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

<h4>Introduction</h4>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 rel...

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Main Authors: Shin Woo Choi, Joo-Yul Bae, Young Ho Shin, Young Joo Jung, Ha Sung Park, Jae Kwang Kim
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0279341
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author Shin Woo Choi
Joo-Yul Bae
Young Ho Shin
Young Joo Jung
Ha Sung Park
Jae Kwang Kim
author_facet Shin Woo Choi
Joo-Yul Bae
Young Ho Shin
Young Joo Jung
Ha Sung Park
Jae Kwang Kim
author_sort Shin Woo Choi
collection DOAJ
description <h4>Introduction</h4>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.<h4>Materials and methods</h4>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.<h4>Results</h4>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).<h4>Conclusion</h4>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 doaj.art-eeec6cc7b3d042068c1f2742c91739622022-12-31T05:31:51ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011712e027934110.1371/journal.pone.0279341Patient expectations and satisfaction in hand surgery: A new assessment approach through a valid and reliable survey questionnaire.Shin Woo ChoiJoo-Yul BaeYoung Ho ShinYoung Joo JungHa Sung ParkJae Kwang Kim<h4>Introduction</h4>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.<h4>Materials and methods</h4>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.<h4>Results</h4>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).<h4>Conclusion</h4>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.https://doi.org/10.1371/journal.pone.0279341
spellingShingle Shin Woo Choi
Joo-Yul Bae
Young Ho Shin
Young Joo Jung
Ha Sung Park
Jae Kwang Kim
Patient expectations and satisfaction in hand surgery: A new assessment approach through a valid and reliable survey questionnaire.
PLoS ONE
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
url https://doi.org/10.1371/journal.pone.0279341
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