Resilience as a Predictor of Patient Satisfaction With Nonopioid Pain Management and Patient-Reported Outcome Measures After Knee Arthroscopy

2020 ◽  
Vol 36 (8) ◽  
pp. 2195-2201 ◽  
Author(s):  
Tyler J. Chavez ◽  
Kirsten D. Garvey ◽  
Jamie E. Collins ◽  
Natalie A. Lowenstein ◽  
Elizabeth G. Matzkin
Keyword(s):  
Patient Satisfaction ◽  
Pain Management ◽  
Outcome Measures ◽  
Knee Arthroscopy ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Patient Reported

scholarly journals Predictors of Pain and Function Before Knee Arthroscopy

2019 ◽  
Vol 7 (5) ◽  
pp. 232596711984426 ◽  
Author(s):  
◽  
Matthew C. Bessette ◽  
Robert W. Westermann ◽  
Alan Davis ◽  
Lutul Farrow ◽  
...  
Keyword(s):  
Mental Health ◽  
Outcome Measures ◽  
Knee Arthroscopy ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Education Level ◽  
Smoking History ◽  
Female Sex ◽  
Patient Reported ◽  
Surgical Data

Background: Patient-reported outcome measures are commonly used to measure knee pain and functional impairment. When structural abnormality is identified on examination and imaging, arthroscopic partial meniscectomy and chondroplasty are commonly indicated for treatment in the setting of pain and decreased function. Purpose: To evaluate the relationship between patient characteristics, mental health, intraoperative findings, and patient-reported outcome measures at the time of knee arthroscopy. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Between February 2015 and October 2016, patients aged 40 years and older who were undergoing routine knee arthroscopy for meniscal and cartilage abnormality, without reconstructive or restorative procedures, were prospectively enrolled in this study. Routine demographic information was collected, and the Knee injury and Osteoarthritis Outcome Score (KOOS) Pain, Quality of Life (QoL), and Physical Function Short Form (PS) subscales and the mental and physical component subscales of the Veterans RAND 12-Item Health Survey (VR-12 MCS and VR-12 PCS) were administered preoperatively on the day of surgery. Intraoperative findings were collected in a standardized format. Patient demographics, intraoperative findings, and the VR-12 MCS were used as predictor values, and a multivariate analysis was conducted to assess for relationships with the KOOS and VR-12 as dependent variables. Results: Of 661 eligible patients, baseline patient-reported outcomes and surgical data were used for 638 patients (97%). Lower scores on both subscales of the VR-12 were predicted by female sex, positive smoking history, fewer years of education, and higher body mass index (BMI). All KOOS subscales were negatively affected by lower VR-12 MCS scores, female sex, lower education level, and higher BMI in a statistically meaningful way. Positive smoking history was associated with worse scores on the KOOS-PS. Abnormal synovial status was associated with worse KOOS-Pain. Conclusion: The demographic factors of sex, smoking status, BMI, and education level had an overwhelming impact on preoperative KOOS and VR-12 scores. Of interest, mental health as assessed by the VR-12 MCS was also a consistent predictor of KOOS scores. The only intraoperative finding with a significant association was abnormal synovial status and its effect on KOOS-Pain scores.

Patient-Reported Outcome Measures are not a Valid Proxy for Patient Satisfaction in Total Joint Arthroplasty

2020 ◽  
Vol 35 (2) ◽  
pp. 335-339 ◽  
Author(s):  
Mohamad J. Halawi ◽  
Walter Jongbloed ◽  
Samuel Baron ◽  
Lawrence Savoy ◽  
Mark P. Cote ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Outcome Measures ◽  
Total Joint Arthroplasty ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Joint Arthroplasty ◽  
Patient Reported

scholarly journals Impact of preoperative diagnosis on patient satisfaction following lumbar spine surgery

2017 ◽  
Vol 26 (6) ◽  
pp. 709-715 ◽  
Author(s):  
Charles H. Crawford ◽  
Leah Y. Carreon ◽  
Mohamad Bydon ◽  
Anthony L. Asher ◽  
Steven D. Glassman
Keyword(s):  
Patient Satisfaction ◽  
Outcome Measures ◽  
Spine Surgery ◽  
Disc Herniation ◽  
Preoperative Diagnosis ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Adjacent Segment Degeneration ◽  
Adjacent Segment ◽  
Patient Reported

