Knee arthroscopy prospective observational study of patient information

Érivan, Roger; Volkova, Victoria; Villatte, Guillaume; Engels, Emilien; Descamps, Stéphane; Boisgard, Stéphane

doi:10.1007/s00590-019-02447-x

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…These data potentially can inform a shared decision-making process as it is important for the clinician to take into account the amount of input patients would like in the decision-making process. Greater patient involvement in the decision-making process has been shown to lead to greater satisfaction, patient knowledge of risks and benefits and comfort with the decision being made [8][9][10][11]. It is important to work with patients to determine the best course of management especially in the case of meniscal tears where there may not be one clear definitive management option [2].…”

Section: Discussionmentioning

confidence: 99%

“…These guidelines were, however, developed following consultation with expert clinicians and scientists and did not involve patients in the decision-making process [4][5][6]. Previous research has highlighted the importance of treating the patient as a co-manager of their health and provide the individualized approach so that an informed treatment decision can be made [7,8]. Patient experiences are also recognized as an important form of evidence, alongside clinical and economic evidence, in forming judgements about the effectiveness, acceptability and appropriateness of treatments [7].…”

Section: Introductionmentioning

confidence: 99%

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Patient beliefs and perceptions play a crucial role in the decision-making process when managing a meniscal tear. A qualitative systematic review of the literature

Ahmed

Dhaif

Abram

et al. 2021

Eur J Orthop Surg Traumatol

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Introduction There has been an increase in research on the effectiveness of treatment options for the management of meniscal tears. However, there is very little evidence about the patient experiences of meniscal tears. Aim To summarise the available qualitative evidence on patients’ experiences and expectations of meniscal tears. Method A search of EMBASE, Medline, Sociofile and Web of Science up to November 2020 was performed to identify studies reporting patient experiences of meniscal tears. Studies were critically appraised using the CASP (Critical Appraisal Skills Program) checklist, and a meta-synthesis was performed to generate third-order constructs (new themes). Results Two studies reporting semi-structured interviews from 34 participants (24 male; 10 female) were included. The mean interview length ranged from 16 to 45 min. Five themes were generated: (1) the imaging (MRI) results are a key driver in the decision-making process, (2) surgery is perceived to be the definitive and quicker approach, (3) physiotherapy and exercise is a slower approach which brought success over time, (4) patient perceptions and preferences are important in the clinical decision-making process and, (5) the impact on patient lives is a huge driver in seeking care and treatment decisions. Conclusion This is the first study to summarise the qualitative evidence on patient experiences with meniscal tears. The themes generated demonstrate the importance of patient perceptions of MRI findings and timing of treatment success as important factors in the decision-making process. This study demonstrates the need to strengthen our understanding of patients’ experiences of meniscal tears.

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