee osteoarthritis
- Does adding hip to quadriceps exercises improve outcomes for people with knee osteoarthritis?
- The utilisation of total knee replacement exceeds that predicted by population growth and obesity