Evidence map›Paper›PMID 31912166›Full record

Observational studyKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020

Patients undergoing shoulder surgery have high preoperative expectations.

Vidushan Nadarajah, Kali N Stevens, Leah Henry, Julio J Jauregui, Michael P Smuda, Dominic J Ventimiglia, Mohit N Gilotra, S Ashfaq Hasan, R Frank Henn

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Reliable diagnosis of posterosuperior rotator cuff tears requires a combination of clinical tests.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Pooled it
  2. Article
  3. Self-defined former smokers consume the highest opioid quantities following knee and shoulder arthroscopy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Article
  4. Article
  5. Preoperative Expectations in Hand Surgery Patients.Journal of hand and microsurgery · 2023
    Article
  6. Article
  7. Patient Expectations for Symptomatic Improvement before Cubital Tunnel Release.Plastic and reconstructive surgery. Global open · 2022
    Article
  8. 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

9 authors.

Vidushan NadarajahDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-0526-5417
Kali N StevensDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Leah HenryDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Julio J JaureguiDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Michael P SmudaDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Dominic J VentimigliaDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Mohit N GilotraDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
S Ashfaq HasanDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
R Frank HennDepartment of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA. Frank_henn@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe primary aims of this study were to (1) assess the preoperative expectations of patients undergoing shoulder surgery, and (2) determine the relationship between preoperative patient demographics, PROs, and preoperative patient expectations. It was hypothesized that younger patients with worse function and worse health status had higher expectations of shoulder surgery.

methodsData from a total of 319 patients (319 shoulders) from 2015-2018 were analyzed. Patients completed a series of questionnaires covering demographics and patient-reported outcome measures. Expectations of treatment were evaluated using the Musculoskeletal Outcomes Data Evaluation and Management System. Bivariate analyses were performed to determine the significance of identified associations.

resultsThe study population consisted of 186 males and 133 females. The mean age was 46.9 (± 17.2), and the mean BMI was 30.1 (± 6.8). Overall, patients had high expectations of shoulder surgery, with a mean score of 84.7 (± 19.3). The most commonly performed procedure in the study population was arthroscopic rotator cuff repair. There was a significant association between pre-treatment expectations and ethnicity, previous shoulder surgery, employment status, income level, tobacco use, preoperative opioid use, depression, and ASA score.

conclusionThe findings suggest that patients undergoing shoulder surgery have high overall preoperative expectations, which were significantly associated with ethnicity, surgical history, opioid use, and employment status, and with multiple patient-reported outcome measures including physical function, pain interference, fatigue, and depression. Nevertheless, by discussing expectations preoperatively, orthopaedic surgeons can help patients develop high but realistic expectations to improve outcomes and satisfaction. LEVEL OF EVIDENCE: IV.

Indexed as

Patient ParticipationAdultAgedArthroplastyArthroscopyFemaleHealth StatusHumansMaleMiddle AgedMotivationPatient Reported Outcome MeasuresPatient SatisfactionProspective StudiesRotator Cuff InjuriesShoulderPatient expectationsPatient outcomesPROMISShoulder surgery

Identifiers

PMID31912166

What OpenQuestion holds

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Registered trials

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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.