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Original Research| Volume 56, ISSUE 1, P65-71, January 2017

Patient Expectations and Satisfaction With Foot and Ankle Surgery in Saudi Arabia: A Retrospective Cohort Study

  • Omar A. Al-Mohrej
    Correspondence
    Address correspondence to: Omar A. Al-Mohrej, MBBS, Department of Clinical Affaires, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, P.O. Box 22490, Riyadh 11426, Saudi Arabia.
    Affiliations
    Researcher, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia

    Medical Intern, Department of Clinical Affaires, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
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  • Waleed K. Alsarhani
    Affiliations
    Researcher, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia

    Medical Intern, Department of Clinical Affaires, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
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  • Ahmed M. Al-Mohrej
    Affiliations
    Researcher, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia

    Medical Intern, Department of Clinical Affaires, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
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  • Emad M. Masuadi
    Affiliations
    Researcher, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia

    Assistant Professor, Biostatistic Section, Research Unit, Medical Education Department, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
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  • Nader S. Al-Kenani
    Affiliations
    Researcher, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia

    Medical Intern, Department of Clinical Affaires, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

    Assistant Professor, Orthopedic Division, Department of Surgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia
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      Abstract

      The success of surgery is associated not only with the quality of the procedure but also with the degree to which it meets the patient’s expectations. Limited data are available on patient expectations related to foot and ankle surgery in Saudi Arabia. Our study assessed the preoperative expectations and postoperative satisfaction of patients who had undergone foot and ankle surgery at 1 hospital in Saudi Arabia. A survey-based, retrospective cohort study was conducted among patients who had undergone elective foot or ankle surgery at King Abdul-Aziz Medical City, Riyadh, from January 2010 to December 2015. The participants, who were randomly selected, were interviewed by telephone in April 2016. The average interval between the surgery and the telephone interview was 1 year. We performed stepwise multiple logistic regression analysis to assess the predictors of patient satisfaction with surgery. A total of 383 participants were interviewed (51.7% male). The sample included participants with a wide age range. Most participants had undergone surgery because of pain (74.9%) or movement difficulties (37.1%); only 9.4% had undergone surgery for cosmetic reasons. Most (80%) of the participants reported they were satisfied with the surgical results. Young age, bilateral surgery, efficient pain control, and fulfilled expectations had the greatest positive effects on satisfaction. The findings of the present study will help improve our understanding of the expectations of patients who undergo elective foot and ankle surgery in Saudi Arabia. Additionally, our results can give orthopedic surgeons insight into patients' ideas and concerns regarding their surgery, which might ultimately improve communication between surgeons and patients.

      Level of Clinical Evidence

      Keywords

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      References

        • Lateef F.
        Patient expectations and the paradigm shift of care in emergency medicine.
        J Emerg Trauma Shock. 2011; 4: 163-167
        • McKinley R.K.
        • Stevenson K.
        • Adams S.
        • Manku-Scott T.K.
        Meeting patient expectations of care: the major determinant of satisfaction with out-of-hours primary medical care?.
        Fam Pract. 2002; 19: 333-338
        • Prakash B.
        Patient satisfaction.
        J Cutan Aesthet Surg. 2010; 3: 151-155
        • Farooqi J.
        Patient expectation of general practitioner care.
        Middle East J Fam Med. 2005; 3: 1-6
        • Mahomed N.N.
        • Liang M.H.
        • Cook E.F.
        • Daltroy L.H.
        • Fortin P.R.
        • Fossel A.H.
        • Katz J.N.
        The importance of patient expectations in predicting functional outcomes after total joint arthroplasty.
        J Rheumatol. 2002; 29: 1273-1279
        • Mancuso C.A.
        • Salvati E.A.
        • Johanson N.A.
        • Peterson M.G.
        • Charlson M.E.
        Patients’ expectations and satisfaction with total hip arthroplasty.
        J Arthroplasty. 1997; 12: 387-396
        • Wilkinson A.N.
        • Maher A.J.
        Patient expectations of podiatric surgery in the United Kingdom.
        J Foot Ankle Res. 2011; 4: 27
        • Nix S.
        • Smith M.
        • Vicenzino B.
        Prevalence of hallux valgus in the general population: a systematic review and meta-analysis.
        J Foot Ankle Res. 2010; 3: 21
        • Ferrari J.
        • Higgins J.P.
        • Prior T.D.
        Interventions for treating hallux valgus (abductovalgus) and bunions.
        Cochrane Database Syst Rev. 2004; 1 ([Internet]): CD00094
      1. Fitzpatrick M. PASCOM-10: a journey of success for the future [Internet]. Available at: http://www.pascom-10.com/about-pascom-10. Accessed January 1, 2016.

