Development and validation of a questionnaire assessing discrepancy between patients’ pre-surgery expectations and abilities and post-surgical outcomes following knee replacement surgery

Levinger, Pazit; Diamond, Neil; Menz, Hylton B.; Wee, Elin; Margelis, Soula; Stewart, Andrew; Bartlett, John R.; Bergman, Neil R.; McMahon, Stephen; Hare, David

doi:10.1007/s00167-014-3432-4

Cited by 6 publications

(3 citation statements)

References 40 publications

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“…A sample size calculation was undertaken as part of the initial development and validation of the KSPQ, detailed in Levinger et al [22]. A minimum of 160 participants were required for the evaluation of the KPSQ.…”

Section: Discussionmentioning

confidence: 99%

“…the results they want to achieve from the surgery). The KSPQ has been previously validated in people undergoing TKA [22]. The structure of the questionnaire also allows calculation of a discrepancy score: (i) between pre‐operative function and expectations to determine extent of expected change with surgery (KSPQ discrepancy pre‐surgery, if using data collected pre‐surgery), and (ii) between pre‐operative expectations and post‐operative self‐reported actual function (KSPQ discrepancy score post‐surgery, if data are collected post‐operatively).…”

Section: Methodsmentioning

confidence: 99%

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The discrepancy between patient expectations and actual outcome reduces at the first 6 months following total knee replacement surgery

Levinger

Bartlett

Bergman

et al. 2018

Knee Surg Sports Traumatol Arthrosc

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Purpose Patients undergoing total knee arthroplasty often have unfulfilled expectations from the surgery that can lead to dissatisfaction. This study aimed to examine the discrepancy between patients’ expectations and actual functional abilities prior to undergoing knee replacement surgery, and at 6 and 12 months following the surgery. Methods A survey was undertaken of patients before, and 6 and 12 months post‐surgery. The survey included the Knee Surgery Perception Questionnaire (KSPQ) to assess patients’ current perception of their level of function and pain, their desired outcomes, and the discrepancy between the two. Pain, function and quality of life were also assessed. Repeated measure ANOVAs were used to assess differences between pre‐ and post‐surgery. Results A total of 176 patients were surveyed. Significant differences in the KSPQ discrepancy scores (subscale and total scores) were demonstrated between the three assessment point times (p < 0.01). Paired t tests identified significant differences between the pre‐surgery and 6‐month KSPQ discrepancy scores, (p < 0.01) indicative of substantial improvement in physical function and slight reduction in expectations. Overall significant improvement (p < 0.01) was reported over time across all measures: physical function, pain and stiffness and quality of life. Conclusion The discrepancy between patients’ current abilities and their expectation changes following surgery, especially in the first 6 months post‐surgery. Patients’ goals might change as their function and pain improve post‐surgery. Combining education programmes and discussion with the treating orthopaedic surgeons pre‐operatively is important for the development of realistic, achievable expectations. Level of evidence III.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The discrepancy between patient expectations and actual outcome reduces at the first 6 months following total knee replacement surgery

Levinger

Bartlett

Bergman

et al. 2018

Knee Surg Sports Traumatol Arthrosc

Self Cite

View full text Add to dashboard Cite

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“…Many orthopedic studies ask about general goals. For example, Levinger et al [16] ask about walking, climbing stairs, movement, activities of daily living (ADLs), and general health, regarding current function/pain, as well as desired outcomes after total knee arthroplasty (TKA). However, their survey was not open-ended enough to capture the different goals patients could identify and did not inquire about their quantitative aspects.…”

Section: Discussionmentioning

confidence: 99%

Eliciting Activity Goals With a Self-Administered Survey Among Patients With Hip or Knee Osteoarthritis

Fontana

Islam

Richardson

et al. 2022

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: Success of treatment for hip or knee osteoarthritis (OA) should be evaluated relative to patients’ personal activity goals. Questions/Purposes: We sought to ascertain important principles for collecting such goals and developed a survey informed by those principles to facilitate better shared decision-making. Methods: From a series of 100 patient interviews inquiring about specific activity goals, we identified 6 principles for goal collection that are important to patients and physicians and could practically facilitate better shared decision-making (phase 1). Incorporating these principles, we designed a self-administered survey to measure specific pretreatment activity goals, piloting in 1 surgeon’s office (phase 2). During office visits, the feasibility of achieving stated goals was discussed between the surgeon and the patient, and goal modifications were recorded. Results: The phase 2 survey was administered to 252 patients, among whom 130 were women (51.6%); 215 (85.3%), white; mean age, 58.5 years; mean body mass index, 30.2 kg/m2; and 92.9% had 1 or more goals, totaling 106 unique goals. Patient demographics were associated with having goals for walking, running, exercising, golfing, tennis, and stairs. Hip and knee patients could last perform their goal on average 21.7 and 38.6 months prior ( P = .002). Patient and surgeon agreed to modify goals 19% of the time, more often among younger patients ( P = .001) and for running (64% modified, P < .0001) and skiing (42%, P = .0026), but less often for walking (14%, P = .0430) and golf (0%, P = .0204). Conclusions: Patients’ activity goals can be captured by a self-administered survey, collected before an office visit, and used to facilitate shared decision-making.

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A Systematic Review of Measurement Properties of Patient-Reported Outcome Measures Used in Patients Undergoing Total Knee Arthroplasty

Gagnier

Mullins

Huang

et al. 2017

The Journal of Arthroplasty

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Development and validation of a questionnaire assessing discrepancy between patients’ pre-surgery expectations and abilities and post-surgical outcomes following knee replacement surgery

Abstract: III.

Cited by 6 publications

References 40 publications

The discrepancy between patient expectations and actual outcome reduces at the first 6 months following total knee replacement surgery

The discrepancy between patient expectations and actual outcome reduces at the first 6 months following total knee replacement surgery

Eliciting Activity Goals With a Self-Administered Survey Among Patients With Hip or Knee Osteoarthritis

A Systematic Review of Measurement Properties of Patient-Reported Outcome Measures Used in Patients Undergoing Total Knee Arthroplasty

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