{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T12:21:37Z","timestamp":1780575697232,"version":"3.54.1"},"reference-count":73,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T00:00:00Z","timestamp":1576540800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T00:00:00Z","timestamp":1576540800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Qual Life Res"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Purpose<\/jats:title>\n<jats:p>For patients with end-stage knee osteoarthritis, joint replacement is a widely used and successful operation to help improve quality-of-life when non-operative measures have failed. For a significant proportion of patients there is a choice between a partial or total knee replacement. Decision aids can help people weigh up the need for and benefits of treatment against possible risks and side-effects. This study explored patients\u2019 experiences of deciding to undergo knee replacement surgery to identify information priorities, to inform a knee replacement decision aid.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Four focus groups were held with 31 patients who were candidates for both partial and total knee replacement surgery. Two focus groups included patients with no prior knee replacement surgery (pre-surgery); two with patients with one knee already replaced and who were candidates for a second surgery on their other knee (post-surgery). Data were analysed using Framework Analysis.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Participants described a process of arriving at \u2018readiness for surgery\u2019 a turning point where the need for treatment outweighed their concerns. Referral and personal factors influenced their decision-making and expectations of surgery in the hope to return to a former self. Those with previous knee surgery offered insights into whether their expectations were met. \u2018Information for decisions\u2019 details the practicality and the optimal timing for the delivery of a knee replacement decision aid. In particular, participants would have valued hearing about the experiences of other patients and seeing detailed pictures of both surgical options. Information priorities were identified to include in a decision aid for knee replacement surgery.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Patients\u2019 experiences of surgical decision-making have much in common with the Necessity-Concerns Framework. Whilst originally developed to understand drug treatment decisions and adherence, it provides a useful lens to understand decision-making about surgery. The use of a decision aid could enhance decision-making on knee replacement surgery. Ultimately, patients\u2019 understanding of the risks and benefits of both surgical options could be improved and in turn, help informed decision-making. The knee replacement decision aid is perceived as a useful tool to be associated with other detailed information resources as recommended.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s11136-019-02381-9","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T13:02:47Z","timestamp":1576587767000},"page":"999-1011","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Partial or total knee replacement? Identifying patients\u2019 information needs on knee replacement surgery: a qualitative study to inform a decision aid"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1932-6516","authenticated-orcid":false,"given":"Stephanie","family":"Smith","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6069-978X","authenticated-orcid":false,"given":"Abtin","family":"Alvand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8109-1930","authenticated-orcid":false,"given":"Louise","family":"Locock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7406-1610","authenticated-orcid":false,"given":"Sara","family":"Ryan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0448-8774","authenticated-orcid":false,"given":"James","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2246-5912","authenticated-orcid":false,"given":"Lee","family":"Bayliss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9351-1592","authenticated-orcid":false,"given":"Hannah","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4258-5866","authenticated-orcid":false,"given":"Andrew","family":"Price","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,12,17]]},"reference":[{"key":"2381_CR1","unstructured":"NHS. (2019). Knee replacement. Retrieved October 26, 2019, from https:\/\/www.nhs.uk\/conditions\/knee-replacement\/."