Related Experiment Video
Updated: Aug 29, 2025
09:51
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.9K
Gender differences in the decision-making process for undergoing total knee replacement
Ramon Sebastian Torrente-Jimenez1, Maria Feijoo-Cid2, Amado Javier Rivero-Santana3
1Department of Medicine, Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.
Patient Education and Counseling
|September 8, 2022
Summary
Women with knee osteoarthritis (OA) show less knowledge and satisfaction in treatment decisions compared to men. Shared decision-making may help address gender biases in knee replacement (TKR) care.
Area of Science:
- Orthopedics
- Health Services Research
- Gender Studies
Background:
- Knee osteoarthritis (OA) significantly impacts patient quality of life.
- Treatment decisions for severe OA, such as total knee replacement (TKR), are complex.
- Understanding gender-specific factors in decision-making is crucial for equitable care.
Purpose of the Study:
- To investigate potential gender disparities in the decision-making process for knee osteoarthritis (OA) treatment.
- To compare knowledge, decisional conflict, satisfaction, and treatment preferences between men and women undergoing TKR evaluation.
Main Methods:
- Secondary analysis of a randomized trial with 193 participants.
- Comparison of OA and TKR knowledge, decisional conflict, satisfaction, and treatment preferences by gender.
- Multivariate regression models to identify gender-specific predictors of TKR uptake.
Main Results:
- Women exhibited significantly less knowledge about OA and TKR compared to men (MD = -7.68).
- Female patients reported lower satisfaction with the decision-making process (MD = -6.95) and placed greater importance on avoiding surgery.
- For women, prioritizing symptom relief duration was associated with reduced odds of undergoing surgery (OR = 0.76).
Conclusions:
- Evidence suggests potential gender-based differences in the quality of information provision or shared decision-making for female OA patients.
- Differences in information needs or patient preferences for involvement in decision-making may also contribute.
- Further research with larger sample sizes is necessary to confirm these findings and explore underlying reasons.
Related Concept Videos
01:14Decision Making: Traditional Method
4.1K
The process of hypothesis testing based on the traditional method includes calculating the critical value, testing the value of the test statistic using the sample data, and interpreting these values.
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
4.1K
01:20Decision Making
187
Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
Automatic decision-making is fast, intuitive, and relies on gut feelings...
Automatic decision-making is fast, intuitive, and relies on gut feelings...
187