title: Factors that impact expectations before total knee arthroplasty.
abstract: This study examined the effect of patient attributes on expectations before total knee arthroplasty (TKA). A total of 1943 patients completed an Expectations Survey before TKA. Demographics, surgical history, baseline Medical Outcomes Study Short Form 36 (SF-36) score, Knee injury and Osteoarthritis Outcome Score (KOOS), and Lower Extremity Activity Scale score were obtained. On univariate analysis, expectations (mean score, 77.6) correlated with SF-36 General Health, age, SF-36 Vitality, KOOS Quality-of-Life, and Lower Extremity Activity Scale. Living alone and history of joint arthroplasty were associated with significantly lower expectations, whereas male sex and white race were associated with higher expectations. On multivariate regression analysis, age, living situation, history of joint arthroplasty, SF-36 General Health, and KOOS Quality-of-Life remained significant predictors of expectations. Our results suggest that high, possibly unrealistic, expectations of TKA are common and should be moderated to maintain patient satisfaction.
authors.affiliation: Department of Orthopedics, Hospital for Special Surgery, New York, NY 10021, USA.
authors.forename: Matthew S
authors.initials: MS
authors.lastname: Hepinstall
authors.forename: John R
authors.initials: JR
authors.lastname: Rutledge
authors.forename: Lindsey J
authors.initials: LJ
authors.lastname: Bornstein
authors.forename: Madhu
authors.initials: M
authors.lastname: Mazumdar
authors.forename: Geoffrey H
authors.initials: GH
authors.lastname: Westrich
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000523:psychology*; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000208:ethnology / Q000601:surgery*; D017060:Patient Satisfaction; D011584:Psychology; D011788:Quality of Life; D044469:Racial Groups; D012044:Regression Analysis; D012737:Sex Factors; D016896:Treatment Outcome