Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Department of Orthopaedics, SUNY Downstate Medical Center, Brooklyn, NY, USA.
Knee Surg Sports Traumatol Arthrosc. 2020 Jul;28(7):2377-2385. doi: 10.1007/s00167-019-05824-5. Epub 2020 Jan 7.
The primary aims of this study were to (1) assess the preoperative expectations of patients undergoing shoulder surgery, and (2) determine the relationship between preoperative patient demographics, PROs, and preoperative patient expectations. It was hypothesized that younger patients with worse function and worse health status had higher expectations of shoulder surgery.
Data from a total of 319 patients (319 shoulders) from 2015-2018 were analyzed. Patients completed a series of questionnaires covering demographics and patient-reported outcome measures. Expectations of treatment were evaluated using the Musculoskeletal Outcomes Data Evaluation and Management System. Bivariate analyses were performed to determine the significance of identified associations.
The study population consisted of 186 males and 133 females. The mean age was 46.9 (± 17.2), and the mean BMI was 30.1 (± 6.8). Overall, patients had high expectations of shoulder surgery, with a mean score of 84.7 (± 19.3). The most commonly performed procedure in the study population was arthroscopic rotator cuff repair. There was a significant association between pre-treatment expectations and ethnicity, previous shoulder surgery, employment status, income level, tobacco use, preoperative opioid use, depression, and ASA score.
The findings suggest that patients undergoing shoulder surgery have high overall preoperative expectations, which were significantly associated with ethnicity, surgical history, opioid use, and employment status, and with multiple patient-reported outcome measures including physical function, pain interference, fatigue, and depression. Nevertheless, by discussing expectations preoperatively, orthopaedic surgeons can help patients develop high but realistic expectations to improve outcomes and satisfaction.
IV.
本研究的主要目的是：（1）评估行肩部手术患者的术前预期；（2）确定术前患者人口统计学、PRO 和术前患者预期之间的关系。假设年轻患者功能更差、健康状况更差，对肩部手术的期望更高。
分析了 2015 年至 2018 年共 319 名患者（319 肩）的数据。患者完成了一系列涵盖人口统计学和患者报告的结果测量的问卷。使用肌肉骨骼结果数据评估和管理系统评估治疗期望。进行了双变量分析以确定确定关联的显著性。
研究人群由 186 名男性和 133 名女性组成。平均年龄为 46.9（±17.2）岁，平均 BMI 为 30.1（±6.8）。总体而言，患者对肩部手术的期望很高，平均得分为 84.7（±19.3）。研究人群中最常进行的手术是关节镜下肩袖修复术。在治疗前的期望与种族、先前的肩部手术、就业状况、收入水平、吸烟、术前阿片类药物使用、抑郁和 ASA 评分之间存在显著关联。
研究结果表明，行肩部手术的患者术前总体期望较高，与种族、手术史、阿片类药物使用和就业状况以及包括身体机能、疼痛干扰、疲劳和抑郁在内的多项患者报告的结果测量显著相关。尽管如此，通过术前讨论期望，矫形外科医生可以帮助患者建立较高但现实的期望，以改善结果和满意度。
IV。
