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

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


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 languageEnglish (US)
Pages (from-to)1153-1166
Number of pages14
JournalJournal of Comparative Effectiveness Research
Issue number16
StatePublished - Nov 2020
Externally publishedYes


  • 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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