},{"issue":"11","key":"2381_CR2","doi-asserted-by":"publisher","first-page":"1097","DOI":"10.1056\/NEJMoa0708333","volume":"359","author":"A Kirkley","year":"2008","unstructured":"Kirkley, A., Birmingham, T. B., Litchfield, R. B., Giffin, J. R., Willits, K. R., Wong, C. J., et al. (2008). A randomized trial of arthroscopic surgery for osteoarthritis of the knee. New England Journal of Medicine,359(11), 1097\u20131107. https:\/\/doi.org\/10.1056\/NEJMoa0708333.","journal-title":"New England Journal of Medicine"},{"key":"2381_CR3","doi-asserted-by":"publisher","DOI":"10.1177\/1179544117732039","author":"CT Moorman 3rd","year":"2017","unstructured":"Moorman, C. T., 3rd, Kirwan, T., Share, J., & Vannabouathong, C. (2017). Patient preferences regarding surgical interventions for knee osteoarthritis. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders. https:\/\/doi.org\/10.1177\/1179544117732039.","journal-title":"Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders"},{"issue":"32","key":"2381_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3310\/hta23320","volume":"23","author":"A Price","year":"2019","unstructured":"Price, A., Smith, J., Dakin, H., Kang, S., Eibich, P., Cook, J., et al. (2019). The Arthroplasty Candidacy Help Engine tool to select candidates for hip and knee replacement surgery: Development and economic modelling. Health Technology Assessment,23(32), 1\u2013216. https:\/\/doi.org\/10.3310\/hta23320.","journal-title":"Health Technology Assessment"},{"issue":"9823","key":"2381_CR5","doi-asserted-by":"publisher","first-page":"1331","DOI":"10.1016\/S0140-6736(11)60752-6","volume":"379","author":"AJ Carr","year":"2012","unstructured":"Carr, A. J., Robertsson, O., Graves, S., Price, A. J., Arden, N. K., Judge, A., et al. (2012). Knee replacement. The Lancet,379(9823), 1331\u20131340. https:\/\/doi.org\/10.1016\/S0140-6736(11)60752-6.","journal-title":"The Lancet"},{"key":"2381_CR6","unstructured":"NJR. (2017). 14th Annual Report 2017. National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. Retrieved July 8, 2018, from http:\/\/www.njrreports.org.uk\/Portals\/0\/PDFdownloads\/NJR%2014th%20Annual%20Report%202017.pdf."},{"key":"2381_CR7","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1054\/cuor.2002.0312","volume":"17","author":"ST Ashraf","year":"2003","unstructured":"Ashraf, S. T., Ackroyd, C. E., & Newman, J. H. (2003). Compartmental knee arthroplasty. Current Orthopaedics,17, 134\u2013143. https:\/\/doi.org\/10.1054\/cuor.2002.0312.","journal-title":"Current Orthopaedics"},{"issue":"6","key":"2381_CR8","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1038\/nrrheum.2009.88","volume":"5","author":"J L\u00fctzner","year":"2009","unstructured":"L\u00fctzner, J., Kasten, P., G\u00fcnther, K.-P., & Kirschner, S. (2009). Surgical options for patients with osteoarthritis of the knee. Nature Reviews Rheumatology,5(6), 309. https:\/\/doi.org\/10.1038\/nrrheum.2009.88.","journal-title":"Nature Reviews Rheumatology"},{"key":"2381_CR9","unstructured":"NJR. (2016). 13th Annual Report. National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. Retrieved March 5, 2018, from http:\/\/www.njrcentre.org.uk\/njrcentre\/Portals\/0\/Documents\/England\/Reports\/13th%20Annual%20Report\/07950%20NJR%20Annual%20Report%202016%20ONLINE%20REPORT.pdf."},{"key":"2381_CR10","doi-asserted-by":"publisher","first-page":"e020977","DOI":"10.1136\/bmjopen-2017-020977","volume":"8","author":"E Burn","year":"2018","unstructured":"Burn, E., Liddle, A., Hamilton, T., Judge, A., Pandit, H., Murray, D., et al. (2018). Cost-effectiveness of unicompartmental compared with total knee replacement: A population-based study using data from the National Joint Registry for England and Wales. British Medical Journal Open,8, e020977. https:\/\/doi.org\/10.1136\/bmjopen-2017-020977.","journal-title":"British Medical Journal Open"},{"issue":"6","key":"2381_CR11","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1016\/j.knee.2009.04.006","volume":"16","author":"CA Willis-Owen","year":"2009","unstructured":"Willis-Owen, C. A., Brust, K., Alsop, H., Miraldo, M., & Cobb, J. P. (2009). Unicondylar knee arthroplasty in the UK National Health Service: An analysis of candidacy, outcome and cost efficacy. The Knee,16(6), 473\u2013478. https:\/\/doi.org\/10.1016\/j.knee.2009.04.006.","journal-title":"The Knee"},{"issue":"9952","key":"2381_CR12","doi-asserted-by":"publisher","first-page":"1437","DOI":"10.1016\/S0140-6736(14)60419-0","volume":"384","author":"AD Liddle","year":"2014","unstructured":"Liddle, A. D., Judge, A., Pandit, H., & Murray, D. W. (2014). Adverse outcomes after total and unicompartmental knee replacement in 101330 matched patients: A study of data from the National Joint Registry for England and Wales. The Lancet,384(9952), 1437\u20131445. https:\/\/doi.org\/10.1016\/S0140-6736(14)60419-0.","journal-title":"The Lancet"},{"issue":"9952","key":"2381_CR13","doi-asserted-by":"publisher","first-page":"1429","DOI":"10.1016\/S0140-6736(14)60540-7","volume":"384","author":"LP Hunt","year":"2014","unstructured":"Hunt, L. P., Ben-Shlomo, Y., Clark, E. M., Dieppe, P., Judge, A., MacGregor, A. J., et al. (2014). 