Do Surgeon Expectations Predict Clinically Important Improvements in WOMAC Scores After THA and TKA?

CONCLUSIONS: Most patients having THA and TKA achieved the MCID improvement after surgery. However, the inability of surgeons' expectation scores to discriminate accurately between patients who benefit and those who do not among patients scheduled for THA who are young, with no comorbidities, and with elevated BMIs, and among all patients scheduled for TKA, calls for surgeons to spend more time with these patients to fully understand and address their needs and expectations. Using standardized assessment tools to compare surgeons' expectations and those of their patients may help focus the surgeon-patient discussion further, and address patients' expectations more effectively.
LEVEL OF EVIDENCE: Level II, therapeutic study.
PMID: 28353050 [PubMed - as supplied by publisher]

Source: Clinical Orthopaedics and Related Research - March 28, 2017 Category: Orthopaedics Authors: Ghomrawi HM, Mancuso CA, Dunning A, Gonzalez Della Valle A, Alexiades M, Cornell C, Sculco T, Bostrom M, Mayman D, Marx RG, Westrich G, O'Dell M, Mushlin AI Tags: Clin Orthop Relat Res Source Type: research