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December 27, 2024Journal of OrthopaedicsOpen Access

Greater preoperative expectations predict improvement in pain and function two years after knee surgery

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Why the study?

It is unclear whether the correlation between higher preoperative expectations and better early postoperative outcomes and satisfaction is maintained past one year after knee surgery.

Do greater preoperative expectations predict improvement in patient-reported pain and function two years after knee surgery?

Population

460 patients undergoing knee surgery between June 2015 and April 2018

Comparison

Associations with greater preoperative expectations

Design

Retrospective review

Follow-up

Two years

Key result

Greater preoperative expectations were independently predictive of improvement in pain and function two years after knee surgery.

Authors

BLBrandon LeonEHEvan L. HonigSKSamir Kaveeshwar

Discussion

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Overview

Preoperative expectations may shape 2-year knee outcomes; extends short-term associations but leaves causal impact open in observational data.

Study Design

Type

Cohort (n=460)

Structured PICO

Do greater preoperative expectations predict improvement in patient-reported pain and function two years after knee surgery?

P
Population
460 patients undergoing knee surgery evaluated retrospectively to assess the impact of preoperative expectations on outcomes at two years.
E
Exposure
Greater preoperative expectations (measured using MODEMS preoperative expectations domain)
O
Outcome
Patient-reported pain and function two years after knee surgery (PROMIS domains, IKDC score, NPS, TAS, MARS)patient reported

Greater preoperative expectations independently predict long-lasting improvements in pain and function two years after knee surgery.

Cite This Study

Leon et al. (2024) conducted a cohort in Knee surgery (n=460). Greater preoperative expectations vs. Lower preoperative expectations was evaluated on Improvement in PROMIS Pain Interference and IKDC. Greater preoperative expectations were independently predictive of improvement in pain and function two years after knee surgery.

synapsesocial.com/papers/6a9f81e363dc1fb3bd8924c2https://doi.org/10.1016/j.jor.2024.12.036
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