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Patients' expectations of shoulder surgery
Carol A Mancuso1, David W Altchek, Edward V Craig
1Hospital for Special Surgery, New York and the Joan and Sanford I Weill Medical College of Cornell University, New York NY 10021, USA. camancus@med.cornell.edu
Journal of Shoulder and Elbow Surgery
|December 7, 2002
Summary
Patients
Area of Science:
- Orthopedic Surgery
- Patient-Reported Outcomes
- Surgical Expectations
Background:
- Preoperative patient expectations significantly influence surgical decisions and outcome assessments for shoulder surgery.
- Understanding these expectations is crucial for managing patient satisfaction and surgical success.
Purpose of the Study:
- To identify patient expectations for shoulder surgery.
- To develop and validate a patient-derived survey for assessing these expectations.
- To determine the prevalence of key expectations across different diagnoses.
Main Methods:
- An initial cohort of 409 patients provided open-ended responses about their expectations.
- Responses were categorized, and frequent themes formed a draft survey.
- A second cohort of 100 patients validated the survey's test-retest reliability.
Main Results:
- Identified 38 expectation categories, including pain relief, range of motion, and functional improvements.
- Expectations varied based on demographics, diagnosis, and functional status.
- The final 17-item survey demonstrated good reliability (kappa >or= 0.60 for 71% of items).
Conclusions:
- The Hospital for Special Surgery Shoulder Surgery Expectations Survey is a validated, brief tool for clinical use.
- It facilitates understanding patient perspectives and guides discussions on realistic surgical goals.
- The survey aids in postoperative outcome assessment by providing a shared record for patients and surgeons.