Table 2.
Characteristics of included studies.
| Author, year | TKA/THA | N | Follow-up | Age | Operationalization of expectations | Study design/ measurement level | % fulfilled | % patients with fulfilled expectations | Operationalization of satisfaction | Measurement level | % satisfied patients |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Anakwe et al, 201112 | TKA | 850 | 1 yr | 68 | One question about fulfilment of expectations, n.s. | 4-point Likert scale | n/a | n/a | One question concerning satisfaction with the results of surgery. Additionally: a rating of the pain relief that is achieved, a rating of the success of operation in performance on heavy lifting, the likelihood of recommendation of the operation to a friend, willingness to have operation again, rating of the hospital. |
4–5-point Likert scale | 93.0% |
| Arden et al, 201136 | THA | 639 | 2 yrs | 68 | Preoperative questionnaire with questions about: expectations for postoperative pain and limitations in usual activities | Prospective 3–4-point Likert scale |
One question about level of satisfaction with the result of the hip replacement. | Binary (satisfied vs. dissatisfied) | 92.8% | ||
| Bourne et al, 201011 | TKA | 1708 | 1 yr | 69 |
Fulfilment of expectations, n.s. Additionally: willingness to have surgery again |
n.s. | n/a | n/a | Three questions concerning: satisfaction with the results of the knee replacement, satisfaction with pain reduction, and satisfaction with the ability to perform five functions (going up stairs, getting in/out of a car/bus, rising from bed, lying in bed, performing light domestic duties). | 5-point Likert scale | 81.0% |
| Clement et al, 201540 | TKA | 322 | 1 yr | 71 | Fulfilment of HSS-KFRES39 | 5-point Likert scale | n/a | 56% | One question about level of satisfaction with the operated knee. | 4-point Likert scale | 86.0% |
| Eisler et al, 200237 | THA | 98 | 1 yr | 70 | Two questions about fulfilment of expectations with future pain, and walking ability | 4-point Likert scale | n/a | 55–69% | A grading of overall satisfaction. | 6-point Likert scale | 63.0% |
| Gandhi et al, 200942 | TKA THA |
1799 | 1 yr | 69–74 | Three questions regarding preoperative expectations about: time to fully recover, level of postoperative pain, and ability to perform usual activities | Prospective Responses collapsed into 3-point Likert scale |
One question about level of satisfaction the results of the surgery. | Binary (satisfied vs. dissatisfied) | 93.0–95.0% | ||
| Hamilton et al, 201310 | TKA THA |
4709 | 1 yr | 70 70 |
One questions about fulfilment of expectations, n.s. | 6-point Likert scale | n/a | n/a | One question with a rating of overall satisfaction with operated hip or knee. |
4–6-point Likert scale | 86.6% |
| Additionally, questions about: pain relieve after surgery, improvement in ability to perform regular activities, performance of heavy work or sport activities, rating of overall hospital experience, willingness to have operation again, the likelihood of recommendation of the operation to a friend. | |||||||||||
| Jain et al, 201719 | THA | 207 | 6 mo | 65 | Preoperative expectations: HSS-HRES33 | Prospective 5-point Likert scale |
The Self-Administered Patient Satisfaction Scale.32 | 4-point Likert scale | 94.5% | ||
| Jain et al, 201720 | TKA | 83 | 1 yr | 70 | Fulfilment of HSS-KFRES39 | 5-point Likert scale | 76.7% | n/a | The Self-Administered Patient Satisfaction Scale.32 | 4-point Likert scale | 92.3% |
| Kiran et al, 201538 | TKA | 365 | 2 yr | 72 | Two preoperative questions about expectations with: limitations in usual activities, pain after recovery | Prospective 4-point Likert scale |
One question concerning satisfaction with the result of the knee replacement. Additionally, three questions regarding: improvement in overall function, reduction of pain, reduction of pain medication. |
Binary (satisfied vs. dissatisfied) | 83.8% | ||
| Lim et al, 201534 | TKA THA |
3488 | > 2 yr | 67 61 |
