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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
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 |
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| 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: |
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| 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 | ||||||
| Funder: | Arthritis Research UK | ||||||
| Open Access Version: |
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