Identifying patient decisions and related information needs during decision making related to total knee arthroplasty

William Benjamin Nowell; Shilpa Venkatachalam; Christine Stake; Erik Harden; Liana Fraenkel; Ellen Peters; Thomas W. Concannon

doi:10.2217/cer-2020-0109

Identifying patient decisions and related information needs during decision making related to total knee arthroplasty

William Benjamin Nowell^*, Shilpa Venkatachalam, Christine Stake, Erik Harden, Liana Fraenkel, Ellen Peters, Thomas W. Concannon

^*Corresponding author for this work

Surgery

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Aim: Research regarding decisions patients make about total knee arthroplasty, apart from having the procedure or not, are limited. Understanding patient decision making and related information needs is essential for shared decision making. Methods: Focus groups with an online community-based sample identified decisions about total knee arthroplasty beyond the decision to have the surgery itself. An online survey was used to determine relative importance of five major decisions and evaluate related information available. Results: Patients did not feel they have enough information to make important decisions of surgeon, device type, surgical approach, facility, or timing, for their total knee arthroplasty. Conclusion: Although further research is needed to generalize these findings, physicians should consider these questions during shared decision making with patients considering total knee arthroplasty.

Original language	English (US)
Pages (from-to)	1153-1166
Number of pages	14
Journal	Journal of Comparative Effectiveness Research
Volume	9
Issue number	16
DOIs	https://doi.org/10.2217/cer-2020-0109
State	Published - Nov 2020

Funding

This work was partially supported through a Patient-Centered Outcomes Research Institute (PCORI) Eugene Washington PCORI Engagement Award (2228-GHLF). All statements in this manuscript, including its findings and conclusions, are solely those of the authors and do not necessarily represent the views of PCORI, its Board of Governors or Methodology Committee. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript.

Keywords

osteoarthritis
patient education
patient information needs
psoriatic arthritis
rheumatoid arthritis
shared decision-making
total joint replacement
total knee arthroplasty

ASJC Scopus subject areas

Health Policy

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abstract = "Aim: Research regarding decisions patients make about total knee arthroplasty, apart from having the procedure or not, are limited. Understanding patient decision making and related information needs is essential for shared decision making. Methods: Focus groups with an online community-based sample identified decisions about total knee arthroplasty beyond the decision to have the surgery itself. An online survey was used to determine relative importance of five major decisions and evaluate related information available. Results: Patients did not feel they have enough information to make important decisions of surgeon, device type, surgical approach, facility, or timing, for their total knee arthroplasty. Conclusion: Although further research is needed to generalize these findings, physicians should consider these questions during shared decision making with patients considering total knee arthroplasty.",

keywords = "osteoarthritis, patient education, patient information needs, psoriatic arthritis, rheumatoid arthritis, shared decision-making, total joint replacement, total knee arthroplasty",

author = "Nowell, {William Benjamin} and Shilpa Venkatachalam and Christine Stake and Erik Harden and Liana Fraenkel and Ellen Peters and Concannon, {Thomas W.}",

note = "Funding Information: This work was partially supported through a Patient-Centered Outcomes Research Institute (PCORI) Eugene Washington PCORI Engagement Award (2228-GHLF). All statements in this manuscript, including its findings and conclusions, are solely those of the authors and do not necessarily represent the views of PCORI, its Board of Governors or Methodology Committee. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript. Publisher Copyright: {\textcopyright} 2020 William Benjamin Nowell.",

year = "2020",

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doi = "10.2217/cer-2020-0109",

language = "English (US)",

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AU - Venkatachalam, Shilpa

AU - Stake, Christine

AU - Harden, Erik

AU - Fraenkel, Liana

AU - Peters, Ellen

AU - Concannon, Thomas W.

N1 - Funding Information: This work was partially supported through a Patient-Centered Outcomes Research Institute (PCORI) Eugene Washington PCORI Engagement Award (2228-GHLF). All statements in this manuscript, including its findings and conclusions, are solely those of the authors and do not necessarily represent the views of PCORI, its Board of Governors or Methodology Committee. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript. Publisher Copyright: © 2020 William Benjamin Nowell.

PY - 2020/11

Y1 - 2020/11

N2 - Aim: Research regarding decisions patients make about total knee arthroplasty, apart from having the procedure or not, are limited. Understanding patient decision making and related information needs is essential for shared decision making. Methods: Focus groups with an online community-based sample identified decisions about total knee arthroplasty beyond the decision to have the surgery itself. An online survey was used to determine relative importance of five major decisions and evaluate related information available. Results: Patients did not feel they have enough information to make important decisions of surgeon, device type, surgical approach, facility, or timing, for their total knee arthroplasty. Conclusion: Although further research is needed to generalize these findings, physicians should consider these questions during shared decision making with patients considering total knee arthroplasty.

AB - Aim: Research regarding decisions patients make about total knee arthroplasty, apart from having the procedure or not, are limited. Understanding patient decision making and related information needs is essential for shared decision making. Methods: Focus groups with an online community-based sample identified decisions about total knee arthroplasty beyond the decision to have the surgery itself. An online survey was used to determine relative importance of five major decisions and evaluate related information available. Results: Patients did not feel they have enough information to make important decisions of surgeon, device type, surgical approach, facility, or timing, for their total knee arthroplasty. Conclusion: Although further research is needed to generalize these findings, physicians should consider these questions during shared decision making with patients considering total knee arthroplasty.

KW - osteoarthritis

KW - patient education

KW - patient information needs

KW - psoriatic arthritis

KW - rheumatoid arthritis

KW - shared decision-making

KW - total joint replacement

KW - total knee arthroplasty

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Identifying patient decisions and related information needs during decision making related to total knee arthroplasty

Abstract

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