Expectations and Outcomes in Cataract Surgery

Abstract

Objectives: To document patients' preoperative expectations for postoperative outcomes. To measure the relative contribution of patient understanding, expectations, outcome, and expectation-outcome discrepancy in determining patient satisfaction.

The role of patient expectations in predicting outcome after total knee arthroplasty

“…Interestingly, and in contrast to some previous studies [4,5,20], the variable describing the fulfilment of expectations for pain (expectations- actuality discrepancy) did not achieve significance in the multivariable model, even though it had shown a significant correlation with both global outcome and satisfaction in the bivariate analyses ( r = 0.3 to 0.5, P < 0.05). This was most probably the result of the high correlations between pain/functional limitations at the 2-year follow-up and the fulfilment of expectations in these domains ( r = 0.8 to 0.9; Table 3), leading to just one of these two variables retaining significance in the given multivariable model.…”

The role of patient expectations in predicting outcome after total knee arthroplasty

“…Interestingly, and in contrast to some previous studies [4,5,20], the variable describing the fulfilment of expectations for pain (expectations- actuality discrepancy) did not achieve significance in the multivariable model, even though it had shown a significant correlation with both global outcome and satisfaction in the bivariate analyses ( r = 0.3 to 0.5, P < 0.05). This was most probably the result of the high correlations between pain/functional limitations at the 2-year follow-up and the fulfilment of expectations in these domains ( r = 0.8 to 0.9; Table 3), leading to just one of these two variables retaining significance in the given multivariable model.…”

The impact of expectation on patient-rated global effectiveness of total hip arthroplasty

“…The achievement of preoperative expectations concerning walking ability, independence in everyday life and general function predicted the patient-perceived effectiveness of THA. This supports the repeatedly shown notion that it is not the level of expectations themselves that determine therapeutic outcome, but rather the fulfillment of patients' expectations (Kravitz 1996;Pager 2004;Saban and Penckofer 2007;Palazzo et al 2014). Hamilton et al also (2013) found patient satisfaction to be dependent on pain relief, satisfaction with the hospital staff, perceived pain, functional ability and on meeting the patient's expectations.…”

Visual function and spectacle independence after cataract surgery: Bilateral diffractive multifocal intraocular lenses versus monovision pseudophakia

“…[3][4][5][6] This success has led to an increase in the number of patients having cataract surgery and, as a result, very high functional expectations. 7,8 In the current study, visual acuity, especially uncorrected, and all major items of visual function were better 3 months postoperatively than preoperatively in patients with bilateral diffractive multifocal IOLs and in patients with pseudophakic monovision. The improvement in binocular uncorrected acuity was significant in both groups.…”

The role of patient expectations in predicting outcome after total knee arthroplasty

“…Interestingly, and in contrast to some previous studies [4,5,20], the variable describing the fulfilment of expectations for pain (expectations- actuality discrepancy) did not achieve significance in the multivariable model, even though it had shown a significant correlation with both global outcome and satisfaction in the bivariate analyses ( r = 0.3 to 0.5, P < 0.05). This was most probably the result of the high correlations between pain/functional limitations at the 2-year follow-up and the fulfilment of expectations in these domains ( r = 0.8 to 0.9; Table 3), leading to just one of these two variables retaining significance in the given multivariable model.…”

The impact of expectation on patient-rated global effectiveness of total hip arthroplasty

“…The achievement of preoperative expectations concerning walking ability, independence in everyday life and general function predicted the patient-perceived effectiveness of THA. This supports the repeatedly shown notion that it is not the level of expectations themselves that determine therapeutic outcome, but rather the fulfillment of patients' expectations (Kravitz 1996;Pager 2004;Saban and Penckofer 2007;Palazzo et al 2014). Hamilton et al also (2013) found patient satisfaction to be dependent on pain relief, satisfaction with the hospital staff, perceived pain, functional ability and on meeting the patient's expectations.…”

Visual function and spectacle independence after cataract surgery: Bilateral diffractive multifocal intraocular lenses versus monovision pseudophakia

“…[3][4][5][6] This success has led to an increase in the number of patients having cataract surgery and, as a result, very high functional expectations. 7,8 In the current study, visual acuity, especially uncorrected, and all major items of visual function were better 3 months postoperatively than preoperatively in patients with bilateral diffractive multifocal IOLs and in patients with pseudophakic monovision. The improvement in binocular uncorrected acuity was significant in both groups.…”

The role of patient expectations in predicting outcome after total knee arthroplasty

“…Interestingly, and in contrast to some previous studies [4,5,20], the variable describing the fulfilment of expectations for pain (expectations- actuality discrepancy) did not achieve significance in the multivariable model, even though it had shown a significant correlation with both global outcome and satisfaction in the bivariate analyses ( r = 0.3 to 0.5, P < 0.05). This was most probably the result of the high correlations between pain/functional limitations at the 2-year follow-up and the fulfilment of expectations in these domains ( r = 0.8 to 0.9; Table 3), leading to just one of these two variables retaining significance in the given multivariable model.…”

The impact of expectation on patient-rated global effectiveness of total hip arthroplasty

“…The achievement of preoperative expectations concerning walking ability, independence in everyday life and general function predicted the patient-perceived effectiveness of THA. This supports the repeatedly shown notion that it is not the level of expectations themselves that determine therapeutic outcome, but rather the fulfillment of patients' expectations (Kravitz 1996;Pager 2004;Saban and Penckofer 2007;Palazzo et al 2014). Hamilton et al also (2013) found patient satisfaction to be dependent on pain relief, satisfaction with the hospital staff, perceived pain, functional ability and on meeting the patient's expectations.…”

Visual function and spectacle independence after cataract surgery: Bilateral diffractive multifocal intraocular lenses versus monovision pseudophakia

“…[3][4][5][6] This success has led to an increase in the number of patients having cataract surgery and, as a result, very high functional expectations. 7,8 In the current study, visual acuity, especially uncorrected, and all major items of visual function were better 3 months postoperatively than preoperatively in patients with bilateral diffractive multifocal IOLs and in patients with pseudophakic monovision. The improvement in binocular uncorrected acuity was significant in both groups.…”