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Factors associated with patient satisfaction with foot and ankle surgery in a large prospective study.
Dawson J, Boller I, Doll H, Lavis G, Sharp RJ, Cooke P, Jenkinson C. Foot (Edinb). 2012 Jun 6.
Quote:
BACKGROUND:
There is minimal published research on outcomes and satisfaction with foot and ankle surgery.
OBJECTIVE:
To investigate patient-reported outcomes and satisfaction, and investigate which factors influence satisfaction at 9 months following foot or ankle surgery.
METHODS:
Prospective study of 671 adult patients having foot or ankle surgery. Pre-and post-surgery, patients self-completed MOXFQ, SF-36 and EQ-5D questionnaires. Using ratings to a satisfaction item, patients who were 'very pleased' with the outcome were compared with everyone else, using multiple logistic regression, regarding their pre-, peri- and post-operative characteristics.
RESULTS:
Of 628 eligible patients, 491 (73%) completed pre-and post-operative questionnaires. Following adjustment, satisfaction with surgery was influenced by patients' perceptions of their foot/ankle's appearance (OR 0.12, 95% CIs 0.06-0.23, p<0.001); wearable range of shoes (OR 0.36, 95% CIs 0.17-0.79, p=0.01); continued foot/ankle pain (OR 0.06, 95% CIs 0.03-0.14, p<0.001); impairment in Social-Interaction (MOXFQ SI scale) (OR 0.98, 95% CIs 0.96-0.99, p=0.009). The final explanatory model explained 67% of the variance in patient satisfaction.
CONCLUSIONS:
Foot appearance, wearable shoe range, the (full) alleviation of pain and the ability/confidence to interact socially are crucial to peoples' satisfaction with their foot or ankle surgery.
Re: Factors associated with patient satisfaction with foot and ankle surgery
So, which of these was the strongest predictor in it's own right? Which accounted for the biggest chunk of the 67% of the variance explained by the model?
Factors associated with patient satisfaction with foot and ankle surgery
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