45-day mortality after 467,779 knee replacements for osteoarthritis from the National Joint Registry for England and Wales: An observational study. Lancet,384(9952), 1429\u20131436. https:\/\/doi.org\/10.1016\/S0140-6736(14)60540-7.","journal-title":"Lancet"},{"issue":"6","key":"2381_CR14","doi-asserted-by":"publisher","first-page":"793","DOI":"10.1302\/0301-620X.97B6.35155","volume":"97B","author":"AD Liddle","year":"2015","unstructured":"Liddle, A. D., Pandit, H., Judge, A., & Murray, D. (2015). Patient-reported outcomes after total and unicompartmental knee arthroplasty A study of 14,076 mathed patients from the national joint registry for England and Wales. The Bone & Joint Journal,97B(6), 793\u2013801. https:\/\/doi.org\/10.1302\/0301-620X.97B6.35155.","journal-title":"The Bone & Joint Journal"},{"issue":"5","key":"2381_CR15","doi-asserted-by":"publisher","first-page":"1455","DOI":"10.1007\/s00167-016-4404-7","volume":"26","author":"E Burn","year":"2016","unstructured":"Burn, E., Sanchez-Santos, M., Pandit, H., Hamilton, T., Liddle, A., Murray, D., et al. (2016). Ten-year patient-reported outcomes following total and minimally invasive unicompartmental knee arthroplasty: A propensity score-matched cohort analysis. Knee Surgery, Sports Traumatology, Arthroscopy,26(5), 1455\u20131464.","journal-title":"Knee Surgery, Sports Traumatology, Arthroscopy"},{"issue":"2","key":"2381_CR16","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1016\/j.knee.2016.11.006","volume":"24","author":"H Chawla","year":"2017","unstructured":"Chawla, H., van Der List, J. P., Christ, A. B., Sobrero, M. R., Zuiderbaan, H. A., & Pearle, A. D. (2017). Annual revision rates of partial versus total knee arthroplasty: A comparative meta-analysis. The Knee,24(2), 179\u2013190. https:\/\/doi.org\/10.1016\/j.knee.2016.11.006.","journal-title":"The Knee"},{"issue":"6","key":"2381_CR17","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1308\/003588410X12771863936567","volume":"92","author":"A Price","year":"2010","unstructured":"Price, A., & Allum, R. (2010). Management of osteoarthritis of the knee. Annals of the Royal College of Surgeons of England,92(6), 459\u2013462. https:\/\/doi.org\/10.1308\/003588410X12771863936567.","journal-title":"Annals of the Royal College of Surgeons of England"},{"issue":"2","key":"2381_CR18","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1016\/j.pec.2012.06.036","volume":"90","author":"G Elwyn","year":"2013","unstructured":"Elwyn, G., Lloyd, A., Joseph-Williams, N., Cording, E., Thomson, R., Durand, M. A., et al. (2013). Option grids: Shared decision making made easier. Patient Education and Counseling,90(2), 207\u2013212.","journal-title":"Patient Education and Counseling"},{"issue":"7780","key":"2381_CR19","first-page":"971","volume":"341","author":"G Elwyn","year":"2010","unstructured":"Elwyn, G., Laitner, S., Coulter, A., Walker, E., Watson, P., & Thomson, R. (2010). Implementing shared decision making in the NHS. British Medical Journal,341(7780), 971.","journal-title":"British Medical Journal"},{"issue":"10","key":"2381_CR20","doi-asserted-by":"publisher","first-page":"1361","DOI":"10.1007\/s11606-012-2077-6","volume":"27","author":"G Elwyn","year":"2012","unstructured":"Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., et al. (2012). Shared decision making: A model for clinical practice. Journal of General Internal Medicine,27(10), 1361\u20131367. https:\/\/doi.org\/10.1007\/s11606-012-2077-6.","journal-title":"Journal of General Internal Medicine"},{"issue":"7","key":"2381_CR21","doi-asserted-by":"publisher","first-page":"2081","DOI":"10.1007\/s11999-010-1740-7","volume":"469","author":"KJ Bozic","year":"2011","unstructured":"Bozic, K. J., & Chiu, V. (2011). Emerging ideas: Shared decision making in patients with osteoarthritis of the hip and knee. Clinical Orthopaedics and Related Research,469(7), 2081. https:\/\/doi.org\/10.1007\/s11999-010-1740-7.","journal-title":"Clinical Orthopaedics and Related Research"},{"issue":"8","key":"2381_CR22","doi-asserted-by":"publisher","first-page":"1343","DOI":"10.1016\/j.arth.2010.12.016","volume":"26","author":"PJ Khatri","year":"2011","unstructured":"Khatri, P. J., O\u2019Connor, A. M., & Dervin, G. F. (2011). Decision Support Needs of Patients Choosing Between Unicompartmental and Total Knee Arthroplasty for Advanced Medial Compartment Osteoarthritis of the Knee. Journal of Arthroplasty,26(8), 