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Article: Patient expectations predict outcomes following distal radius fracture: a prospective cohort study using the TEFTOM questionnaire

TitlePatient expectations predict outcomes following distal radius fracture: a prospective cohort study using the TEFTOM questionnaire
Authors
KeywordsWrist fracture
Patient satisfaction
Patient-reported outcome measure
Patient-rated outcome
Issue Date2021
PublisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/injury
Citation
Injury, 2021, v. 52 n. 4, p. 877-882 How to Cite?
AbstractIntroduction: The relationship between patient expectations and clinical outcomes has recently been of increasing interest in the field of orthopaedics. The objective of this study was to evaluate the relationships between (1) patient pre-treatment expectations and post-treatment clinical outcomes, and (2) fulfillment of expectations and patient satisfaction, following distal radius fracture. Methods: This was a prospective multicenter cohort study conducted across three hospitals. A total of 133 patients admitted to hospital between 2016 and 2018 with a distal radius fracture were recruited. Patients were administered the Trauma Expectation Factor (TEF) at baseline to measure expectations of pain and functioning at one-year post-injury. Patients were followed up at 6 and 12 months post-injury and outcomes were measured using the Trauma Outcome Measure (TOM), Shortened Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire, and Short-Form 12-item (SF-12) health survey. Fulfillment of expectations was measured as TEF score minus TOM score at each time point. Patient satisfaction was also measured using the Patient Satisfaction Questionnaire Short Form (PSQ-18). Multivariate regression models were created to evaluate the effect of expectations on outcomes. Results: Patient expectations correlated moderately with outcomes at 6 and 12 months post-injury. In the multivariate analysis, patient expectations were predictive of better outcomes at 6 and 12 months. Injury severity, age, mechanism of injury, and whether the injury occurred on duty also contributed significantly to one or more regression models. Patient satisfaction correlated weakly with fulfillment of expectations at 6 months, but moderately with all outcome scores. At 12 months, satisfaction did not correlate significantly with expectations fulfillment but correlated moderately to highly with all outcome scores. Conclusion: Patient expectations independently predicted outcomes at 6 and 12 months post-injury. Standardized assessment and management of patient expectations may be relevant to future clinical practice and research to best quantify and optimize patient outcomes.
Persistent Identifierhttp://hdl.handle.net/10722/306164
ISSN
2023 Impact Factor: 2.2
2023 SCImago Journal Rankings: 0.728
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorFang, C-
dc.contributor.authorChen, YJ-
dc.contributor.authorFang, E-
dc.contributor.authorWong, TM-
dc.contributor.authorLiu, ZH-
dc.contributor.authorLau, TW-
dc.contributor.authorFok, MWM-
dc.contributor.authorYee, DKH-
dc.contributor.authorPun, T-
dc.contributor.authorLuo, CF-
dc.contributor.authorLeung, F-
dc.date.accessioned2021-10-20T10:19:42Z-
dc.date.available2021-10-20T10:19:42Z-
dc.date.issued2021-
dc.identifier.citationInjury, 2021, v. 52 n. 4, p. 877-882-
dc.identifier.issn0020-1383-
dc.identifier.urihttp://hdl.handle.net/10722/306164-
dc.description.abstractIntroduction: The relationship between patient expectations and clinical outcomes has recently been of increasing interest in the field of orthopaedics. The objective of this study was to evaluate the relationships between (1) patient pre-treatment expectations and post-treatment clinical outcomes, and (2) fulfillment of expectations and patient satisfaction, following distal radius fracture. Methods: This was a prospective multicenter cohort study conducted across three hospitals. A total of 133 patients admitted to hospital between 2016 and 2018 with a distal radius fracture were recruited. Patients were administered the Trauma Expectation Factor (TEF) at baseline to measure expectations of pain and functioning at one-year post-injury. Patients were followed up at 6 and 12 months post-injury and outcomes were measured using the Trauma Outcome Measure (TOM), Shortened Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire, and Short-Form 12-item (SF-12) health survey. Fulfillment of expectations was measured as TEF score minus TOM score at each time point. Patient satisfaction was also measured using the Patient Satisfaction Questionnaire Short Form (PSQ-18). Multivariate regression models were created to evaluate the effect of expectations on outcomes. Results: Patient expectations correlated moderately with outcomes at 6 and 12 months post-injury. In the multivariate analysis, patient expectations were predictive of better outcomes at 6 and 12 months. Injury severity, age, mechanism of injury, and whether the injury occurred on duty also contributed significantly to one or more regression models. Patient satisfaction correlated weakly with fulfillment of expectations at 6 months, but moderately with all outcome scores. At 12 months, satisfaction did not correlate significantly with expectations fulfillment but correlated moderately to highly with all outcome scores. Conclusion: Patient expectations independently predicted outcomes at 6 and 12 months post-injury. Standardized assessment and management of patient expectations may be relevant to future clinical practice and research to best quantify and optimize patient outcomes.-
dc.languageeng-
dc.publisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/injury-
dc.relation.ispartofInjury-
dc.subjectWrist fracture-
dc.subjectPatient satisfaction-
dc.subjectPatient-reported outcome measure-
dc.subjectPatient-rated outcome-
dc.titlePatient expectations predict outcomes following distal radius fracture: a prospective cohort study using the TEFTOM questionnaire-
dc.typeArticle-
dc.identifier.emailFang, C: cfang@hku.hk-
dc.identifier.emailWong, TM: wongtm@hku.hk-
dc.identifier.emailPun, T: tpun@hku.hk-
dc.identifier.emailLeung, F: klleunga@hkucc.hku.hk-
dc.identifier.authorityFang, C=rp02016-
dc.identifier.authorityWong, TM=rp01689-
dc.identifier.authorityPun, T=rp02258-
dc.identifier.authorityLeung, F=rp00297-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.injury.2020.10.091-
dc.identifier.pmid33127078-
dc.identifier.scopuseid_2-s2.0-85094560544-
dc.identifier.hkuros327684-
dc.identifier.volume52-
dc.identifier.issue4-
dc.identifier.spage877-
dc.identifier.epage882-
dc.identifier.isiWOS:000643674700035-
dc.publisher.placeUnited Kingdom-

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