Do the Patient Expectations Affect Their Satisfaction and Functional Outcomes?: A Systematic Review

Abstract

Purpose: In this systematic review, it was aimed to systematically examine the studies that evaluate the relationship between patients’ expectations from lumbar spinal surgery and postoperative satisfaction and/or functional results. Materials and Methods: The databases, which were Pubmed, CINAHL, Cochrane Central, Science Direct, Scopus, and Web of Science, were scanned using keywords in English, and ULAKBIM National Databases were scanned using keywords in Turkish between 2nd May and 15th May 2019. Of the 1250 studies, 13 studies met the inclusion criteria. Results: Although some reports claim a relationship between patients’ expectations and satisfaction and functional results, there are also others emphasizing the opposite. However, patients with positive expectations of their general state of health, lower back and leg pain, activity, and recovery also had higher satisfaction levels. Most studies indicate that positive expectations are significantly related to postoperative satisfaction and functional results. Conclusion: As a result of this systematic review, it was seen that preoperative expectations were associated with postoperative satisfaction and functional results. Closing the gap between the expectations of the patients and the actual outcomes is important for improving clinical results, increasing satisfaction, and reducing patient complaints.

Keywords

• expectations
• outcome
• patient satisfaction
• spine

Hasta Beklentileri Memnuniyet ve Fonksiyonel Sonuçlarını Etkiler Mi?: Sistematik Derleme

Abstract

Amaç: Bu sistematik derlemenin amacı hastaların lomber omurga cerrahisinden beklentileri ile ameliyat sonrası memnuniyet ve fonksiyonel sonuçları arasındaki ilişkileri değerlendiren araştırmaları sistematik olarak incelemektir. Araçlar ve Yöntem: 02 Mayıs-15 Mayıs 2019 tarihleri arasında İngilizce anahtar kelimeler ile Pubmed, CINAHL, Cochrane Central, Science Direct, Scopus ve Web of Science, Türkçe anahtar kelimeler ile de ULAKBİM Ulusal Veri Tabanları tarandı. Taramalar sonucunda ulaşılan 1250 araştırmanın 13'ü dahil etme kriterlerini karşıladı. Bulgular: Hastaların beklentileri ile memnuniyet ve fonksiyonel sonuçları arasında ilişki olduğunu bildiren çalışmalar olmakla birlikte tam tersini vurgulayan çalışmalar da mevcuttur. Ancak genel sağlık, bel ve bacak ağrısı, aktivite ve iyileşme için olumlu beklentileri olan hastaların memnuniyetlerinin daha yüksek olduğu görülmüştür. Olumlu beklentilerin ameliyat sonrası memnuniyet ve fonksiyonel sonuç ile anlamlı şekilde ilişkili olduğunu gösteren çalışmalar ağırlıktadır. Sonuç: Bu sistematik derleme sonucunda ameliyat öncesindeki beklentilerin ameliyat sonrası memnuniyet ve fonksiyonel sonuçlar ile ilişkili olduğu görülmüştür. Hastaların beklentileri ile gerçek durum arasındaki açığın kapatılması klinik sonuçların iyileştirilmesi, memnuniyetin arttırılması ve hasta şikayetlerinin azaltılması açısından önemlidir.

Keywords

• beklenti
• hasta memnuniyeti
• omurga
• sonuç

References

1. 1. Canizares M, Gleenie RA, Perruccio AV, et al. Patients’ expectations of spine surgery for degenerative conditions: results from the Canadian Spine Outcomes and Research Network (CSORN). Spine J. 2020;20(3):399-408.
2. 2. Ellis DJ, Mallozzi SS, Mathews JE, et al. The relationship between preoperative expectations and the short-term postoperative satisfaction and functional outcome in lumbar spine surgery: A systematic review. Global Spine J. 2015;5(5):436-452.
3. 3. Chotai S, Sivaganesan A, Parker SL, McGirt MJ, Devin CJ. Patient-specific factors associated with dissatisfaction after elective surgery for degenerative spine diseases. Neurosurgery. 2015;77(2):157-163.
4. 4. Murray E. Improving and managing safe and quality care. In: Murray E, ed. Nursıng leadershıp and management for patıent safety and qualıty care. Philadelphia: FA. Davis Company; 2017:247-248.
5. 5. Sağlık Hizmetleri Genel Müdürlüğü Sağlıkta Kalite, Akreditasyon ve Çalışan Hakları Dairesi Başkanlığı. 2020.https://shgmkalitedb.saglik.gov.tr/Eklenti/40082/0/sks-gosterge-yonetimi-rehberi-15022021pdf.pdf/. Erişim tarihi 10 Şubat, 2021.
6. 6. Sağlık Hizmetleri Genel Müdürlüğü Sağlıkta Kalite, Akreditasyon ve Çalışan Hakları Dairesi Başkanlığı. 2019.https://shgmkalitedb.saglik.gov.tr/TR-54210/ saglikta-kalite-standartlari-sks-anket-uygulama-rehbe ri-yayimlandi.html/. Erişim tarihi 10 Şubat, 2021.
7. 7. Murray E. Ethical and legal aspects. Murray E, editor. Nursıng leadershıp and management for patıent safety and qualıty care. Philadelphia: F. A. Davis Company; 2017:85-92.
8. 8. Scibilia JP. Patient dissatisfaction: Opportunity to improve quality, reduce risk. https://www. aappublications.org/news/2019/10/22/law102219/. Erişim tarihi 8 Şubat, 2021.

