“…Previous studies have suggested little to no correlation between disease severity, defined by the Eaton staging of disease, and patient reported outcome measures. 33 , 34 , 35 Because there are no absolute clinically objective indicators of surgery, such as pinch strength and deformity, we believed that objective measures were not necessary for the purposes of this study. Fourth, the association between surgeon recommendations and patient expectations has not been assessed in this study; however, to our knowledge no prior studies have created a validated method to assess specifically and only the association of surgeon recommendations on patient expectations and the decision to pursue surgical treatment.…”