International Orthopaedics

, Volume 40, Issue 11, pp 2303–2307 | Cite as

Negative impact of waiting time for primary total knee arthroplasty on satisfaction and patient-reported outcome

  • Alejandro Lizaur-Utrilla
  • Daniel Martinez-Mendez
  • Fernando A. Miralles-Muñoz
  • Luis Marco-Gomez
  • Fernando A. Lopez-Prats
Original Paper



The primary objective of this study was to evaluate the influence of the time on waiting list for total knee arthroplasty (TKA) on the post-operative satisfaction and patient-reported outcomes.


This was a prospective observational study of 192 patients followed for one year. Patients were pre and post-operatively assessed with the 12-item Short-Form, reduced Western Ontario MacMaster University, and Knee Society scores. In addition, the Hospital Anxiety and Depression scale was used at time of admission, and patient satisfaction on a five point Likert scale at one post-operative year. Univariate and multivariate analyses were performed.


Patients waiting longer than six months had significantly worse pre-operative anxiety score as well as post-operative SF12 (both physical and mental) and KSS-function scores compared to those with a waiting time shorter than six months. Dissatisfaction rate was also higher in patients waiting longer than six months, and it was mainly influenced by pre-operative anxiety and depression.


Waiting time longer than six months negatively influenced post-operative satisfaction and patient-related outcome at one year after TKA. These findings may have important clinical implications regarding the prioritization of patients on wait lists or for optimization of treatment while patients wait for surgery related to the management of the mental health and anxiety in order to reduce post-operative dissatisfaction and improve patient-reported outcomes.


Total knee arthroplasty Waiting time Satisfaction Patient-reported outcome 


Compliance with ethical standards

Conflict of interest

The authors declare they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© SICOT aisbl 2016

Authors and Affiliations

  • Alejandro Lizaur-Utrilla
    • 1
    • 2
  • Daniel Martinez-Mendez
    • 1
  • Fernando A. Miralles-Muñoz
    • 1
  • Luis Marco-Gomez
    • 1
  • Fernando A. Lopez-Prats
    • 2
  1. 1.Orthopaedic SurgeryElda University HospitalEldaSpain
  2. 2.Traumatology and OrthopaediaMiguel Hernandez UniversityElcheSpain

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