手术前预期不能独立预测手和手腕手术后两年患者报告的结果
Brandon Leon1, Samir Kaveeshwar1, Yanni Kevas1
1Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD.
Journal of hand surgery global online
|June 17, 2025
概括
手和手腕手术前患者的期望与结果相关,但不能独立预测结果. 这项研究分析了253名患者,以了解术前期望和2年后患者报告的结果之间的关系.
科学领域:
- 整形外科手术 整形外科手术
- 患者报告的研究结果研究结果
- 肌肉骨健康 肌肉骨健康
背景情况:
- 手术前的预期对于患者的满意度和手术后的结果至关重要.
- 了解影响患者报告结果 (PROs) 的因素对于改善外科护理至关重要.
- 手和手腕手术往往涉及到重要的功能和生活质量影响.
研究的目的:
- 调查手和手腕手术患者的手术前期望和2年PRO之间的关系.
- 确定手术前的预期是否能够预测长期的手术预期.
- 在这个患者队列中确定与手术前期望相关的因素.
主要方法:
- 预计将253名患者纳入骨科注册册册.
- 使用肌肉骨结局数据评估和管理系统测量手术前期望.
- 多个PRO的评估,包括PROMIS领域和简短的密歇根手术问卷,在基线和手术后2年.
主要成果:
- 患者通常报告了高的手术前期望.
- 更糟糕的手术前期望与吸烟,法律索赔,之前的手术和较差的基线身体功能,疲劳和焦虑有关.
- 虽然双变量分析显示了更高的期望和更好的两年结果之间的关联,但多变量分析发现没有独立的预测价值.
结论:
- 手术前的预期与手和手腕手术患者报告的2年结果有关.
- 这些预期在控制其他变量时不能独立预测长期结果.
- 进一步的研究可能会探索这种关联背后的机制及其临床影响.
关键词:
在手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术一个承诺,一个承诺.患者的期望 患者的期望患者报告的结果.相关概念视频
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