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Foot (Edinb). 2012 Sep;22(3):211-8. doi: 10.1016/j.foot.2012.05.002. Epub 2012 Jun 6.

Factors associated with patient satisfaction with foot and ankle surgery in a large prospective study.

Author information

1
Department of Public Health, University of Oxford and the Nuffield Orthopaedic Centre, Oxford, United Kingdom. jill.dawson@dph.ox.ac.uk

Abstract

BACKGROUND:

There is minimal published research on outcomes and satisfaction with foot and ankle surgery.

OBJECTIVE:

To investigate patient-reported outcomes and satisfaction, and investigate which factors influence satisfaction at 9 months following foot or ankle surgery.

METHODS:

Prospective study of 671 adult patients having foot or ankle surgery. Pre-and post-surgery, patients self-completed MOXFQ, SF-36 and EQ-5D questionnaires. Using ratings to a satisfaction item, patients who were 'very pleased' with the outcome were compared with everyone else, using multiple logistic regression, regarding their pre-, peri- and post-operative characteristics.

RESULTS:

Of 628 eligible patients, 491 (73%) completed pre-and post-operative questionnaires. Following adjustment, satisfaction with surgery was influenced by patients' perceptions of their foot/ankle's appearance (OR 0.12, 95% CIs 0.06-0.23, p<0.001); wearable range of shoes (OR 0.36, 95% CIs 0.17-0.79, p=0.01); continued foot/ankle pain (OR 0.06, 95% CIs 0.03-0.14, p<0.001); impairment in Social-Interaction (MOXFQ SI scale) (OR 0.98, 95% CIs 0.96-0.99, p=0.009). The final explanatory model explained 67% of the variance in patient satisfaction.

CONCLUSIONS:

Foot appearance, wearable shoe range, the (full) alleviation of pain and the ability/confidence to interact socially are crucial to peoples' satisfaction with their foot or ankle surgery.

PMID:
22681897
DOI:
10.1016/j.foot.2012.05.002
[Indexed for MEDLINE]
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