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

被引:107
作者
Haanstra, Tsjitske M. [1 ,2 ]
van den Berg, Tobias [1 ,2 ]
Ostelo, Raymond W. [1 ,2 ,3 ,4 ]
Poolman, Rudolf W. [5 ,6 ]
Jansma, Ilse P. [7 ]
Cuijpers, Pim [8 ,9 ]
de Vet, Henrica C. W. [1 ,2 ]
机构
[1] VU Univ Med Ctr Amsterdam, Dept Epidemiol & Biostat, NL-1081 BT Amsterdam, Netherlands
[2] VU Univ Med Ctr Amsterdam, EMGO Inst Hlth & Care Res, NL-1081 BT Amsterdam, Netherlands
[3] Vrije Univ Amsterdam, Dept Hlth Sci, Amsterdam, Netherlands
[4] Vrije Univ Amsterdam, EMGO Inst Hlth & Care Res, Fac Earth & Life Sci, Amsterdam, Netherlands
[5] Onze Lieve Vrouw Hosp, Dept Orthopaed Surg, Amsterdam, Netherlands
[6] Onze Lieve Vrouw Hosp, Dept Joint Res, Amsterdam, Netherlands
[7] Vrije Univ Amsterdam, Med Lib, Amsterdam, Netherlands
[8] Vrije Univ Amsterdam, Dept Clin Psychol, Amsterdam, Netherlands
[9] Vrije Univ Amsterdam, EMGO Inst Hlth & Care Res, Amsterdam, Netherlands
关键词
Outcome expecations; Self efficacy expectations; Systematic review; Total knee arthroplasty; Total hip arthroplasty; SELF-EFFICACY; REPLACEMENT SURGERY; COST-EFFECTIVENESS; UNITED-STATES; SATISFACTION; RECOVERY; QUALITY;
D O I
10.1186/1477-7525-10-152
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
100404 [儿少卫生与妇幼保健学];
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.
引用
收藏
页数:14
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