Table 8.9Willingness to undergo surgery for OA

Willingness outcomeReferenceOutcome/effect size
Knee osteoarthritis
Patient’s willingness to undergo surgery1 cross-sectional study (Juni et al. 2003) (N=26,046)
  • Approximately one third of participants considered for TKA indicated that they would not accept surgery if offered
  • Majority concerned about risks and benefits of TKA
Hip or knee
Willingness to undergo arthroplasty1 observational-correlation study (Hawker et al. 2001) (N=1027)For patients with severe arthritis:
  • definitely willing: 8.5% and 14.9% (in low-rate and high-rate arthroplasty areas)
  • probably willing: 17.5% and 21.5% (in low-rate and high-rate arthroplasty areas)
  • unsure: 18.5% and 19.4% (in low-rate and high-rate arthroplasty areas)
  • definitely or probably unwilling: 55.5% and 44.2% (in low-rate and high-rate arthroplasty areas)
  • needs for arthroplasty, adjusted for willingness (expressed per 1000 phase in respondents): 2.4% and 5.4% (in low-rate and high-rate arthroplasty areas)
  • patients in the high-rate area were significantly more likely to know someone who had undergone joint arthroplasty, compared with those in the low-rate area (94.3% and 72.7% respectively, p<0.001)

From: 8, Referral for specialist services

Cover of Osteoarthritis
Osteoarthritis: National Clinical Guideline for Care and Management in Adults.
NICE Clinical Guidelines, No. 59.
National Collaborating Centre for Chronic Conditions (UK).
Copyright © 2008, Royal College of Physicians of London.

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