Evidence map›Paper›PMID 24787107›Full record

SynthesisSurgery2014

Patient expectations and patient-reported outcomes in surgery: a systematic review.

Jennifer Waljee, Evan P McGlinn, Erika Davis Sears, Kevin C Chung

2 registry-linked trialsAbstract readComparative StudySystematic Review
In one paragraph

Synthesis in Surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 107 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 8 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.

NCT03434847 naterminatednot on this mapstarted 2017, after this paper: background citation

The PPREOPP Study: Providing Patients Realistic Expectations of Postoperative Pain

TypeinterventionalSponsorWashington University School of MedicineRan2017 to 2018Enrolled5ConditionsPain, PostoperativeArmsEducation
NCT03797313 completednot on this mapstarted 2019, after this paper: background citation

Observational Study of Expected Acute Respiratory Failure (ARF) Recovery

TypeobservationalSponsorJohns Hopkins UniversityRan2019 to 2021Enrolled180ConditionsAcute Respiratory Failure, Post Intensive Care Syndrome
3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  7. Women's expectations of breast reconstruction following mastectomy for breast cancer: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
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47 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Jennifer WaljeeSection of Plastic Surgery, Department of Surgery, The University of Michigan Health System, Ann Arbor, MI.
Evan P McGlinnSection of Plastic Surgery, Department of Surgery, The University of Michigan Health System, Ann Arbor, MI.
Erika Davis SearsSection of Plastic Surgery, Department of Surgery, The University of Michigan Health System, Ann Arbor, MI.
Kevin C ChungSection of Plastic Surgery, Department of Surgery, The University of Michigan Health System, Ann Arbor, MI. Electronic address: kecchung@umich.edu.

Funding

A Clinical Trial for the Surgical Treatment of Elderly Distal Radius FracturesR01AR062066 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2011 to 2016
$3.8M
An Outcome Study of Rheumatoid Hand ArthroplastyR01AR047328 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2003 to 2016
$3.1M
Evidence-Based Research in Hand SurgeryK24AR053120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2008 to 2018
$1.6M
NIAMS NIH HHS 2R01AR047328-06NIAMS NIH HHS K24 AR053120NIAMS NIH HHS R01 AR047328NIAMS NIH HHS R01 AR062066NIAMS NIH HHS R01AR062066
6 · The paper itself

Abstract

backgroundRecent events in health care reform have brought national attention to integrating patient experiences and expectations into quality metrics. Few studies have comprehensively evaluated the effect of patient expectations on patient-reported outcomes (PROs) after surgery. The purpose of this study is to systematically review the available literature describing the relationship between patient expectations and postoperative PROs.

methodsWe performed a search of the literature published before November 1, 2012. Articles were included in the review if (1) primary data were presented, (2) patient expectations regarding a surgical procedure were measured, (3) PROs were measured, and (4) the relationship between patient expectations and PROs was specifically examined. PROs were categorized into 5 subgroups: Satisfaction, quality of life (QOL), disability, mood disorder, and pain. We examined each study to determine the relationship between patient expectations and PROs as well as study quality.

resultsFrom the initial literature search yielding 1,708 studies, 60 articles were included. Fulfillment of expectations was associated with improved PROs among 24 studies. Positive expectations were correlated with improved PROs for 28 studies (47%), and poorer PROs for 9 studies (15%). Eighteen studies reported that fulfillment of expectations was correlated with improved patient satisfaction, and 10 studies identified that positive expectations were correlated with improved postoperative. Finally, patients with positive preoperative expectations reported less pain (8 studies) and disability (15 studies) compared with patients with negative preoperative expectations.

conclusionPatient expectations are inconsistently correlated with PROs after surgery, and there is no accepted method to capture perioperative expectations. Future efforts to rigorously measure expectations and explore their influence on postoperative outcomes can inform clinicians and policymakers seeking to integrate PROs into measures of surgical quality.

Indexed as

Patient Outcome AssessmentPatient SatisfactionHumansMood DisordersOutcome Assessment, Health CarePostoperative PainPrevalenceQuality of LifeSelf ReportSurgical Procedures, OperativeSurveys and QuestionnairesTreatment Outcome

Identifiers

PMID24787107
PMCPMC4170731

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.