1343\u20131349. https:\/\/doi.org\/10.1016\/j.arth.2010.12.016.","journal-title":"Journal of Arthroplasty"},{"issue":"15","key":"2381_CR23","doi-asserted-by":"publisher","first-page":"1257","DOI":"10.1080\/09638280802535129","volume":"31","author":"GA McHugh","year":"2009","unstructured":"McHugh, G. A., & Luker, K. A. (2009). Influences on individuals with osteoarthritis in deciding to undergo a hip or knee joint replacement: A qualitative study. Disability and Rehabilitation,31(15), 1257\u20131266. https:\/\/doi.org\/10.1080\/09638280802535129.","journal-title":"Disability and Rehabilitation"},{"issue":"1","key":"2381_CR24","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1186\/1745-6215-14-292","volume":"14","author":"D Beard","year":"2013","unstructured":"Beard, D., Price, A., Cook, J., Fitzpatrick, R., Carr, A., Campbell, M., et al. (2013). Total or Partial Knee Arthroplasty Trial\u2014TOPKAT: Study protocol for a randomised controlled trial. Trials,14(1), 292. https:\/\/doi.org\/10.1186\/1745-6215-14-292.","journal-title":"Trials"},{"issue":"6","key":"2381_CR25","doi-asserted-by":"publisher","first-page":"1302","DOI":"10.1111\/hex.12570","volume":"20","author":"K Kinsey","year":"2017","unstructured":"Kinsey, K., Firth, J., Elwyn, G., Edwards, A., Brain, K., Marrin, K., et al. (2017). Patients\u2019 views on the use of an Option Grid for knee osteoarthritis in physiotherapy clinical encounters: An interview study. Health Expectations,20(6), 1302\u20131310. https:\/\/doi.org\/10.1111\/hex.12570.","journal-title":"Health Expectations"},{"issue":"3","key":"2381_CR26","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1016\/j.contraception.2014.04.012","volume":"90","author":"KZ Donnelly","year":"2014","unstructured":"Donnelly, K. Z., Foster, T. C., & Thompson, R. (2014). What matters most? The content and concordance of patients\u2019 and providers\u2019 information priorities for contraceptive decision making. Contraception,90(3), 280\u2013287.","journal-title":"Contraception"},{"issue":"1","key":"2381_CR27","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1186\/1472-6963-14-160","volume":"14","author":"K Marrin","year":"2014","unstructured":"Marrin, K., Wood, F., Firth, J., Kinsey, K., Edwards, A., Brain, K., et al. (2014). Option Grids to facilitate shared decision making for patients with Osteoarthritis of the knee: Protocol for a single site, efficacy trial. BMC Health Services Research,14(1), 160. https:\/\/doi.org\/10.1186\/1472-6963-14-160.","journal-title":"BMC Health Services Research"},{"issue":"1","key":"2381_CR28","doi-asserted-by":"publisher","first-page":"240","DOI":"10.5750\/ejpch.v1i1.657","volume":"1","author":"K Marrin","year":"2013","unstructured":"Marrin, K., Brain, K., Durand, M.-A., Edwards, A., Lloyd, A., Thomas, V., et al. (2013). Fast and frugal tools for shared decision-making: How to develop Option Grids. European Journal for Person Centered Healthcare,1(1), 240. https:\/\/doi.org\/10.5750\/ejpch.v1i1.657.","journal-title":"European Journal for Person Centered Healthcare"},{"issue":"1","key":"2381_CR29","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1111\/jep.12665","volume":"24","author":"G Elwyn","year":"2018","unstructured":"Elwyn, G., Rasmussen, J., Kinsey, K., Firth, J., Marrin, K., Edwards, A., et al. (2018). On a learning curve for shared decision making: Interviews with clinicians using the knee osteoarthritis Option Grid. Journal of Evaluation in Clinical Practice,24(1), 56\u201364. https:\/\/doi.org\/10.1111\/jep.12665.","journal-title":"Journal of Evaluation in Clinical Practice"},{"issue":"3","key":"2381_CR30","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1308\/003588408X285748","volume":"90","author":"JA Adam","year":"2008","unstructured":"Adam, J. A., Khaw, F.-M., Thomson, R. G., Gregg, P. J., & Llewellyn-Thomas, H. A. (2008). Patient decision aids in joint replacement surgery: A literature review and an opinion survey of consultant orthopaedic surgeons. Annals of the Royal College of Surgeons of England,90(3), 198\u2013207. https:\/\/doi.org\/10.1308\/003588408X285748.","journal-title":"Annals of the Royal College of Surgeons of England"},{"key":"2381_CR31","volume-title":"Focus groups: A practical guide for applied research","author":"RA Krueger","year":"2015","unstructured":"Krueger, R. A., & Casey, M. A. (2015). Focus groups: A practical guide for applied research (5th ed.). Los Angeles: Sage.","edition":"5"},{"issue":"2","key":"2381_CR32","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1007\/s11136-011-9943-2","volume":"21","author":"M Coenen","year":"2012","unstructured":"Coenen, M., Stamm, T., Stucki, G., & Cieza, A. (2012). Individual interviews and focus groups in patients with rheumatoid arthritis: A comparison of two