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Patient expectations and satisfaction in hand surgery: A new assessment approach through a valid and reliable survey questionnaire

INTRODUCTION: Assessing patient expectations in orthopaedic surgery has gained significant importance over time. However, there have been only a few studies on how to measure such expectations in hand surgery. Against the backdrop, the study was designed to develop a valid and reliable expectations...

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Autores principales: Choi, Shin Woo, Bae, Joo-Yul, Shin, Young Ho, Jung, Young Joo, Park, Ha Sung, Kim, Jae Kwang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9767329/
https://www.ncbi.nlm.nih.gov/pubmed/36538507
http://dx.doi.org/10.1371/journal.pone.0279341
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author Choi, Shin Woo
Bae, Joo-Yul
Shin, Young Ho
Jung, Young Joo
Park, Ha Sung
Kim, Jae Kwang
author_facet Choi, Shin Woo
Bae, Joo-Yul
Shin, Young Ho
Jung, Young Joo
Park, Ha Sung
Kim, Jae Kwang
author_sort Choi, Shin Woo
collection PubMed
description INTRODUCTION: Assessing patient expectations in orthopaedic surgery has gained significant importance over time. However, there have been only a few studies on how to measure such expectations in hand surgery. Against the backdrop, the study was designed to develop a valid and reliable expectations survey for patients undergoing hand surgery and to identify the correlations between preoperative expectations and postoperative satisfaction. MATERIALS AND METHODS: This is a three-phase prospective cohort study. In the first phase of the study (146 patients), patient expectations were assessed while developing a draft questionnaire based on frequency and clinical relevance. In the second phase (154 patients newly included), test-retest reliability was measured to ensure test consistency. The Intraclass Correlation Coefficient (ICC) served as a basis for developing the final survey questionnaire. In the third phase, we followed up with patients, who completed the preoperative expectations survey, 3 months after surgery to assess the fulfillment of their expectations. The Pearson correlation method was used to measure the association between preoperative expectations and postoperative satisfaction. RESULTS: In the first phase, 146 patients shared 406 different expectations, which were grouped into nine categories. Then, in the second phase, the final survey was populated by questionnaire items under respective category that have revealed strong test-retest reliability (ICC of 0.91). A significant positive correlation between patient expectations and satisfaction was observed (R = 0.181, p = 0.034). CONCLUSION: The survey was designed to offer a valid and reliable approach for the comprehensive assessment of patient expectations in hand surgery. The survey results show that patients with high expectations tend to be more satisfied with surgical outcomes. It is strongly believed that this approach would serve as a useful tool at a time when patient perspective is taken into account increasingly more in the clinical practice.
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spelling pubmed-97673292022-12-21 Patient expectations and satisfaction in hand surgery: A new assessment approach through a valid and reliable survey questionnaire Choi, Shin Woo Bae, Joo-Yul Shin, Young Ho Jung, Young Joo Park, Ha Sung Kim, Jae Kwang PLoS One Research Article INTRODUCTION: Assessing patient expectations in orthopaedic surgery has gained significant importance over time. However, there have been only a few studies on how to measure such expectations in hand surgery. Against the backdrop, the study was designed to develop a valid and reliable expectations survey for patients undergoing hand surgery and to identify the correlations between preoperative expectations and postoperative satisfaction. MATERIALS AND METHODS: This is a three-phase prospective cohort study. In the first phase of the study (146 patients), patient expectations were assessed while developing a draft questionnaire based on frequency and clinical relevance. In the second phase (154 patients newly included), test-retest reliability was measured to ensure test consistency. The Intraclass Correlation Coefficient (ICC) served as a basis for developing the final survey questionnaire. In the third phase, we followed up with patients, who completed the preoperative expectations survey, 3 months after surgery to assess the fulfillment of their expectations. The Pearson correlation method was used to measure the association between preoperative expectations and postoperative satisfaction. RESULTS: In the first phase, 146 patients shared 406 different expectations, which were grouped into nine categories. Then, in the second phase, the final survey was populated by questionnaire items under respective category that have revealed strong test-retest reliability (ICC of 0.91). A significant positive correlation between patient expectations and satisfaction was observed (R = 0.181, p = 0.034). CONCLUSION: The survey was designed to offer a valid and reliable approach for the comprehensive assessment of patient expectations in hand surgery. The survey results show that patients with high expectations tend to be more satisfied with surgical outcomes. It is strongly believed that this approach would serve as a useful tool at a time when patient perspective is taken into account increasingly more in the clinical practice. Public Library of Science 2022-12-20 /pmc/articles/PMC9767329/ /pubmed/36538507 http://dx.doi.org/10.1371/journal.pone.0279341 Text en © 2022 Choi et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Choi, Shin Woo
Bae, Joo-Yul
Shin, Young Ho
Jung, Young Joo
Park, Ha Sung
Kim, Jae Kwang
Patient expectations and satisfaction in hand surgery: A new assessment approach through a valid and reliable survey questionnaire
title Patient expectations and satisfaction in hand surgery: A new assessment approach through a valid and reliable survey questionnaire
title_full Patient expectations and satisfaction in hand surgery: A new assessment approach through a valid and reliable survey questionnaire
title_fullStr Patient expectations and satisfaction in hand surgery: A new assessment approach through a valid and reliable survey questionnaire
title_full_unstemmed Patient expectations and satisfaction in hand surgery: A new assessment approach through a valid and reliable survey questionnaire
title_short Patient expectations and satisfaction in hand surgery: A new assessment approach through a valid and reliable survey questionnaire
title_sort patient expectations and satisfaction in hand surgery: a new assessment approach through a valid and reliable survey questionnaire
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9767329/
https://www.ncbi.nlm.nih.gov/pubmed/36538507
http://dx.doi.org/10.1371/journal.pone.0279341
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