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Patients' decision making in total knee arthroplasty : a systematic review of qualitative research

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Barlow, T., Griffin, Damian R., Barlow, D. and Realpe, Alba (2015) Patients' decision making in total knee arthroplasty : a systematic review of qualitative research. Bone and Joint Research, 4 (10). 163- 169. doi:10.1302/2046-3758.410.2000420

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Official URL: https://doi.org/10.1302/2046-3758.410.2000420

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Abstract

Objectives: A patient-centred approach, usually achieved through shared decision making, has the potential to help improve decision making around knee arthroplasty surgery. However, such an approach requires an understanding of the factors involved in patient decision making. This review's objective is to systematically examine the qualitative literature surrounding patients' decision making in knee arthroplasty. Methods: A systematic literature review using Medline and Embase was conducted to identify qualitative studies that examined patients' decision making around knee arthroplasty. An aggregated account of what is known about patients' decision making in knee arthroplasties is provided. Results: Seven studies with 234 participants in interviews or focus groups are included. Ten themes are replicated across studies, namely: expectations of surgery; coping mechanisms; relationship with clinician; fear; pain; function; psychological implications; social network; previous experience of surgery; and conflict in opinions. Conclusions: This review is helpful in not only directing future research to areas that are not understood, or require confirmation, but also in highlighting areas that future interventions could address. These include those aimed at delivering information, which are likely to affect the satisfaction rate, demand, and use of knee arthroplasties. �2015 Griffin et al.

Item Type: Journal Item
Subjects: R Medicine > R Medicine (General)
R Medicine > RD Surgery
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Bone and Joint Research
Publisher: British Editorial Society of Bone and Joint Surgery
ISSN: 2046-3758
Official Date: 8 October 2015
Dates:
DateEvent
17 August 2015Accepted
8 October 2015Published
Volume: 4
Number: 10
Page Range: 163- 169
DOI: 10.1302/2046-3758.410.2000420
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Copyright Holders: The Authors
Date of first compliant deposit: 17 July 2018
Funder: Arthritis Research UK
Open Access Version:
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