{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:00:01Z","timestamp":1790740801840,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,12,26]],"date-time":"2020-12-26T00:00:00Z","timestamp":1608940800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000037","name":"Institute of Health Services and Policy Research","doi-asserted-by":"publisher","award":["MOP\u2010312807"],"award-info":[{"award-number":["MOP\u2010312807"]}],"id":[{"id":"10.13039\/501100000037","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis &amp; Rheumatology"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the relationship between patients\u2019 expectations for total knee arthroplasty (TKA) and satisfaction with surgical outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective cohort study recruited patients with knee osteoarthritis (OA) ages \u226530 years who were referred for TKA at 2 hip\/knee surgery centers in Alberta, Canada. Those who received primary, unilateral TKA completed questionnaires pre\u2010TKA to assess TKA expectations (17\u2010item Hospital for Special Surgery [HSS] TKA Expectations questionnaire) and contextual factors (age, sex, Western Ontario and McMaster Universities Osteoarthritis Index pain score, Knee Injury and Osteoarthritis Outcome Score physical function short form [KOOS\u2010PS], 8\u2010item Patient Health Questionnaire depression scale, body mass index [BMI], comorbidities, and prior joint replacement), and 1\u2010year post\u2010TKA to assess overall satisfaction with TKA results. Using multivariate logistic regression, we examined the relationship between TKA expectations (HSS TKA outcomes considered to be very important) and postoperative satisfaction (very satisfied versus somewhat satisfied versus dissatisfied). Adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 1 year, 1,266 patients with TKA (92.1%) reported their TKA satisfaction (mean \u00b1 SD age 67.2 \u00b1 8.8 years, 60.9% women, and mean BMI 32.6 kg\/m<jats:sup>2<\/jats:sup>); 74.7% of patients were very satisfied, 17.1% were somewhat satisfied, and 8.2% were dissatisfied. Controlling for other factors, an expectation of TKA to improve patients\u2019 ability to kneel was associated with lower odds of satisfaction (adjusted OR 0.725 [95% CI 0.54\u20130.98]). An expectation of TKA to improve psychological well\u2010being was associated with lower odds of satisfaction for individuals in the lowest tertile of pre\u2010TKA KOOS\u2010PS scores (adjusted OR 0.49 [95% CI 0.28\u20130.84]), but higher odds for those in the highest tertile (adjusted OR 2.37 [95% CI 1.33\u20134.21]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In patients with TKA, preoperative expectations regarding kneeling and psychological well\u2010being were significantly associated with the level of TKA satisfaction at 1 year. Ensuring that patients\u2019 expectations are achievable may enhance appropriate provision of TKA.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.41510","type":"journal-article","created":{"date-parts":[[2020,9,6]],"date-time":"2020-09-06T07:21:07Z","timestamp":1599376867000},"page":"223-231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Patients\u2019 Preoperative Expectations of Total Knee Arthroplasty and Satisfaction With Outcomes at One Year: A Prospective Cohort Study"],"prefix":"10.1002","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6358-1197","authenticated-orcid":false,"given":"Gillian A.","family":"Hawker","sequence":"first","affiliation":[{"name":"University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5674-4795","authenticated-orcid":false,"given":"Barbara L.","family":"Conner\u2010Spady","sequence":"additional","affiliation":[{"name":"University of Calgary Cumming School of Medicine  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3973-0794","authenticated-orcid":false,"given":"Eric","family":"Bohm","sequence":"additional","affiliation":[{"name":"Concordia Hip &amp; Knee Institute and University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Dunbar","sequence":"additional","affiliation":[{"name":"Dalhousie University and Queen Elizabeth II Health Sciences Centre Nova Scotia Health Authority  Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3952-3234","authenticated-orcid":false,"given":"C. Allyson","family":"Jones","sequence":"additional","affiliation":[{"name":"University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1829-6885","authenticated-orcid":false,"given":"Bheeshma","family":"Ravi","sequence":"additional","affiliation":[{"name":"University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2245-3217","authenticated-orcid":false,"given":"Tom","family":"Noseworthy","sequence":"additional","affiliation":[{"name":"University of Calgary Cumming School of Medicine  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald","family":"Dick","sequence":"additional","affiliation":[{"name":"University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Powell","sequence":"additional","affiliation":[{"name":"University of Calgary Cumming School of Medicine  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulose","family":"Paul","sequence":"additional","affiliation":[{"name":"University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8467-8008","authenticated-orcid":false,"given":"Deborah A.","family":"Marshall","sequence":"additional","affiliation":[{"name":"University of Calgary Cumming School of Medicine  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the BEST\u2010Knee Study Team","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,26]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/2012.jama.11153"},{"key":"e_1_2_7_3_1","unstructured":"Healthcare Cost and Utilization Project (HCUP).HCUP: fast stats\u2013 most common operations during inpatient stays. 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