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However, a clinical tool for measuring patient treatment goals in correlation to impairments is still missing, which impedes patient\u2010oriented indication in TKA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients scheduled for TKA were recruited in four German hospitals. All patients were handed the INDICATE Knee Score pre\u2010operatively. The score contains 31 treatment goals with respective impairments, subdivided into seven categories. They were asked to rank all treatment goals and impairments on a 3\u2010point scale. Treatment goals and impairments were then checked for frequency of occurrence. Correlation of goal and impairment was tested. Analysis for associations of treatment goals and different cohort characteristics (age, sex, BMI) was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>1.298 patients were included in the study. Seven treatment goals were categorised as \u201cmain goal\u201d from more than 90% of all patients (\u201cknee pain\u201d, \u201crange of motion\u201d, \u201cwalking distance\u201d, \u201coverall physical function\u201d, \u201cclimbing stairs\u201d, \u201cquality of life\u201d, \u201cimplant survival\u201d). Comparing age groups, there were significant associations towards higher expectations regarding working, physical and sports related treatment goals in younger patients (&lt;\u200965y) (\u201cability to work\u201d (<jats:italic>P<\/jats:italic>\u2009\u2264\u2009.001), \u201csports activities\u201d (<jats:italic>P<\/jats:italic>\u2009\u2264\u2009.001), \u201csex life\u201d (<jats:italic>P<\/jats:italic>\u2009\u2264\u2009.001), \u201cdependence on help of others\u201d (<jats:italic>P<\/jats:italic>\u2009=\u2009.015), \u201cpreventing secondary impairment\u201d (<jats:italic>P<\/jats:italic>\u2009=\u2009.03), \u201cdependence on walking aids\u201d (<jats:italic>P<\/jats:italic>\u2009=\u2009.005)). Higher BMI resulted in increasing relevance of \u201cweight reduction\u201d (<jats:italic>P<\/jats:italic>\u2009\u2264\u2009.001), \u201cclimbing stairs\u201d (<jats:italic>P<\/jats:italic>\u2009=\u2009.039) \u201cglobal health status\u201d (<jats:italic>P<\/jats:italic>\u2009=\u2009.015) and \u201clong standing\u201d (<jats:italic>P<\/jats:italic>\u2009=\u2009.007) as a \u201cmain goal\u201d. Analysis for differences in treatment goals regarding sex showed women choosing more treatment goals as \u201cmain goals\u201d than men.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Seven treatment goals which were expected by\u2009&gt;\u200990% in our collective can be classified as general treatment goals for TKA. Demographic factors (age, sex, BMI) were significantly associated with patients\u2019 expectations for TKA. We conclude physicians should clearly assess their patients\u2019 demands prior to TKA to maximise post\u2010operative outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Prognostic Level III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-022-07012-4","type":"journal-article","created":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T01:04:01Z","timestamp":1654823041000},"page":"892-904","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["The INDICATE Knee expectations survey detects general patient treatment goals for total knee arthroplasty and the influence of demographic factors on patients expectations"],"prefix":"10.1002","volume":"31","author":[{"given":"Felix","family":"Wunderlich","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedics and Traumatology University Medical Center of the Johannes Gutenberg University Mainz Mainz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Eckhard","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedics and Traumatology University Medical Center of the Johannes Gutenberg University Mainz Mainz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"B\u00fcttner","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Institute of Medical Biostatistics, Epidemiology and Informatics University Medical Center of the Johannes Gutenberg University Mainz Langenbeckstrasse 1 55131 Mainz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toni","family":"Lange","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Center for Evidence\u2010Based Healthcare University Hospital and Medical Faculty Carl Gustav Carus, TU Dresden Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Konradi","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Institute of Physical Therapy, Prevention and Rehabilitation University Medical Center of the Johannes Gutenberg University Mainz Mainz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Betz","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Institute of Physical Therapy, Prevention and Rehabilitation University Medical Center of the Johannes Gutenberg University Mainz Mainz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Drees","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedics and Traumatology University Medical Center of the Johannes Gutenberg University Mainz Mainz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"L\u00fctzner","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--> University Center of Orthopedics, Trauma and Plastic Surgery University Hospital Carl Gustav Carus Dresden, TU Dresden Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,10]]},"reference":[{"key":"e_1_2_12_2_2","unstructured":"AOANJRR(2020)Annual 2020.Aust Orthop Assoc Natl Jt Replace Regist 2020 Annu Rep 219\u2010289.https:\/\/aoanjrr.sahmri.com\/. 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Research support from a company or supplier as a Principal Investigator: Aesculap, Link, Mathys, Smith&Nephew, Stryker, ZimmerBiomet. Other financial or material support from a company or supplier: 2020: BMBF AutoPr\u00e4z 30.000\u20ac; 2021: iDIERS: 28.031\u20ac. Medical\/Orthopaedic publications editorial\/governing board: BMC Musculoskeletal Disorders, Knee Surgery Sports Traumatology and Arthroscopy.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Submission No.: 837.533.17 (11367), Ethics Committee at the State Chambers of Physicians of Rhineland-Palatinate. Submission No.: B-F-2018-042, Ethics Committee at the State Chambers of Physicians of Baden-Wuerttemberg. Submission No.: MC 84\/2018, Ethics Committee at the State Chambers of Physicians of Hesse. Submission No.: EK 135042014 Ethics committee at the TU Dresden, Saxony.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}