Fulfillment of Expectations After Orthopedic Foot and Ankle Surgery

Foot & Ankle International
Jensen K HenryScott J Ellis

Abstract

To date, no study has assessed fulfillment of patients' expectations after foot and ankle surgery. This study aimed to validate a method of assessing expectation fulfillment in foot/ankle patients postoperatively. Preoperatively, patients completed the expectations survey, consisting of 23 questions for domains including pain, ambulation, daily function, exercise, and shoe wear. At 2 years postoperatively, patients answered how much improvement they received for each item cited preoperatively. A fulfillment proportion (FP) was calculated as the amount of improvement received versus the amount of improvement expected. The FP ranges from 0 (no expectations fulfilled), to between 0 and 1 (expectations partially fulfilled), to 1 (expectations met), to greater than 1 (expectations surpassed). Receiver operating characteristic (ROC) curves and areas under the curve (AUCs) with 95% confidence intervals (CIs) were used to compare the expectations survey to other outcome surveys, including Foot and Ankle Outcome Score, improvement, overall fulfillment, Delighted-Terrible scale, and satisfaction. Of the 271 patients (mean age 55.4 years, mean BMI 27.5, 65% female), 34% had expectations surpassed (FP >1), 4% had expectations met, 58% had ...Continue Reading

References

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Citations

Jul 15, 2020·Foot & Ankle International·Aoife MacMahonScott J Ellis
Feb 10, 2021·Foot & Ankle International·Omar A Al-MohrejThamer S Alhussainan
Nov 1, 2020·The Journal of Arthroplasty·Patawut BovonratwetEdwin P Su
Mar 27, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Nihar S ShahRichard Laughlin
Mar 31, 2021·The Journal of Bone and Joint Surgery. American Volume·Mansur M HalaiTimothy R Daniels
Jun 19, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Jensen K HenryScott Ellis

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