Swarup Ishaan, Henn Curtis M, Gulotta Lawrence V, Henn R Frank
Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70 Street, New York, NY 10021, USA.
Department of Orthopaedic Surgery, Medstar Georgetown Orthopaedic Institute, 3800 Reservoir Road NW, Washington, DC 20007, USA.
J Clin Orthop Trauma. 2019 Jul-Aug;10(4):755-760. doi: 10.1016/j.jcot.2018.08.008. Epub 2018 Aug 6.
Patient expectations have been shown to be an independent predictor of outcomes in clinical medicine. In the orthopaedic literature, the majority of studies have focused on the relationship between pre-operative expectations and post-operative outcomes in patients undergoing total hip arthroplasty, total knee arthroplasty, shoulder surgery, and spine surgery. Various methodologies have been used to assess patient expectations in orthopaedic surgery, including direct questioning, short questionnaires, and validated surveys. Multiple patient factors have been associated with greater expectations prior to elective orthopaedic surgery, and greater pre-operative expectations have been shown to be associated with better subjective and objective outcomes after total hip and knee arthroplasty, shoulder surgery, and spine surgery. While there are very few validated measures of patient satisfaction after orthopaedic surgery, increased post-operative patient satisfaction is consistently associated with meeting pre-operative patient expectations. Given the relationship between pre-operative patient expectations and post-operative outcomes and patient satisfaction, understanding and defining expectations prior to elective orthopaedic surgery may optimize outcomes. In this review, we aim to summarize the current literature on patient expectations in orthopaedic surgery.
患者期望已被证明是临床医学预后的一个独立预测因素。在骨科文献中，大多数研究集中于接受全髋关节置换术、全膝关节置换术、肩部手术和脊柱手术患者的术前期望与术后预后之间的关系。已采用各种方法来评估骨科手术患者的期望，包括直接询问、简短问卷和经过验证的调查。多种患者因素与择期骨科手术前更高的期望相关，并且更高的术前期望已被证明与全髋关节和膝关节置换术、肩部手术及脊柱手术后更好的主观和客观预后相关。虽然骨科手术后患者满意度的有效测量方法很少，但术后患者满意度的提高始终与达到术前患者期望相关。鉴于术前患者期望与术后预后及患者满意度之间的关系，在择期骨科手术前了解并明确期望可能会优化预后。在本综述中，我们旨在总结当前关于骨科手术患者期望的文献。
