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Record W2526872949

“I CAN'T GET NO SATISFACTION” AFTER MY TKA: RHYMES AND REASONS

2013· article· en· W2526872949 on OpenAlexaff
Michael Dunbar

Bibliographic record

VenueJournal of Bone and Joint Surgery-british Volume · 2013
Typearticle
Languageen
FieldMedicine
TopicTotal Knee Arthroplasty Outcomes
Canadian institutionsQueen Elizabeth II Health Sciences Centre
Fundersnot available
KeywordsPatient satisfactionTotal knee arthroplastyMedicineMetric (unit)Pain reliefPhysical therapyArthroplastySurgeryOperations management
DOInot available

Abstract

fetched live from OpenAlex

Multiple large studies, including from national registries, have demonstrated that satisfaction rates after total knee arthroplasty are limited to approximately 80%. That is, surprisingly, one in five patients are not satisfied. Furthermore, satisfaction rates have not improved over the last decade. The strongest correlates to satisfaction are firstly the relief of pain and secondly the improvement in physical function. However, satisfaction may be disparate to other reported subjective outcomes. It is a nebulous outcome metric. The largest risk for patient dissatisfaction is unmet expectations post total knee arthroplasty. Keeping the above risks in mind, an effective strategy to improve satisfaction rates likely should concentrate on reducing pain both immediately post-operatively and long term, improving function of the knee, perhaps through a patient specific alignment approach, and most importantly, by understanding and counseling patients regarding expectations pre-operatively.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.005
metaresearch head score (Gemma)0.019
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.007
Threshold uncertainty score0.025

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0050.019
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0000.001
Science and technology studies0.0030.004
Scholarly communication0.0030.002
Open science0.0010.002
Research integrity0.0020.004
Insufficient payload (model declined to judge)0.0070.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.008
GPT teacher head0.201
Teacher spread0.194 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2013
Admission routes1
Has abstractyes

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