OBJECTIVEPatient satisfaction is a commonly used metric in the current health care environment. While factors that affect patient satisfaction following spine surgery are complex, the authors of this study hypothesized that specific diagnostic groups of patients are more likely to be satisfied after spine surgery and that this is reflected in patient-reported outcome measures. The purpose of this study was to determine if the preoperative diagnosis—disc herniation, stenosis, spondylolisthesis, adjacent segment degeneration, or mechanical disc collapse—would impact patient satisfaction following surgery.METHODSPatients enrolled in the Quality Outcomes Database, formerly known as the National Neurosurgery Quality and Outcomes Database (N2QOD), completed patient-reported outcome measures, including the Oswestry Disability Index (ODI) and Numeric Rating Scale (NRS) for back pain (NRS-BP) and leg pain (NRS-LP) preoperatively and 1-year postoperatively. Patients were stratified by diagnosis and by their response to the satisfaction question: 1) surgery met my expectations; 2) I did not improve as much as I hoped, but I would undergo the same operation for the same results; 3) surgery helped, but I would not undergo the same operation for the same results; or 4) I am the same or worse as compared with before surgery.RESULTSA greater proportion of patients with primary disc herniation or spondylolisthesis reported that surgery met expectations (66% and 67%, respectively), followed by recurrent disc herniation and stenosis (59% and 60%, respectively). A smaller proportion of patients who underwent surgery for adjacent segment degeneration or mechanical disc collapse had their expectations met (48% and 41%, respectively). The percentage of patients that would undergo the same surgery again, by diagnostic group, was as follows: disc herniation 88%, recurrent disc herniation 79%, spondylolisthesis 86%, stenosis 82%, adjacent segment disease 75%, and mechanical collapse 73%. Regardless of diagnosis, mean improvement and ultimate 1-year postoperative ODI, NRS-BP, and NRS-LP reflected patient satisfaction.CONCLUSIONSPreoperative diagnosis was predictive of patient satisfaction following spine surgery. The mean change in and 1-year ODI, NRS-BP, and NRS-LP reflected patient satisfaction regardless of preoperative diagnosis.

Patient Satisfaction with Collection of Patient-Reported Outcome Measures in Routine Care

2016 ◽  
Vol 34 (2) ◽  
pp. 452-465 ◽  
Author(s):  
Pablo F. Recinos ◽  
Cheryl J. Dunphy ◽  
Nicolas Thompson ◽  
Jesse Schuschu ◽  
John L. Urchek ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Outcome Measures ◽  
Patient Reported Outcome Measures ◽  
Routine Care ◽  
Patient Reported Outcome ◽  
Patient Reported

scholarly journals Subtalar arthroereisis for the treatment of the symptomatic paediatric flexible pes planus: a systematic review

2021 ◽  
Vol 6 (2) ◽  
pp. 118-129
Author(s):  
Christian Smith ◽  
Razi Zaidi ◽  
Jagmeet Bhamra ◽  
Anna Bridgens ◽  
Caesar Wek ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Outcome Measures ◽  
Patient Reported Outcome Measures ◽  
Reoperation Rate ◽  
Patient Reported Outcome ◽  
Pes Planus ◽  
Patient Reported ◽  
Subtalar Arthroereisis ◽  
Radiological Measurements ◽  
Satisfaction Rates

Subtalar arthroereisis has a controversial history and has previously been associated with high failure rates and excessive complications. A database search for outcomes of arthroereisis for the treatment of symptomatic paediatric flexible pes planus provided 24 articles which were included in this review, with a total of 2550 feet operated on. Post-operative patient-reported outcome measures recorded marked improvement. Patient satisfaction was reported as excellent in 79.9%, and poor in 5.3%. All radiological measurements demonstrated improvement towards the normal range following arthroereisis, as did hindfoot valgus, supination, dorsiflexion and Viladot grade. Complications were reported in 7.1% of cases, with a reoperation rate of 3.1%. Arthroereisis as a treatment for symptomatic paediatric flexible pes planus produces favourable outcomes and high patient satisfaction rates with a reasonable risk profile. There is still a great deal of negativity and literature highlighting the complications and failures of arthroereisis, especially for older implants. The biggest flaws in the collective literature are the lack of high-quality prospective studies, a paucity of long-term data and the heterogeneity of utilized outcome measures between studies. Cite this article: EFORT Open Rev 2021;6:118-129. DOI: 10.1302/2058-5241.6.200076

Patient-reported outcome measures: The importance of patient satisfaction in surgery

Surgery ◽  
2009 ◽  
Vol 146 (3) ◽  
pp. 435-443 ◽  
Author(s):  
Andre Chow ◽  
Erik K. Mayer ◽  
Ara W. Darzi ◽  
Thanos Athanasiou
Keyword(s):  
Patient Satisfaction ◽  
Outcome Measures ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Patient Reported
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