One question regarding: fulfilment of patient’s expectations, n.s. | 7-point Likert scale | n/a n/a |
95.6% 94.9% |
Rating of overall results of surgery. | 6-point Likert scale | 90.5% 91.9% |
| Lingard et al, 200621 | TKA | 525 | 1 yr | 69 | Four preoperative questions about expectations for: pain level, walking distance, limitation of recreational activity, and use of a walking aid | Prospective 5-point Likert scale |
The Self-Administered Patient Satisfaction Scale.32
Additionally, two questions about performance after surgery and willingness to have the same surgery again. |
4-point Likert scale | n/a | ||
| Mancuso et al, 199733 | THA | 180 | 2–3 yr | 65 | Two preoperative questions about: expectations of surgery and hopes | Retrospective Open-ended questions |
Three questions concerning: willingness to have operation again, meeting expectations, overall satisfaction with the results of hip arthroplasty. | Open-ended | 89.0% | ||
| Mancuso et al, 200941 | THA | 405 | 6 yr | 66 | Fulfilment of HSS-HFRES33 | 5-point Likert scale | 87% | 75% | One question: ‘If you were to spend the rest of your life with your hip symptoms just the way they have been in the last 24 hours, how would you feel?’ | 7-point Likert scale | 94.0% |
| Mannion et al, 200924 | TKA | 112 | 2 yr | 67 | Questions concerning fulfilment of expectations about: time to full recovery, pain after recovery, and limitations in everyday activities after recovery | Open-ended, Likert scale | n/a | 30% / 47% | One question about satisfaction with surgery, n.s. | 4-point Likert scale | 90.1% |
| Noble et al, 200626 | TKA | 253 | 1 yr | 68 | One question about fulfilment of expectation concerning level of activity | Binary (fulfilled vs. not fulfilled) | n/a | n/a | One question about satisfaction with knee replacement. | Binary (satisfied vs. dissatisfied) | 75.0% |
| Palazzo et al, 201425 | THA | 132 | > 1 yr | 64 | Fulfilment of HSS-HFRES33 | 5-point Likert scale | 73.1% | n/a | One question: ‘If you were to spend the rest of your life with your hip symptoms just the way they have been in the last 24 hours, how would you feel?’ | 7-point Likert scale | 91.9% |
| Scott et al, 201022 | TKA | 1141 | 1 yr | 70 | One question about fulfilment of expectations, n.s. | 6-point Likert scale | n/a | n/a | The Self-Administered Patient Satisfaction Scale.32 | 4–6-point Likert scale | 81.4% |
| Scott et al, 201232 | TKA THA |
669 | 1 yr | 69 71 |
Fulfilment of HFSS-KRES39
Fulfilment of HFSS-HRES33 |
5-point Likert scale | 59% 72% |
10% 21% |
One question about satisfaction with the operated hip/knee. | 4-point Likert scale | 78.0% 88.0% |
| Gonzalez Saenz de Tejada et al, 201454 | TKA THA | 892 | 1 yr | 69 | Adapted version of HSS-KRES39/HSS-HRES33 (preoperative expectations) | Prospective 5-point Likert scale |
One question: ‘If you were to spend the rest of your life with your hip symptoms just the way they have been in the last 24 hours, how would you feel?’ | 4-point Likert scale | n/a | ||
| Thambiah et al, 201528 | TKA | 103 | > 1 yr | 64 | Questionnaire assessing preoperative expectations about: improved mobility, reduced pain and better overall quality of life | Prospective n.s. |
One question examining overall patient satisfaction. In addition, two questions about recommendations to others and willingness to undergo surgery again. |
5-point Likert scale | 92.8% | ||
| Vissers et al, 201035 | TKA | 44 | 6 mo | 64 | Four questions about fulfilment of expectations regarding: pain after surgery, limitations of activities of daily living after surgery, the overall success of the operation and likeliness of having complications | 4-point Likert scale | n/a | n/a | One question about satisfaction with results of surgery. | 5-point Likert scale | 72.7% |
Note. TKA, total knee arthroplasty; THA, total hip arthroplasty; HSS-K(F)RES, Hospital for Special Surgery Knee (Fulfilment) Replacement Expectations Survey; HSS-H(F)RES, Hospital for Special Surgery Hip (Fulfilment) Replacement Expectations Survey.