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Understanding Patient Satisfaction Through Adaptation—Exploring Long-Term Satisfaction With Total Knee Arthroplasty
Total Knee Arthroscopy (TKA) is the highest volume joint replacement surgery in Canada, yet up to 15–20% of patients are not satisfied with their results. Policymakers, clinicians, and researchers need to advance their understanding of TKA patient satisfaction—and given an implant designed to deliver long-lasting benefits, identifying factors affecting long-term satisfaction will build on current knowledge and offers the possibility of uncovering service transformation opportunities. Grounded theory was used to explore factors associated with patient satisfaction 3 to 4 years following primary TKA surgery. Semi-structured interviews were conducted with 27 patients. Purposeful sampling criteria included satisfaction and pain scores, with over-sampling of not-satisfied patients. Analysis included identification of key categories and their relationships. Adaptation to the knee replacement and its role in one’s life over the years following surgery emerged as the central category. Categories of adaptation varied according to the amount of effort needed to accommodate the post-TKA knee, and the ease with which patients were able to accept their outcomes. This presentation will characterize the concept of adaptation, and elaborate on its supporting themes.
- What are the drivers of long-term satisfaction with TKA?
- Where are system-based opportunities for improving long-term TKA satisfaction?