qualitative methods. Quality of Life Research,21(2), 359\u2013370. https:\/\/doi.org\/10.1007\/s11136-011-9943-2.","journal-title":"Quality of Life Research"},{"key":"2381_CR33","doi-asserted-by":"publisher","DOI":"10.1177\/2333393616630466","author":"AP Tausch","year":"2016","unstructured":"Tausch, A. P., & Menold, N. (2016). Methodological aspects of focus groups in health research: Results of qualitative interviews with focus group moderators. Global Qualitative Nursing Research. https:\/\/doi.org\/10.1177\/2333393616630466.","journal-title":"Global Qualitative Nursing Research"},{"key":"2381_CR34","volume-title":"Focus groups as qualitative research","author":"DL Morgan","year":"1990","unstructured":"Morgan, D. L. (1990). Focus groups as qualitative research. Newbury Park, CA: Sage."},{"issue":"6","key":"2381_CR35","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","volume":"19","author":"A Tong","year":"2007","unstructured":"Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care,19(6), 349\u2013357. https:\/\/doi.org\/10.1093\/intqhc\/mzm042.","journal-title":"International Journal for Quality in Health Care"},{"issue":"6","key":"2381_CR36","doi-asserted-by":"publisher","first-page":"734","DOI":"10.1177\/1049732315591150","volume":"26","author":"E Rothwell","year":"2016","unstructured":"Rothwell, E., Anderson, R., & Botkin, J. R. (2016). Deliberative discussion focus groups. Qualitative Health Research,26(6), 734\u2013740. https:\/\/doi.org\/10.1177\/1049732315591150.","journal-title":"Qualitative Health Research"},{"issue":"10","key":"2381_CR37","doi-asserted-by":"publisher","first-page":"1422","DOI":"10.1177\/1049732307308129","volume":"17","author":"E Colucci","year":"2007","unstructured":"Colucci, E. (2007). \u201cFocus groups can be fun\u201d: The use of activity-oriented questions in focus group discussions. Qualitative Health Research,17(10), 1422\u20131433. https:\/\/doi.org\/10.1177\/1049732307308129.","journal-title":"Qualitative Health Research"},{"key":"2381_CR38","unstructured":"Marrin, K., Cording, E., Collins, A., Crouch, M., Jones, C., Jones, H., et al. (2014). Self-management of knee pain, due to arthritis of the knee. http:\/\/www.optiongrid.org."},{"key":"2381_CR39","doi-asserted-by":"publisher","first-page":"173","DOI":"10.4324\/9780203413081_chapter_9","volume-title":"Analysing qualitative data","author":"J Ritchie","year":"1994","unstructured":"Ritchie, J., & Spencer, L. (1994). Qualitative data analysis for applied policy research. In A. Bryman & R. G. Burgess (Eds.), Analysing qualitative data (pp. 173\u2013194). London: Routledge."},{"key":"2381_CR40","volume-title":"NVivo qualitative data analysis software","author":"QSR International Pty Ltd","year":"2016","unstructured":"QSR International Pty Ltd. (2016). NVivo qualitative data analysis software (11th ed.). Victoria: QSR International Pty Ltd.","edition":"11"},{"issue":"2","key":"2381_CR41","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1080\/14780887.2015.1119228","volume":"13","author":"S Parkinson","year":"2016","unstructured":"Parkinson, S., Eatough, V., Holmes, J., Stapley, E., & Midgley, N. (2016). Framework analysis: A worked example of a study exploring young people\u2019s experiences of depression. Qualitative Research in Psychology,13(2), 109\u2013129. https:\/\/doi.org\/10.1080\/14780887.2015.1119228.","journal-title":"Qualitative Research in Psychology"},{"issue":"5","key":"2381_CR42","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1111\/j.1365-2929.2006.02467.x","volume":"40","author":"S Ziebland","year":"2006","unstructured":"Ziebland, S., & McPherson, A. (2006). Making sense of qualitative data analysis: An introduction with illustrations from DIPEx (personal experiences of health and illness). Medical Education,40(5), 405\u2013414. https:\/\/doi.org\/10.1111\/j.1365-2929.2006.02467.x.","journal-title":"Medical Education"},{"key":"2381_CR43","unstructured":"Oxford University Innovation. (2016). The Oxford Knee Score (OKS). Retrieved June 2, 2018, from https:\/\/innovation.ox.ac.uk\/outcome-measures\/oxford-knee-score-oks\/."},{"issue":"589","key":"2381_CR44","doi-asserted-by":"publisher","first-page":"e459","DOI":"10.3399\/bjgp11X588420","volume":"61","author":"GA McHugh","year":"2011","unstructured":"McHugh, G. A., Campbell, M., & Luker, K. A. (2011). GP referral of patients with osteoarthritis for consideration of total joint replacement: A longitudinal study. The British Journal of General Practice,61(589), e459\u2013e468. https:\/\/doi.org\/10.3399\/bjgp11X588420.","journal-title":"The British Journal of General Practice"},{"key":"2381_CR45","first-page":"138","volume-title":"The self-regulation of health and illness behaviour","author":"R Horne","year":"2003","unstructured":"Horne, R. (2003). Treatment perceptions and self regulation. In L. D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour (pp. 138\u2013153). London: Routledge."