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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 11/2013

01-11-2013 | Symposium: ABJS Carl T. Brighton Workshop on Outcome Measures

Measuring Expectations in Orthopaedic Surgery: A Systematic Review

Authors: Michael G. Zywiel, MD, Anisah Mahomed, Rajiv Gandhi, MSc, MD, Anthony V. Perruccio, PhD, Nizar N. Mahomed, MD, ScD

Published in: Clinical Orthopaedics and Related Research® | Issue 11/2013

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Abstract

Background

Advances in the surgical treatment of musculoskeletal conditions have resulted in an interest in better defining and understanding patients’ expectations of these procedures, but the best ways to do this remain a topic of considerable debate.

Questions/purposes

(1) What validated instruments for the assessment of patient expectations of orthopaedic surgery have been used in published studies to date? (2) How were these expectation measures developed and validated? (3) What unvalidated instruments for the assessment of patient expectations have been used in published studies to date?

Methods

A systematic literature search was performed using the OVID Medline and EMBASE databases, in duplicate, to identify all studies that assessed patient expectations in orthopaedic surgery. Sixty-six studies were ultimately included in the present review.

Results

Seven validated expectation instruments were identified, all of which use patient-reported questionnaires. Five were specific to a particular procedure or affected anatomic location, whereas two were broadly applicable. Details of reliability and validity testing were available for all but one of these instruments. Forty additional unvalidated expectation assessment tools were identified. Thirteen were based on existing clinical outcome tools, and the others were study-specific, custom-developed tools. Only one of the unvalidated tools was used in more than one study.

Conclusions

Several validated expectation instruments have been developed for use by patients undergoing orthopaedic surgery. However, many tools have been reported without evidence of testing and validation. The wide range of untested instruments used in single studies substantially limits the interpretation and comparison of data concerning patient expectations.
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Metadata
Title
Measuring Expectations in Orthopaedic Surgery: A Systematic Review
Authors
Michael G. Zywiel, MD
Anisah Mahomed
Rajiv Gandhi, MSc, MD
Anthony V. Perruccio, PhD
Nizar N. Mahomed, MD, ScD
Publication date
01-11-2013
Publisher
Springer US
Published in
Clinical Orthopaedics and Related Research® / Issue 11/2013
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-013-3013-8

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