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Patient Likelihood to Repeat Surgery After Highly "Successful" Hand Procedures.
Justin P Chan1, Daniel A London2, Orrin Franko3
1University of California, Irvine, USA.
Summary
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.
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.
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