Department of Orthopaedic Surgery, Kolding Hospital, Skovvangen, Kolding, Denmark.
BMC Health Serv Res. 2012 Aug 8;12:244. doi: 10.1186/1472-6963-12-244.
Previous studies have shown that patients' anxiety and dissatisfaction are predictors for increased postoperative pain and reduced efficacy of pain treatment. However, it remains to be shown whether patient anxiety and concern are predictors for the perceived quality of treatment and patient reported outcome (PRO).The aim of this study is to investigate whether there is a correlation between preoperative anxiety and concern, and the perceived quality of postoperative treatment and outcome. The hypothesis is that anxious and concerned patients are less satisfied with treatment and have a poorer outcome.
METHODS/DESIGN: This study is designed as a prospective follow-up study and has the aim of investigating the correlation between patient anxiety and concern, patients' perceived quality of treatment and outcome. This correlation will be detected using five questionnaires: CMD-SQ (Common Mental Disorders Screening Questionnaire), EuroQol 5 Dimensions (EQ-5D), Short form 12 (SF-12), "What is your evaluation of the patient progress in the Department of Orthopaedic Surgery?" (HVOK), Questionnaire for patients who have had hip surgery (RCS) and Oxford Hip Score (OHS) or Oxford Shoulder Score (OSS). The patients will complete the above mentioned questionnaires preoperatively in the outpatient department, and postoperatively just before discharge from the inpatient department, and 12 and 52 weeks after the operation. The study includes a reliability test of CMD-SQ regarding this specific population and tested by means of a Kappa. A total of 500 hip- and shoulder-patients will be included from October 2010 till October 2011.
If a correlation between patient anxiety and concern, patients' perceived quality of treatment and patient reported outcome is found, it will be recommended to screen all hip- and shoulder-patients for anxiety and concern preoperatively. Besides, it would be relevant to carry out investigations of possible interventions towards anxious and concerned patients.
Current Controlled Trials: NCT01205295.
先前的研究表明，患者的焦虑和不满是术后疼痛加剧和疼痛治疗效果降低的预测因素。然而，患者的焦虑和担忧是否是治疗效果感知和患者报告结果（PRO）的预测因素仍有待证明。本研究旨在探讨术前焦虑和担忧与术后治疗和结果的感知质量之间是否存在相关性。假设是焦虑和担忧的患者对治疗的满意度较低，结果较差。
方法/设计：本研究设计为前瞻性随访研究，旨在调查患者焦虑和担忧与患者对治疗和结果的感知质量之间的相关性。这种相关性将通过五个问卷来检测：常见精神障碍筛查问卷（CMD-SQ）、欧洲五维健康量表（EQ-5D）、健康调查简表 12 项（SF-12）、“您如何评估骨科患者的进展？”（HVOK）、髋关节手术患者问卷（RCS）和牛津髋关节评分（OHS）或牛津肩关节评分（OSS）。患者将在门诊术前、出院前、术后 12 周和 52 周完成上述问卷。本研究包括针对该特定人群的 CMD-SQ 可靠性测试，并通过 Kappa 进行测试。从 2010 年 10 月至 2011 年 10 月，共纳入 500 例髋关节和肩关节患者。
如果发现患者的焦虑和担忧与治疗效果感知和患者报告结果之间存在相关性，建议在术前对所有髋关节和肩关节患者进行焦虑和担忧的筛查。此外，对焦虑和担忧患者进行可能的干预措施的研究也具有相关性。
当前对照试验：NCT01205295。
