Patient expectations, outcomes and satisfaction : related, relevant or redundant?

Licina, Paul, Johnston, Michelle M, Ewing, Laura, & Pearcy, Mark J. (2012) Patient expectations, outcomes and satisfaction : related, relevant or redundant? Evidence-Based Spinecare Journal, 3(4), pp. 13-19.

Abstract

Abstract Study design: A prospective investigation of patients undergoing lumbar spine surgery. Objective:
Is there a correlation between patient’s expectations before lumbar surgery, postoperative outcomes and satisfaction levels? Methods: A prospective study of 145 patients undergoing primary, single-level surgery for degenerative lumbar conditions was conducted. Oswestry Disability Index (ODI), back visual analogue scale (VAS) and leg VAS were assessed pre-operatively and at 6 weeks and 6 months post-surgery. Patients’ expectations were measured pre-operatively by asking them to score the level of pain and disability that would be least acceptable for them to undergo surgery and be satisfied. Satisfaction was assessed six weeks post-operatively with a Likert scale. Differences in patient expectations between actual and expected improvements were quantified. Results: Most patients had a clinically relevant improvement, but only about half achieved their expectation. Satisfaction did not correlate with pre-operative pain or disability, or with patient expectation of improvement. Instead, satisfaction correlated with positive outcomes. Conclusions Patient expectations have little bearing on final outcome and satisfaction.

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ID Code: 55149
Item Type: Journal Article
Refereed: Yes
Keywords: degenerative lumbar, patient satisfaction, outcomes, expectations
ISSN: 1633-7976
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2012 Thieme Medical Publishers
Deposited On: 13 Feb 2013 01:09
Last Modified: 21 Mar 2013 13:40

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