Preoperative Expectations of Patients Undergoing Knee Surgery
| Autor: | Kali N. Stevens, Vidushan Nadarajah, R. Frank Henn rd, Julio J. Jauregui, Jonathan D. Packer, Xuyang Song, Shaun H. Medina, Michael P. Smuda |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Knee Joint Health Status medicine.medical_treatment MEDLINE 03 medical and health sciences 0302 clinical medicine Preoperative Care medicine Humans Orthopedics and Sports Medicine Patient Reported Outcome Measures Arthroplasty Replacement Knee Depression (differential diagnoses) Motivation 030222 orthopedics business.industry 030229 sport sciences Middle Aged Arthroplasty Confidence interval Treatment Outcome Knee surgery Physical therapy Anxiety Female Surgery Observational study Computerized adaptive testing medicine.symptom business |
| Zdroj: | The Journal of Knee Surgery. 34:612-620 |
| ISSN: | 1938-2480 1538-8506 |
| DOI: | 10.1055/s-0039-1698805 |
| Popis: | There is limited validated data regarding the relationship between preoperative expectations and patient-reported outcomes (PROs) in patients undergoing knee surgery. The purpose of this study was to (1) assess the preoperative expectations of patients undergoing knee surgery and (2) determine the relationship between preoperative patient demographics, PROs, and preoperative patient expectations. We hypothesized that younger patients with worse function and worse general health status would have greater expectations of knee surgery. We analyzed data from 399 patients undergoing knee surgery at an urban academic medical center. We utilized the Musculoskeletal Outcomes Data Evaluation and Management System to measure preoperative expectations. Multiple legacy PRO measures were recorded, as well as the new Patient-Reported Outcomes Measurement Information Systems (PROMIS) Computer Adaptive Testing. Nonparametric statistical analyses were performed to determine significance. Overall, patients undergoing knee surgery had high expectations, with a mean of 88.0 (95% confidence interval [CI], 86.7–89.3) and median of 91.7 (95% CI, 89.2–94.3). Greater preoperative expectations of knee surgery were associated with higher income, surgically naïve knee, lower Charlson Comorbidity Index, better PROMIS Depression and Anxiety scores, greater Marx knee activity scores, and lower total body pain (p |
| Databáze: | OpenAIRE |
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