期刊论文详细信息
Health and Quality of Life Outcomes
Systematic review: Do patient expectations influence treatment outcomes in total knee and total hip arthroplasty?
Henrica CW de Vet4  Pim Cuijpers3  Ilse P Jansma5  Rudolf W Poolman1  Raymond W Ostelo2  Tobias van den Berg4  Tsjitske M Haanstra4 
[1] Department of Orthopaedic Surgery and Department of Joint Research, Onze Lieve Vrouwe Gasthuis, Amsterdam, the Netherlands;Department of Health Sciences and the EMGO Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University Amsterdam, Amsterdam, the Netherlands;Department of Clinical Psychology and the EMGO Institute for Health and Care Research, VU University Amsterdam, Amsterdam, the Netherlands;Department of Epidemiology and Biostatistics and the EMGO Institute for Health and Care Research, VU University Medical Centre Amsterdam, Van der Boechorststraat 7, 1081 BT, Amsterdam, the Netherlands;Medical Library, VU University Amsterdam, Amsterdam, the Netherlands
关键词: Total hip arthroplasty;    Total knee arthroplasty;    Systematic review;    Self efficacy expectations;    Outcome expecations;   
Others  :  824768
DOI  :  10.1186/1477-7525-10-152
 received in 2012-06-21, accepted in 2012-12-10,  发布年份 2012
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【 摘 要 】

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.

【 授权许可】

   
2012 Haanstra et al.; licensee BioMed Central Ltd.

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