Preoperative Expectations in Hand Surgery Patients

Autor: Patrick M. J. Sajak, Samir Kaveeshwar, Ali Aneizi, Alexander Hahn, Cameran I. Burt, Dominic J. Ventimiglia, Kali N. Stevens, Ngozi M. Akabudike, Raymond A. Pensy, R. Frank Henn III
Rok vydání: 2022
Předmět:
Zdroj: Journal of Hand and Microsurgery.
ISSN: 0974-6897
0974-3227
DOI: 10.1055/s-0042-1748782
Popis: Introduction Studies have shown a link between patients' preoperative expectations and their postoperative satisfaction. However, limited studies exist concerning patient factors associated with higher preoperative expectations in the hand surgery population. This study analyzed preoperative expectation scores of patients undergoing hand surgery and aimed to determine associated patient characteristics. Materials and Methods A total of 418 elective hand surgery patients aged 15 years and older enrolled in a prospectively collected orthopaedic registry from June 2015 to December 2018 were analyzed. Patients were administered preoperative questionnaires including six Patient-Reported Outcome Measurement Information System domains and other activity and pain scales. Expectation scores were measured using the six domains of the Musculoskeletal Outcomes Data Evaluation and Management System expectations questionnaire. Bivariate and multivariable analyses were conducted to identify independent predictors of higher expectations. Results Overall, patients had high expectations (≥ 80.0) of their hand surgery. Higher mean expectation scores were seen with females, college graduates, better baseline health status, and fewer prior hand surgeries (p Conclusion In sum, more educated patients with less pain at baseline and better baseline health status have higher expectations of their hand surgery. Hand surgeons can use these results to help focus their preoperative counseling and expectation management.
Databáze: OpenAIRE