},{"issue":"1","key":"2381_CR46","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1016\/j.cnre.2017.03.005","volume":"4","author":"H-X Liu","year":"2017","unstructured":"Liu, H.-X., Teng, S., Lin, X.-H., Shang, Y.-B., Wang, L., Zhang, J., et al. (2017). The application of the necessity-concerns framework in investigating adherence and beliefs about immunosuppressive medication among Chinese liver transplant recipients. Chinese Nursing Research,4(1), 14\u201317. https:\/\/doi.org\/10.1016\/j.cnre.2017.03.005.","journal-title":"Chinese Nursing Research"},{"issue":"1","key":"2381_CR47","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1186\/s12913-017-2020-y","volume":"17","author":"RJ Thorneloe","year":"2017","unstructured":"Thorneloe, R. J., Griffiths, C. E. M., Ashcroft, D. M., & Cordingley, L. (2017). The challenges of assessing patients\u2019 medication beliefs: A qualitative study. BMC Health Services Research,17(1), 119. https:\/\/doi.org\/10.1186\/s12913-017-2020-y.","journal-title":"BMC Health Services Research"},{"issue":"1","key":"2381_CR48","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1016\/j.pec.2009.10.008","volume":"80","author":"DM Mann","year":"2010","unstructured":"Mann, D. M., Ponieman, D., Montori, V. M., Arciniega, J., & McGinn, T. (2010). The Statin Choice decision aid in primary care: A randomized trial. Patient Education and Counseling,80(1), 138\u2013140. https:\/\/doi.org\/10.1016\/j.pec.2009.10.008.","journal-title":"Patient Education and Counseling"},{"key":"2381_CR49","first-page":"272","volume":"22","author":"PL Hudak","year":"2002","unstructured":"Hudak, P. L., Clark, J. P., Hawker, G. A., Coyte, P. C., Mahomed, N. N., Kreder, H. J., et al. (2002). \u201cYou\u2019re perfect for the procedure! Why don\u2019t you want it?\u201d Elderly arthritis patients\u2019 unwillingness to consider total joint arthroplasty surgery: A qualitative study. Medical Decision Making,22, 272\u2013278.","journal-title":"Medical Decision Making"},{"issue":"1","key":"2381_CR50","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1111\/j.2044-8309.1995.tb01047.x","volume":"34","author":"BL Andersen","year":"1995","unstructured":"Andersen, B. L., Cacioppo, J. T., & Roberts, D. C. (1995). Delay in seeking a cancer diagnosis: Delay stages and psychophysiological comparison processes. British Journal of Social Psychology,34(1), 33\u201352. https:\/\/doi.org\/10.1111\/j.2044-8309.1995.tb01047.x.","journal-title":"British Journal of Social Psychology"},{"issue":"4","key":"2381_CR51","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1097\/RHU.0b013e3181df4de4","volume":"16","author":"ME Suarez-Almazor","year":"2010","unstructured":"Suarez-Almazor, M. E., Richardson, M., Kroll, T. L., & Sharf, B. F. (2010). A qualitative analysis of decision-making for total knee replacement in patients with osteoarthritis. Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases,16(4), 158. https:\/\/doi.org\/10.1097\/RHU.0b013e3181df4de4.","journal-title":"Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases"},{"issue":"5","key":"2381_CR52","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1176\/ajp.137.5.535","volume":"137","author":"GL Engel","year":"1980","unstructured":"Engel, G. L. (1980). The clinical application of the biopsychosocial model. American Journal of Psychiatry,137(5), 535\u2013544. https:\/\/doi.org\/10.1176\/ajp.137.5.535.","journal-title":"American Journal of Psychiatry"},{"issue":"6","key":"2381_CR53","doi-asserted-by":"publisher","first-page":"441","DOI":"10.3109\/03009742.2014.894569","volume":"43","author":"T Smith","year":"2014","unstructured":"Smith, T., Purdy, R., Lister, S., Salter, C., Fleetcroft, R., & Conaghan, P. (2014). Living with osteoarthritis: A systematic review and meta-ethnography. Scandinavian Journal of Rheumatology,43(6), 441\u2013452. https:\/\/doi.org\/10.3109\/03009742.2014.894569.","journal-title":"Scandinavian Journal of Rheumatology"},{"issue":"11","key":"2381_CR54","doi-asserted-by":"publisher","first-page":"3340","DOI":"10.1016\/j.arth.2017.06.014","volume":"32","author":"C de Jesus","year":"2017","unstructured":"de Jesus, C., Stacey, D., & Dervin, G. F. (2017). Evaluation of a Patient Decision Aid for Unicompartmental or Total Knee Arthroplasty for Medial Knee Osteoarthritis. The Journal of Arthroplasty,32(11), 3340\u20133344. https:\/\/doi.org\/10.1016\/j.arth.2017.06.014.","journal-title":"The Journal of Arthroplasty"},{"issue":"6","key":"2381_CR55","doi-asserted-by":"publisher","first-page":"1248","DOI":"10.1111\/hex.12564","volume":"20","author":"NP