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High preoperative expectations precede both unfulfilled expectations and clinical improvement after total hip and total knee replacement

Journal of Arthroplasty Mar 11, 2020

Hafkamp FJ, et al. - Researchers seek to ascertain if patients’ and physicians’ outcome expectations were related to subjective (i.e., the fulfillment of expectations) and objective outcomes (i.e., change in pain and function) in hip and knee arthroplasty patients up to six months post-surgery. They explored patients’ (N=395) and physicians’ result expectations one-week post-consultation. This study examined Patients’ postoperative functional status and the extent of fulfillment of expectations five weeks, three months, and six months post-surgery. This analysis revealed that improvement was still less than patients expected, although patients’ high expectations were correlated with better objective outcomes. Therefore, individuals often have too high expectations of the results of surgery. Besides, physicians were able to affect patients’ expectations and to change experienced knee patients’ results.
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