9. 9. Poulos GA, Brodell RT, Mostow EN. Improving quality and patient satisfaction in dermatology office practice. Arch Dermatol. 2008;144(2):263-265.
10. 10. Menendez JY, Omar NB, Chagoya G, et al. Patient Satisfaction in Spine Surgery: A Systematic Review of the Literature. Asian Spine J. 2019;13(6):1047-1057.
11. 11. Witiw CD, Mansouri A, Mathieu F, Nassiri F, Badhiwala JH, Fessler RG. Exploring the expectation-actuality discrepancy: a systematic review of the impact of preoperative expectations on satisfaction and patient reported outcomes in spinal surgery. Neurosurg Rev. 2018;41(1):19-30.
12. 12. Yee A, Adjei N, Do J, Ford M, Finkelstein J. Do patient expectations of spinal surgery relate to functional outcome? Clin Orthop Relat Res. 2008;466(5):1154-1161.
13. 13. Gepstein R, Arinzon Z, Adunsky A, Folman Y. Decompression surgery for lumbar spinal stenosis in the elderly: preoperative expectations and postoperative satisfaction. Spinal Cord. 2006;44(7):427-431.
14. 14. Johanna Briggs Institute. Checklist for Cohort Studies 2017. https://jbi.global/critical-appraisal-tools/. Erişim tarihi 10 Mart, 2020.
15. 15. Johansson AC, Ohrvik J, Soderlund A. Associations among pain, disability and psychosocial factors and the predictive value of expectations on returning to work in patients who undergo lumbar disc surgery. Eur Spine J. 2016;25(1):296-303.
16. 16. Lutz GK, Butzlaff ME, Atlas SJ, Keller RB, Singer DE, Deyo RA. The relation between expectations and outcomes in surgery for sciatica. J Gen Intern Med. 1999;14(12):740-744.
17. 17. McGregor AH, Doré CJ, Morris TP. An exploration of patients' expectation of and satisfaction with surgical outcome. Eur Spine J. 2013;22(12):2836‐2844.
18. 18. Mancuso CA, Reid MC, Duculan R, Girardi FP. Improvement in Pain After Lumbar Spine Surgery: The Role of Preoperative Expectations of Pain Relief. Clin J Pain. 2017;33(2):93-98.
19. 19. De Groot KI, Boeke S, Passchier J. Preoperative expectations of pain and recovery in relation to postoperative disappointment in patients undergoing lumbar surgery. Med Care. 1999;37(2):149-156.
20. 20. Soroceanu A, Ching A, Abdu W, McGuire K. Relationship Between Preoperative Expectations, Satisfaction, and Functional Outcomes in Patients Undergoing Lumbar and Cervical Spine Surgery. Spine. 2012;37(2):E103-E108.
21. 21. Lee J, Kim HS, Shim KD, Park YS. The Effect of Anxiety, Depression, and Optimism on Postoperative Satisfaction and Clinical Outcomes in Lumbar Spinal Stenosis and Degenerative Spondylolisthesis Patients: Cohort Study. Clin Orthop Surg. 2017;9(2):177-183.
22. 22. Mancuso CA, Duculan R, Cammisa FP, et al. Fulfillment of patients' expectations of lumbar and cervical spine surgery. Spine J. 2016;16(10):1167-1174.
23. 23. Toyone T, Tanaka T, Kato D, et al. Patients' expectations and satisfaction in lumbar spine surgery. Spine. 2005;30(23):2689-2694.
24. 24. Mannion AF, Junge A, Elfering A, et al. Great Expectations Really the Novel Predictor of Outcome After Spinal Surgery? Spine. 2009;34(15):1590-1599.
25. 25. Soriano JC, Revuelta MS, Fuente MF, Kaneyama R, Otsuka M. Predictors of outcome after decompressive lumbar surgery and instrumented posterolateral fusion. Eur Spine J. 2010;19(11):1841-1848.
26. 26. Brook RH. Can the Patient-Centered Outcomes Research Institute become relevant to controlling medical costs and improving value? Jama. 2011;306(18): 2020-2021.
27. 27. Schaad B, Bourquin C, Panese F, Stiefel F. How physicians make sense of their experience of being involved in hospital users' complaints and the associated mediation. BMC Health Serv Res. 2019;19(1):1-8.
28. 28. Aharony L, Strasser S. Patient satisfaction: what we know about and what we still need to explore. Med Care Rev. 1993;50(1):49-79.
29. 29. Yoo JS, Patel DV, Mayo BC, et al. Postoperative satisfaction following lumbar spinal fusion surgery: patient expectation versus actuality. J Neurosurg Spine. 2019;26:1-7.
30. 30. Carr FA, Healy KM, Villavicencio AT, et al. Effect on clinical outcomes of patient pain expectancies and preoperative Mental Component Summary scores from the 36-Item Short Form Health Survey following anterior cervical discectomy and fusion. J Neurosurg Spine. 2011;15(5):486-490.
31. 31. Licina P, Johnston M, Ewing L, Pearcy M. Patient expectations, outcomes and satisfaction: related, relevant or redundant? Evid Based Spine Care J. 2012;3(4):13-19.
32. 32. McGregor AH, Hughes SP. The evaluation of the surgical management of nerve root compression in patients with low back pain: Part 2: patient expectations and satisfaction. Spine. 2002;27(13):1471-1476.
33. 33. Culliton SE, Bryant DM, Overend TJ, MacDonald SJ, Chesworth BM. The relationship between expectations and satisfaction in patients undergoing primary total knee arthroplasty. J Arthroplasty. 2012;27(3): 490-492.
34. 34. Ronnberg K, Lind B, Zoega B, Halldin K, Gellerstedt M, Brisby H. Patients' satisfaction with provided care/information and expectations on clinical outcome after lumbar disc herniation surgery. Spine. 2007;32(2):256-261.