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Systematic review: Do patient expectations influence treatment outcomes in total knee and total hip arthroplasty?

OBJECTIVE: This systematic review aims to summarise all the available evidence related to the association between pre-operative patient expectations (outcome expectations, process expectations and self efficacy expectations) and 5 different treatment outcomes (overall improvement, pain, function, st...

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Autores principales: Haanstra, Tsjitske M, van den Berg, Tobias, Ostelo, Raymond W, Poolman, Rudolf W, Jansma, Ilse P, Cuijpers, Pim, de Vet, Henrica CW
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3568025/
https://www.ncbi.nlm.nih.gov/pubmed/23245187
http://dx.doi.org/10.1186/1477-7525-10-152
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author Haanstra, Tsjitske M
van den Berg, Tobias
Ostelo, Raymond W
Poolman, Rudolf W
Jansma, Ilse P
Cuijpers, Pim
de Vet, Henrica CW
author_facet Haanstra, Tsjitske M
van den Berg, Tobias
Ostelo, Raymond W
Poolman, Rudolf W
Jansma, Ilse P
Cuijpers, Pim
de Vet, Henrica CW
author_sort Haanstra, Tsjitske M
collection PubMed
description OBJECTIVE: This systematic review aims to summarise all the available evidence related to the association between pre-operative patient expectations (outcome expectations, process expectations and self efficacy expectations) and 5 different treatment outcomes (overall improvement, pain, function, stiffness and satisfaction) in patients with total knee or total hip arthroplasty at three different follow-op periods (>6 weeks; >6 weeks- ≤6 months; >6 months). METHODS: English and Dutch language articles were identified through PubMed, EMBASE.com, PsycINFO, CINAHL and The Cochrane Library from inception to September 2012. Articles assessing the association between pre-operative patient expectations and treatment outcomes for TKA/THA in either adjusted or unadjusted analysis were included. Two reviewers, working independently, determined eligibility, rated methodological quality and extracted data on study design, population, expectation measurements, outcome measurements and strength of the associations. Methodological quality was rated by the same reviewers on a 19 item scale. The scores on the quality assessment were taken into account when drawing final conclusions. RESULTS: The search strategy generated 2252 unique references, 18 articles met inclusion criteria. Scores on the methodological quality assessment ranged between 6% and 79%. Great variety was seen in definitions and measurement methods of expectations. No significant associations were found between patient expectations and overall improvement, satisfaction and stiffness. Both significant positive and non-significant associations were found for the association between expectations and pain and function. CONCLUSIONS: There was no consistency in the association between patients’ pre-operative expectations and treatment outcomes for TKA and THA indentified in this systematic review. There exists a need for a sound theoretical framework underlying the construct of ‘patient expectations’ and consistent use of valid measurement instruments to measure that construct in order to facilitate future research synthesis.
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spelling pubmed-35680252013-02-12 Systematic review: Do patient expectations influence treatment outcomes in total knee and total hip arthroplasty? Haanstra, Tsjitske M van den Berg, Tobias Ostelo, Raymond W Poolman, Rudolf W Jansma, Ilse P Cuijpers, Pim de Vet, Henrica CW Health Qual Life Outcomes Research OBJECTIVE: This systematic review aims to summarise all the available evidence related to the association between pre-operative patient expectations (outcome expectations, process expectations and self efficacy expectations) and 5 different treatment outcomes (overall improvement, pain, function, stiffness and satisfaction) in patients with total knee or total hip arthroplasty at three different follow-op periods (>6 weeks; >6 weeks- ≤6 months; >6 months). METHODS: English and Dutch language articles were identified through PubMed, EMBASE.com, PsycINFO, CINAHL and The Cochrane Library from inception to September 2012. Articles assessing the association between pre-operative patient expectations and treatment outcomes for TKA/THA in either adjusted or unadjusted analysis were included. Two reviewers, working independently, determined eligibility, rated methodological quality and extracted data on study design, population, expectation measurements, outcome measurements and strength of the associations. Methodological quality was rated by the same reviewers on a 19 item scale. The scores on the quality assessment were taken into account when drawing final conclusions. RESULTS: The search strategy generated 2252 unique references, 18 articles met inclusion criteria. Scores on the methodological quality assessment ranged between 6% and 79%. Great variety was seen in definitions and measurement methods of expectations. No significant associations were found between patient expectations and overall improvement, satisfaction and stiffness. Both significant positive and non-significant associations were found for the association between expectations and pain and function. CONCLUSIONS: There was no consistency in the association between patients’ pre-operative expectations and treatment outcomes for TKA and THA indentified in this systematic review. There exists a need for a sound theoretical framework underlying the construct of ‘patient expectations’ and consistent use of valid measurement instruments to measure that construct in order to facilitate future research synthesis. BioMed Central 2012-12-18 /pmc/articles/PMC3568025/ /pubmed/23245187 http://dx.doi.org/10.1186/1477-7525-10-152 Text en Copyright ©2012 Haanstra et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Haanstra, Tsjitske M
van den Berg, Tobias
Ostelo, Raymond W
Poolman, Rudolf W
Jansma, Ilse P
Cuijpers, Pim
de Vet, Henrica CW
Systematic review: Do patient expectations influence treatment outcomes in total knee and total hip arthroplasty?
title Systematic review: Do patient expectations influence treatment outcomes in total knee and total hip arthroplasty?
title_full Systematic review: Do patient expectations influence treatment outcomes in total knee and total hip arthroplasty?
title_fullStr Systematic review: Do patient expectations influence treatment outcomes in total knee and total hip arthroplasty?
title_full_unstemmed Systematic review: Do patient expectations influence treatment outcomes in total knee and total hip arthroplasty?
title_short Systematic review: Do patient expectations influence treatment outcomes in total knee and total hip arthroplasty?
title_sort systematic review: do patient expectations influence treatment outcomes in total knee and total hip arthroplasty?
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3568025/
https://www.ncbi.nlm.nih.gov/pubmed/23245187
http://dx.doi.org/10.1186/1477-7525-10-152
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