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Patient Expectations for Symptomatic Improvement before Cubital Tunnel Release
Miranda J Rogers1, Chinelo C Agwuncha2, Nikolas H Kazmers1
1Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah.
Plastic and Reconstructive Surgery. Global Open
|March 10, 2022
Summary
Patient expectations before cubital tunnel release (CuTR) surgery vary, with about half anticipating great relief. Insurance status significantly impacts these expectations, highlighting a need for better patient education regarding potential outcomes.
Area of Science:
- Orthopedic Surgery
- Patient Outcomes Research
Background:
- Cubital tunnel release (CuTR) is a common surgical procedure.
- Incomplete symptom resolution is a frequent outcome for many patients undergoing CuTR.
- Preoperative patient expectations for CuTR outcomes are not well understood.
Purpose of the Study:
- To describe preoperative patient expectations before cubital tunnel release (CuTR).
- To identify factors influencing patient expectations for CuTR outcomes.
Main Methods:
- A cohort of 92 patients undergoing isolated unilateral CuTR between 2015 and 2021 was analyzed.
- Preoperative surveys queried patient expectations for symptomatic improvement.
- Univariate and multivariable logistic regression identified factors associated with expecting great improvement.
Main Results:
- 47% of patients expected great improvement after CuTR; 29% expected some improvement.
- Retired/unemployed/disabled status and commercial insurance were linked to lower expectations.
- Factors like surgeon, technique, revision status, or preoperative symptoms did not significantly affect expectations.
Conclusions:
- Approximately half of patients expect significant relief from CuTR, while a third anticipate lesser benefits.
- Insurance status (Medicaid/Medicare) correlates with higher expectations, suggesting an educational opportunity.
- While certain factors don't alter expectations, they influence outcomes, indicating a need to align patient-surgeon expectations for better results.