Tamirisa","year":"2017","unstructured":"Tamirisa, N. P., Goodwin, J. S., Kandalam, A., Linder, S. K., Weller, S., Turrubiate, S., et al. (2017). Patient and physician views of shared decision making in cancer. Health Expectations,20(6), 1248\u20131253. https:\/\/doi.org\/10.1111\/hex.12564.","journal-title":"Health Expectations"},{"issue":"8","key":"2381_CR56","doi-asserted-by":"publisher","first-page":"1032","DOI":"10.1093\/rheumatology\/keh674","volume":"44","author":"GM Woolhead","year":"2005","unstructured":"Woolhead, G. M., Donovan, J. L., & Dieppe, P. A. (2005). Outcomes of total knee replacement: A qualitative study. Rheumatology,44(8), 1032\u20131037. https:\/\/doi.org\/10.1093\/rheumatology\/keh674.","journal-title":"Rheumatology"},{"key":"2381_CR57","first-page":"2044","volume":"6","author":"MA Durand","year":"2016","unstructured":"Durand, M. A., Alam, S., Grande, S. W., & Elwyn, G. (2016). \u2018Much clearer with pictures\u2019: Using community-based participatory research to design and test a Picture Option Grid for underserved patients with breast cancer. British Medical Journal Open,6, 2044\u20136055.","journal-title":"British Medical Journal Open"},{"issue":"5","key":"2381_CR58","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1177\/1090198106291963","volume":"34","author":"LJ Hinyard","year":"2007","unstructured":"Hinyard, L. J., & Kreuter, M. W. (2007). Using narrative communication as a tool for health behavior change: A conceptual, theoretical, and empirical overview. Health Education & Behavior,34(5), 777\u2013792. https:\/\/doi.org\/10.1177\/1090198106291963.","journal-title":"Health Education & Behavior"},{"issue":"6","key":"2381_CR59","doi-asserted-by":"publisher","first-page":"2032","DOI":"10.1111\/hex.12357","volume":"18","author":"KF Bennett","year":"2015","unstructured":"Bennett, K. F., Wagner, C., & Robb, K. A. (2015). Supplementing factual information with patient narratives in the cancer screening context: a qualitative study of acceptability and preferences. Health Expectations,18(6), 2032\u20132041. https:\/\/doi.org\/10.1111\/hex.12357.","journal-title":"Health Expectations"},{"key":"2381_CR60","unstructured":"healthtalk.org. (2018). Retrieved June 4, 2018, from. healthtalk.org. http:\/\/www.healthtalk.org\/."},{"issue":"8","key":"2381_CR61","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1037\/0003-066X.49.8.709","volume":"49","author":"S Epstein","year":"1994","unstructured":"Epstein, S. (1994). Integration of the cognitive and the psychodynamic unconscious. The American Psychologist,49(8), 709. https:\/\/doi.org\/10.1037\/0003-066X.49.8.709.","journal-title":"The American Psychologist"},{"issue":"1","key":"2381_CR62","doi-asserted-by":"publisher","first-page":"38","DOI":"10.2106\/JBJS.G.01686","volume":"91","author":"E J\u00e4msen","year":"2009","unstructured":"J\u00e4msen, E., Huhtala, H., Puolakka, T., & Moilanen, T. (2009). Risk factors for infection after knee arthroplasty. A register-based analysis of 43,149 cases. The Journal of Bone and Joint Surgery. American Volume,91(1), 38. https:\/\/doi.org\/10.2106\/JBJS.G.01686.","journal-title":"The Journal of Bone and Joint Surgery. American Volume"},{"key":"2381_CR63","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1097\/00003086-200111000-00003","volume":"392","author":"G Peersman","year":"2001","unstructured":"Peersman, G., Laskin, R., Davis, J., & Peterson, M. (2001). Infection in total knee replacement: A retrospective review of 6489 total knee replacements. Clinical Orthopaedics and Related Research,392, 15.","journal-title":"Clinical Orthopaedics and Related Research"},{"issue":"5","key":"2381_CR64","doi-asserted-by":"publisher","first-page":"799","DOI":"10.1007\/s00590-015-1610-9","volume":"25","author":"A Arirachakaran","year":"2015","unstructured":"Arirachakaran, A., Choowit, P., Putananon, C., Muangsiri, S., & Kongtharvonskul, J. (2015). Is unicompartmental knee arthroplasty (UKA) superior to total knee arthroplasty (TKA)? A systematic review and meta-analysis of randomized controlled trial. European Journal of Orthopaedic Surgery & Traumatology,25(5), 799\u2013806. https:\/\/doi.org\/10.1007\/s00590-015-1610-9.","journal-title":"European Journal of Orthopaedic Surgery & Traumatology"},{"issue":"7","key":"2381_CR65","doi-asserted-by":"publisher","first-page":"831","DOI":"10.1016\/S0883-5403(96)80183-5","volume":"11","author":"JG Anderson","year":"1996","unstructured":"Anderson, J. G., Wixson, R. L., Tsai, D., Stulberg, S. D., & Chang, R. W. (1996). Functional outcome and patient satisfaction in total knee patients over the age of 75. The Journal of Arthroplasty,11(7), 