Patient Factors Associated With Higher Expectations From Foot and Ankle Surgery

Cody, Elizabeth; Mancuso, Carol A.; Burket, Jayme C.; Marinescu, Anca; MacMahon, Aoife; Ellis, Scott J.; Foot, Hss Orthopaedic

doi:10.1177/1071100717690807

Cited by 32 publications

(40 citation statements)

References 22 publications

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“…Previous literature has consistently shown that patients with active depression or anxiety have higher levels of pain, greater expectations, and poorer outcomes than those who do not. 35 36 37 38 Interpretation of these results is difficult. It may be that some patients are more aware of their retained implants.…”

Section: Discussionmentioning

confidence: 99%

Improvement in Functional Outcomes After Elective Symptomatic Orthopaedic Implant Removal

et al. 2020

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Introduction: The relative indications for removing symptomatic implants after osseous healing are not fully agreed on. The purpose of this study was to (1) determine whether patients showed improvement in functional outcomes after the removal of symptomatic orthopaedic implants, (2) compare the outcomes between upper and lower extremity implant removal, and (3) determine the rate of implant removal complications. Methods: A prospective study was conducted between 2013 and 2016. Patients completed a Short Musculoskeletal Function Assessment outcome questionnaire before implant removal and at the 6-month follow-up. Demographic data were stratified and compared between upper and lower extremity groups and between preimplant removal and 6-month postremoval. Results: Of the 119 patients included in the study, 85 (71.4%) were lower extremity and 34 (28.6%) were upper extremity. Significant improvement after implant removal was seen in the dysfunction index ( P ≤ 0.001), bother index ( P ≤ 0.001), and daily activities domain ( P ≤ 0.001). Depression or anxiety ( P = 0.016) were statistically significant predictors for an improved Short Musculoskeletal Function Assessment dysfunction index score at 6 months. The complication rate was 10.1% (n=12) for the cohort. Discussion: Implant removal in both the upper and lower extremity presented notable improvement in dysfunction. Complications that require surgical intervention are extremely rare.

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Section: Discussionmentioning

confidence: 99%

Improvement in Functional Outcomes After Elective Symptomatic Orthopaedic Implant Removal

et al. 2020

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“…Future studies should address the need to use and study scores that are not limited just to the functionality of the foot. Despite the fact that the SF-36 has been widely used to determine general quality of life related to foot disorders [43,44,45], the short form (SF)-12 score has also been used to compare general health-related QoL outcomes after foot and ankle interventions [46,47,48]. Nevertheless, we used the SF-36, since Section 2 of the FHSQ was initially adapted from the SF-36, and this study was necessary in order to correlate both domains [10,18,19,20,21].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the used consecutive sampling method may present a bias, and a randomized sampling should be used in future studies. According to our prior affirmations, we used the SF-36, but the SF-12 should be correlated with the FHSQ in futures studies, because SF-12 may be considered a reliable and summarized questionnaire of the SF-36, and has been widely used to evaluate the health-related QoL of patients with foot and ankle disorders [46,47,48]. Finally, the impact of the correlation between the different foot pathologies, including different congenital and acquired or traumatic disorders and degenerative pathologies, was not analyzed in the present study, because our sample was not balanced enough to carry out these comparisons.…”

Section: Discussionmentioning

confidence: 99%

Concurrent Validity of the Foot Health Status Questionnaire and Study Short Form 36 for Measuring the Health-Related Quality of Life in Patients with Foot Problems

Palomo‐López

López‐López

Becerro-de-Bengoa-Vallejo

et al. 2019

Medicina

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Background and Objectives: Foot problems may be considered to be a prevalent condition and impact the health-related quality of life (QoL). Considering these Spanish-validated tools, the Foot Health Status questionnaire (FHSQ) may provide a health-related QoL measurement for specific foot conditions and general status. To date, the domains of the FHSQ and Medical Outcomes Study Short Form 36 (SF-36) have not been correlated. Therefore, the main aim of this study was to correlate the domains of the FHSQ and SF-36 in patients with foot problems. Materials and Methods: A cross-sectional descriptive study was carried out. A sample of 101 patients with foot problems was recruited. A single researcher collected descriptive data, and outcome measurements (FHSQ and SF-36) were self-reported. Results: Spearman’s correlation coefficients (rs) were calculated and categorized as weak (rs = 0.00–0.40), moderate (rs = 0.41–0.69), or strong (rs = 0.70–1.00). In all analyses, statistical significance was considered with a p-value < 0.01 with a 99% confidence interval. Statistically significant differences (p < 0.01) were found between all domains of FHSQ and SF-36, except for the mental health domain of the SF-36 with foot pain, foot function, and general foot health of the FHSQ, as well as between the vitality domain of the SF-36 and the general foot health domain of the FHSQ (p > 0.01). Statistically significant correlations varied from week to strong (rs = 0.25–0.97). The strongest correlations (p < 0.001) were found for physical activity and physical function (rs = 0.94), vigor and vitality (rs = 0.89), social capacity and social function (rs = 0.97), and general health domains of the SF-36 and FHSQ. Conclusions: The FHSQ and SF-36 showed an adequate concurrent validity, especially for the physical activity or function, vigor or vitality, social capacity or function, and general health domains. Nevertheless, the mental health domain of the SF-36 should be considered with caution.

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“…23 Studies note that patients frequently define success based on explicit expectations discussed with the surgeon, as well as implicit assumptions not discussed with the surgeon. 4,17,22 Concordance of PASS "yes" and "success" is expected when patient symptoms are "livable" and they consider that the surgery meets expectations. Concordance of PASS "no" and "failure" is expected when symptoms and functional limitations persist.…”

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confidence: 99%

Determining Success or Failure After Foot and Ankle Surgery Using Patient Acceptable Symptom State (PASS) and Patient Reported Outcome Information System (PROMIS)

et al. 2018

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Patient Factors Associated With Higher Expectations From Foot and Ankle Surgery

Abstract: Level II, cross sectional study.

Cited by 32 publications

References 22 publications

Improvement in Functional Outcomes After Elective Symptomatic Orthopaedic Implant Removal

Improvement in Functional Outcomes After Elective Symptomatic Orthopaedic Implant Removal

Concurrent Validity of the Foot Health Status Questionnaire and Study Short Form 36 for Measuring the Health-Related Quality of Life in Patients with Foot Problems

Determining Success or Failure After Foot and Ankle Surgery Using Patient Acceptable Symptom State (PASS) and Patient Reported Outcome Information System (PROMIS)

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