Predictors of poor pre-operative patient reported outcome measures in elective foot and ankle surgery: Analysis of 1217 patients

Q2 Health Professions

Foot Pub Date : 2024-09-06 DOI:10.1016/j.foot.2024.102129

Adrian J. Talia , Martin Austin , Constantinos L. Loizou , Rick Brown , Robert J. Sharp , Adrian R. Kendal

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引用次数: 0

Abstract

Aims

Patient reported outcome measures (PROMs) have become the de facto measure of success in orthopaedic publications. It has been established that preoperatively collected patient reported outcomes correlate with post-operative outcome. The aim of our research is to identify which factors predict poor pre-operative scores using the most commonly used PROMs.

Methods

MOXFQ and EQ-5D scores were collected for all patients presenting for elective foot and ankle surgery over a four-year period from June 2018 to February 2022. Multivariate linear regression calculated associations between PROMs and demographics, diagnosis, pre-operative appointments and comorbidities.

Results

1217 patients had PROMs taken, 1102 of these underwent a surgical procedure. Ankle and hindfoot arthritis predicted worse pre-operative scores. Total comorbidity number, depression/anxiety, younger patients, female gender and preoperative appointments with orthotist predicted a worse outcome score.

Conclusion

Underlying patient characteristics can influence pre-operative PROMs in foot and ankle surgery.

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足踝择期手术患者术前报告结果不佳的预测因素：对 1217 名患者的分析

目的患者报告结果衡量标准（PROMs）已成为衡量骨科出版物成功与否的事实标准。已证实术前收集的患者报告结果与术后结果相关。我们的研究旨在利用最常用的 PROMs 确定哪些因素可预测术前评分不佳。方法在 2018 年 6 月至 2022 年 2 月的四年期间，收集了所有前来接受足踝择期手术的患者的MOXFQ 和 EQ-5D 评分。多变量线性回归计算了PROMs与人口统计学、诊断、术前预约和合并症之间的关联。结果1217名患者进行了PROMs测量，其中1102人接受了手术治疗。踝关节和后足关节炎预示着术前评分较差。合并症总数、抑郁/焦虑、年轻患者、女性和术前与矫形师的预约预示着较差的结果评分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot Health Professions-Podiatry

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： The Foot is an international peer-reviewed journal covering all aspects of scientific approaches and medical and surgical treatment of the foot. The Foot aims to provide a multidisciplinary platform for all specialties involved in treating disorders of the foot. At present it is the only journal which provides this inter-disciplinary opportunity. Primary research papers cover a wide range of disorders of the foot and their treatment, including diabetes, vascular disease, neurological, dermatological and infectious conditions, sports injuries, biomechanics, bioengineering, orthoses and prostheses.