831\u2013840. https:\/\/doi.org\/10.1016\/S0883-5403(96)80183-5.","journal-title":"The Journal of Arthroplasty"},{"issue":"2","key":"2381_CR66","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1097\/BOR.0b013e32834ff26d","volume":"24","author":"MJ Bade","year":"2012","unstructured":"Bade, M. J., & Stevens-Lapsley, J. E. (2012). Restoration of physical function in patients following total knee arthroplasty: An update on rehabilitation practices. Current Opinion in Rheumatology,24(2), 208\u2013214. https:\/\/doi.org\/10.1097\/BOR.0b013e32834ff26d.","journal-title":"Current Opinion in Rheumatology"},{"issue":"2","key":"2381_CR67","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1080\/17453670710014941","volume":"79","author":"H Husted","year":"2008","unstructured":"Husted, H., Holm, G., & Jacobsen, S. (2008). Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: Fast-track experience in 712 patients. Acta Orthopaedica,79(2), 168\u2013173. https:\/\/doi.org\/10.1080\/17453670710014941.","journal-title":"Acta Orthopaedica"},{"issue":"1","key":"2381_CR68","doi-asserted-by":"publisher","first-page":"90","DOI":"10.3109\/17453671003587150","volume":"81","author":"A W-Dahl","year":"2010","unstructured":"W-Dahl, A., Robertsson, O., Lidgren, L., Miller, L., Davidson, D., & Graves, S. (2010). Unicompartmental knee arthroplasty in patients aged less than 65: Combined data from the Australian and Swedish Knee Registries. Acta Orthopaedica,81(1), 90\u201394. https:\/\/doi.org\/10.3109\/17453671003587150.","journal-title":"Acta Orthopaedica"},{"issue":"4","key":"2381_CR69","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1007\/s41669-017-0017-4","volume":"1","author":"E Burn","year":"2017","unstructured":"Burn, E., Liddle, A. D., Hamilton, T. W., Pai, S., Pandit, H. G., Murray, D. W., et al. (2017). Choosing between unicompartmental and total knee replacement: What can economic evaluations tell us? A systematic review. PharmacoEconomics\u2014Open,1(4), 241\u2013253.","journal-title":"PharmacoEconomics\u2014Open"},{"issue":"1","key":"2381_CR70","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1016\/j.knee.2009.06.001","volume":"17","author":"JAJ Foote","year":"2010","unstructured":"Foote, J. A. J., Smith, H. K., Jonas, S. C., Greenwood, R., & Weale, A. E. (2010). Return to work following knee arthroplasty. The Knee,17(1), 19\u201322. https:\/\/doi.org\/10.1016\/j.knee.2009.06.001.","journal-title":"The Knee"},{"issue":"3","key":"2381_CR71","first-page":"181","volume":"50","author":"R Gandhi","year":"2007","unstructured":"Gandhi, R., de Beer, J., Petruccelli, D., & Winemaker, M. (2007). Does patient perception of alignment affect total knee arthroplasty outcome? Canadian Journal of Surgery,50(3), 181\u2013186.","journal-title":"Canadian Journal of Surgery"},{"issue":"1","key":"2381_CR72","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1097\/PRS.0b013e3181a80747","volume":"124","author":"VL Young","year":"2009","unstructured":"Young, V. L., & Hutchison, J. (2009). Insights into patient and clinician concerns about scar appearance: Semiquantitative structured surveys. Plastic and Reconstructive Surgery,124(1), 256. https:\/\/doi.org\/10.1097\/PRS.0b013e3181a80747.","journal-title":"Plastic and Reconstructive Surgery"},{"key":"2381_CR73","doi-asserted-by":"publisher","first-page":"1352","DOI":"10.1136\/bmj.1352","volume":"364","author":"HA Wilson","year":"2019","unstructured":"Wilson, H. A., Middleton, R., Abram, S. G. F., Smith, S., Alvand, A., Jackson, W. F., et al. (2019). Patient relevant outcomes of unicompartmental versus total knee replacement: Systematic review and meta-analysis. BMJ,364, 1352. https:\/\/doi.org\/10.1136\/bmj.1352.","journal-title":"BMJ"}],"container-title":["Quality of Life Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s11136-019-02381-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s11136-019-02381-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s11136-019-02381-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T01:02:08Z","timestamp":1608080528000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s11136-019-02381-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,17]]},"references-count":73,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,4]]}},"alternative-id":["2381"],"URL":"https:\/\/doi.org\/10.1007\/s11136-019-02381-9","relation":{},"ISSN":["0962-9343","1573-2649"],"issn-type":[{"value":"0962-9343","type":"print"},{"value":"1573-2649","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,17]]},"assertion":[{"value":"29 November 2019","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 December 2019","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"None of the authors have any conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}