Evidence map›Paper›PMID 18347892›Full record

ArticleClinical orthopaedics and related research2008

Do patient expectations of spinal surgery relate to functional outcome?

Albert Yee, Nana Adjei, Jennifer Do, Michael Ford, Joel Finkelstein

Registry-linked trialAbstract read
In one paragraph

Article in Clinical orthopaedics and related research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01822301 (Structural Fat Grafting for Craniofacial Trauma), which is not on this map. Cited by 60 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01822301 nacompletednot on this mapstarted 2013, after this paper: background citation

Structural Fat Grafting for Craniofacial Trauma: Repeat Fat Grafting Injection-5 Subject Cohort

TypeinterventionalSponsorUniversity of PittsburghRan2013 to 2015Enrolled5ConditionsFacial Injuries, Adipose TissueArmsRepeat Fat grafting
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Patients' Expectations Predict Surgery Outcomes: A Meta-Analysis.International journal of behavioral medicine · 2016
    Pooled it
  4. Pooled it
  5. Rehabilitation following surgery for lumbar spinal stenosis.The Cochrane database of systematic reviews · 2013
    Pooled it
  6. Measuring expectations in orthopaedic surgery: a systematic review.Clinical orthopaedics and related research · 2013
    Pooled it
  7. Trial
  8. An exploration of patients' expectation of and satisfaction with surgical outcome.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2013
    Trial
  9. Patients' views on an education booklet following spinal surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2012
    Trial
  10. Trial
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Patient Expectations and Satisfaction in Pediatric Orthopedics.Current reviews in musculoskeletal medicine · 2024
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Albert YeeThe Spine Program, Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Room MG 371-B, Toronto, ON, Canada, M4N 3M5. Albert.Yee@sunnybrook.ca
Nana Adjei
Jennifer Do
Michael Ford
Joel Finkelstein

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is important for surgeons to understand patients' expectations for surgery. We asked whether patient factors and preoperative functional outcome scores reflect the degree of expectations patients have for posterior spinal surgery. Second, we asked whether patients' expectations for surgery predict improvements in functional outcome scores after surgery. We prospectively enrolled 155 consecutive surgical patients with greater than 90% followup. Patients' expectations were evaluated preoperatively along with SF-36 and Oswestry disability questionnaires. Postoperatively (6 months for decompression; 1 year for fusions), we quantified patient-derived satisfaction regarding whether expectations were met and by patient-derived functional outcome scores. In patients undergoing decompression, gender, SF-36 general health domain, and SF-36 physical component score predicted patients with high expectations for surgery. Patients with high expectations also reported greater postoperative improvements in SF-36 role physical domain scores after surgery. Expectations for surgery were met in 81% of patients. In a subset of patients (21 of 143), expectations were not met. These patients reported lower mean preoperative SF-36 general health, vitality, and mean mental component scores.

Indexed as

Decompression, SurgicalOrthopedic ProceduresPatient SatisfactionSpinal FusionAdultAgedAged, 80 and overDisability EvaluationFemaleFollow-Up StudiesHealth Knowledge, Attitudes, PracticeHumansLumbar VertebraeMaleMiddle AgedPatient Education as Topic

Identifiers

PMID18347892
PMCPMC2311462

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.