Decision-making regarding total knee replacement surgery: A qualitative meta-synthesis
2007

Understanding Decisions About Knee Replacement Surgery

Sample size: 10 publication Evidence: moderate

Author Information

Author(s): O'Neill Tracey, Jinks Clare, Ong Bie Nio

Primary Institution: Primary Care Musculoskeletal Research Centre, Primary Care Sciences, Keele University

Hypothesis

What factors influence the decision-making process of total knee replacement surgery?

Conclusion

The decision-making process regarding TKR surgery is extremely complex, as patients have to weigh up numerous considerations before they can make a decision about surgery.

Supporting Evidence

  • Patients view knee osteoarthritis as a natural part of aging, which affects their willingness to seek treatment.
  • The doctor-patient relationship is crucial in influencing patients' decisions about surgery.
  • Many patients believe they need to be in constant pain before considering surgery.
  • Social and cultural factors shape patients' expectations of treatment options.
  • Patients often rely on their healthcare professionals for guidance in decision-making.

Takeaway

When people think about getting knee surgery, they have to consider a lot of things, like their pain and what their doctor says. It's not just a simple choice.

Methodology

A qualitative meta-synthesis was conducted, synthesizing findings from ten qualitative studies on decision-making regarding TKR surgery.

Potential Biases

The researchers may have had biases due to their similar disciplinary backgrounds, which could affect the interpretation of findings.

Limitations

The study did not carry out a quality appraisal on the included studies and only selected one key finding from each study for interpretation.

Participant Demographics

The studies included diverse participants from the UK, USA, Canada, New Zealand, and Sweden, with varying experiences related to knee osteoarthritis.

Digital Object Identifier (DOI)

10.1186/1472-6963-7-52

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