Patients' experiences and satisfaction at one year following primary total knee arthroplasty : a focus‐group discussion

Bin Sheeha, B; Williams, AE; Johnson, DS; Granat, MH; Jones, R

Abstract

Objective: To date, no study has explored patients’ experiences, outcome expectations and satisfaction one-year post-TKA using focus-group discussion (FGD). The exploration of patients’ expectations, functional recovery and limitations may support future modifications and thus improve outcomes post-TKA.
Methods: An FGD was conducted with seven patients at one-year post-TKA. Moderators led the discussion using a semi-structured discussion guide. The discussion was digitally recorded, transcribed verbatim and analysed to formulate themes. Results: The study identified four main themes: recovery experience post-TKA, experience before TKA, activity of daily living (ADL) changes post-TKA, and post-TKA outcome expectations. The recovery experience theme explores the overall experience post-TKA in terms of symptoms and progression issues; their experience with the orthopaedic surgeon and physiotherapy; and the differences between first and second knee replacements. The experience before TKA theme discusses many issues raised by patients that they believed strongly affected TKA outcomes and their satisfaction, such as: the referral process, ADL limitations before TKA, and their beliefs about post-TKA outcomes. The ADL changes post-TKA theme discusses the diversity of functional improvements, limitations and new functional ability. The outcome expectation theme explores what the patients expected to gain from surgery and the factors that modified those expectations, and whether their expectations were met. Conclusions: Patient attitude, sufficient pre-operative education, outcome expectation modification, communication with the surgeon, and patients taking an active role in rehabilitation can all affect post-TKA outcomes and satisfaction. Hence, the recommendation is to address all of these issues before TKA to enhance outcomes and patient satisfaction.

Citation

Bin Sheeha, B., Williams, A., Johnson, D., Granat, M., & Jones, R. (2020). Patients' experiences and satisfaction at one year following primary total knee arthroplasty : a focus‐group discussion. Musculoskeletal Care, 18(4), 434-449. https://doi.org/10.1002/msc.1478

• Journal Article Type: Article
• Acceptance Date: May 2, 2020
• Online Publication Date: May 27, 2020
• Publication Date: Dec 19, 2020
• Deposit Date: May 29, 2020
• Publicly Available Date: May 27, 2021
• Journal: Musculoskeletal Care
• Print ISSN: 1478-2189
• Electronic ISSN: 1557-0681
• Publisher: Wiley
• Volume: 18
• Issue: 4
• Pages: 434-449
• DOI: https://doi.org/10.1002/msc.1478
• Publisher URL: https://doi.org/10.1002/msc.1478
• Related Public URLs: http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1557-0681
• Additional Information: Access Information : This is the peer reviewed version of the following article: Bin Sheeha, B, Williams, A, Johnson, DS, Granat, M, Jones, R. Patients' experiences and satisfaction at one year following primary total knee arthroplasty: A focus‐group discussion. Musculoskeletal Care. 2020, which has been published in final form at https://doi.org/10.1002/msc.1478 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.