        • Taylor N.G.
        • Tollafield D.R.
        • Rees S.
        Does patient satisfaction with foot surgery change over time?.
        Foot. 2008; 18: 68-74
      2. General Authority for Statistics, Kingdom of Saudi Arabia. Population and Vital Statistics. Population by gender, age groups and nationality (Saudi/non-Saudi) [Internet]. 2016. Available at: http://www.cdsi.gov.sa/en/4068. Accessed June 28, 2016.

        • Wehbe-Alamah H.
        Bridging generic and professional care practices for Muslim patients through use of Leininger’s culture care modes.
        Contemp Nurse. 2008; 28: 83-97
        • Schneider W.
        • Knahr K.
        Surgery for hallux valgus: the expectations of patients and surgeons.
        Int Orthop. 2001; 25: 382-385
        • Tai C.C.
        • Ridgeway S.
        • Ramachandran M.
        • Ng V.A.
        • Devic N.
        • Singh D.
        Patient expectations for hallux valgus surgery.
        J Orthop Surg (Hong Kong). 2008; 16: 91-95
        • Dawson J.
        • Boller I.
        • Doll H.
        • Lavis G.
        • Sharp R.J.
        • Cooke P.
        • Jenkinson C.
        Factors associated with patient satisfaction with foot and ankle surgery in a large prospective study.
        Foot (Edinb). 2012; 22: 211-218
        • Lemos P.
        • Pinto A.
        • Morais G.
        • Pereira J.
        • Loureiro R.
        • Teixeira S.
        • Nunes C.S.
        Patient satisfaction following day surgery.
        J Clin Anesth. 2009; 21: 200-205
        • Bahrampour A.
        • Zolala F.
        Patient satisfaction and related factors in Kerman hospitals.
        East Mediterr Heal J. 2005; 11: 905-912
        • Lee Y.
        • Kasper J.D.
        Assessment of medical care by elderly people: general satisfaction and physician quality.
        Health Serv Res. 1998; 32: 741-758
        • Wallin E.
        • Lundgren P.O.
        • Ulander K.
        • Von Holstein C.S.
        Does age, gender or educational background effect patient satisfaction with short stay surgery?.
        Ambul Surg. 2000; 8: 79-88
        • Jaipaul C.K.
        • Rosenthal G.E.
        Are older patients more satisfied with hospital care than younger patients?.
        J Gen Intern Med. 2003; 18: 23-30
        • Younger A.S.E.
        • Wing K.J.
        • Glazebrook M.
        • Daniels T.R.
        • Dryden P.J.
        • Lalonde K.A.
        • Wong H.
        • Qian H.
        • Penner M.
        Patient expectation and satisfaction as measures of operative outcome in end-stage ankle arthritis: a prospective cohort study of total ankle replacement versus ankle fusion.
        Foot Ankle Int. 2015; 36: 123-134
        • Radl R.
        • Leithner A.
        • Zacherl M.
        • Lackner U.
        • Egger J.
        • Windhager R.
        The influence of personality traits on the subjective outcome of operative hallux valgus correction.
        Int Orthop. 2004; 28: 303-306
        • Baumeister H.
        • Kriston L.
        • Bengel J.
        • Härter M.
        High agreement of self-report and physician-diagnosed somatic conditions yields limited bias in examining mental-physical comorbidity.
        J Clin Epidemiol. 2010; 63: 558-565