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Influence of patients' preoperative expectations on postoperative outcomes after total knee or hip arthroplasty: a systematic review.
Mooiweer, Yvet; Roling, Lina; Vugrin, Margaret; Ansmann, Lena; Stevens, Martin; Seeber, Gesine H.
Afiliación
  • Mooiweer Y; Department of Health Services Research, Carl von Ossietzky University, Oldenburg, Germany.
  • Roling L; Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
  • Vugrin M; School of Medicine and Health Sciences, Carl von Ossietzky University, Oldenburg, Germany.
  • Ansmann L; Preston Smith Library, Texas Tech University Health Sciences Center, Lobbock, Texas, USA.
  • Stevens M; Department of Health Services Research, Carl von Ossietzky University, Oldenburg, Germany.
  • Seeber GH; Chair of Medical Sociology, Institute of Medical Sociology, Health Services Research and Rehabilitation Science (IMVR) Faculty of Medicine, University of Cologne, Oldenburg, Germany.
EFORT Open Rev ; 9(2): 107-118, 2024 Feb 01.
Article en En | MEDLINE | ID: mdl-38310694
ABSTRACT

Purpose:

The association between preoperative expectations and treatment outcomes in total hip arthroplasty (THA) or total knee arthroplasty (TKA) is still unclear. Therefore the aim is to examine the association between preoperative outcome expectations, process expectations, and self-efficacy, and the postoperative outcomes overall outcome, pain, function, stiffness, satisfaction, and quality of life following THA/TKA.

Methods:

A systematic review with narrative synthesis was conducted. PubMed, EMBASE, PsycINFO, CINAHL and Cochrane Library were searched from inception to October 17, 2022. Included were prospective longitudinal cohort studies published in English, German, or Dutch, with an adult population undergoing THA/TKA, and including at least one measure of preoperative expectations and the postoperative outcomes mentioned earlier. Two independent reviewers screened the retrieved articles for eligibility, a third solved disagreements. Risk of bias (RoB) was assessed using the QUIPS tool.

Results:

Of the 50 included studies, 38 had high RoB and 12 moderate RoB. Unadjusted results suggest a positive association between preoperative outcome expectations and overall outcome in the medium and long term, and between self-efficacy and change in 'overall outcome' in the long term. Adjusted results suggest positive associations between outcome expectations and function and between self-efficacy and overall outcome in the medium term, and for outcome expectations with pain and change in pain, respectively, and self-efficacy and stiffness in the long term.

Conclusions:

Preoperative expectations show a possible positive association with specific outcome measures, such as pain or function. For future research, it is advised to link matching specific expectations with specific outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies / Systematic_reviews Aspecto: Patient_preference Idioma: En Revista: EFORT Open Rev Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies / Systematic_reviews Aspecto: Patient_preference Idioma: En Revista: EFORT Open Rev Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido