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Many patients would not repeat common hand surgeries, despite high reported success rates. This study highlights the need for improved patient expectation management by hand surgeons regarding surgical outcomes.

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Area of Science:

  • Hand surgery outcomes research
  • Patient-reported outcome measures
  • Surgical registry analysis

Background:

  • Classic literature suggests high success and low complication rates for routine hand procedures.
  • Contemporary data on patient willingness to repeat hand surgery is lacking.
  • A prospective hand surgery registry was used to assess patient satisfaction.

Purpose of the Study:

  • To evaluate the proportion of patients willing to repeat common hand surgeries.
  • To analyze patient willingness to repeat surgery across nine distinct hand procedures.

Main Methods:

  • A prospective hand surgery registry was utilized.
  • Postoperative patient likelihood to repeat surgery was collected.
  • Data were analyzed for 1905 patients across nine common hand procedures at 12, 24, or 52 weeks.

Main Results:

  • The average patient willingness to repeat surgery across all procedures was 81.6%.
  • Willingness to repeat surgery varied by diagnosis, ranging from 51.9% for ulnar nerve surgery at the elbow to 87.5% for endoscopic carpal tunnel release.

Conclusions:

  • A significant percentage of patients would decline repeating routine hand procedures.
  • Hand surgeons should improve preoperative counseling to set realistic patient expectations.