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Related Experiment Video

Updated: Aug 29, 2025

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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
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Summary
This summary is machine-generated.

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.

Keywords:
Health disparitiesKnee osteoarthritisPatient-centered careShared decision-makingTotal knee replacement

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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.