Preoperative predictors of postoperative satisfaction with surgery

Cook, C. Psychol Richard; Baxendale, Sallie

doi:10.1016/j.yebeh.2022.108612

Cited by 10 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…High preoperative self-rating anxiety scores have been associated with high levels of postoperative pain and medication use [9][10]. Increased levels of preoperative anxiety have also translated to more anesthetics required during the surgery, poor control of postoperative nausea and vomiting and low satisfaction after recovery from surgery [12]. Although the exact mechanism remains unclear, preoperative anxiety is thought to lower the pain threshold and overestimate the intensity of pain stimuli by activating the entorhinal cortex of the hippocampal formation [11].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Postoperative Pain and Satisfaction After Orbital Fracture Repair

Harold Lee

2024

JOAR

View full text Add to dashboard Cite

Objective: To correlate clinical outcomes in postoperative pain managed with opioid medications after orbital fracture repairs. Methods: A prospective observational study of all patients who underwent orbital fracture repairs and postoperative pain managed with hydrocodone-acetaminophen, oxycodone-acetaminophen or tramadol for three days was performed. Collected data included numerical pain rating scores, type of fractures, patient satisfaction, side effects and non-medicinal interventions. International Pain Outcomes (IPO) questionnaire was completed at postoperative week one visit. Results: Twenty-nine patients who underwent orbital fracture repairs and completed the IPO questionnaire reported having taken an average of 74.8 +/- 36.6 Morphine Milligram Equivalent (MME) in the first week after the surgery from 102.5 +/- 10.0 MME of total opioids prescribed (Table 1). The amount of opioids used was not related to patient satisfaction or pain relief (p>0.05). Smoking status showed a moderate correlation and linear association with total MME taken by patients (spearman correlation coefficient 0.34, p=0.051). Although patients reported 69.4 +/- 24.9% overall pain relief and 9 out of 10 (median, IQR 5-10) scores in satisfaction with the pain regimen, 27.8% of patients reported needing more pain medication. This group reported higher levels of anxiety and lower satisfaction scores (p<0.001). They reported having taken more opioids than those who did not report the need for additional pain medications (p=0.07). Conclusion: Postoperative pain is managed with less than the prescribed amount of opioids after orbital fracture repairs in most patients. Anxious patients who had more opioids than average in the postoperative period expressed low satisfaction.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of Postoperative Pain and Satisfaction After Orbital Fracture Repair

Harold Lee

2024

JOAR

View full text Add to dashboard Cite

show abstract

“…We think that the following factors had no significant effect on our findings, although we did not evaluate the possible impact these patient-ages, race, education, economic status, mental state, employment, insurance, the preoperative diagnosis, and communication with physicians. 33,[42][43][44][45]…”

Section: Discussionmentioning

confidence: 99%

Patient Satisfaction with Surgery for Tarsal- and Carpal- Tunnel Syndrome - Comparative Study

Kokubo

Kim

Isu

et al. 2023

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

We compared the treatment satisfaction of patients who had undergone surgery for tarsal tunnel syndrome (TTS) and carpal tunnel syndrome (CTS). We enrolled 44 patients in this study; 23 were operated for CTS and 21 for TTS. All patients had received surgery under a microscope and under local anesthesia. Using the numerical rating scale (NRS) for numbness/pain (range 0-10) we compared their preoperative outcome expectations with their satisfaction with our treatment 6 months after the operation. We also recorded their pre-and postoperative EuroQol 5-dimension 5-level (EQ-5D-5L) scale for their health-related quality of life (QOL). The subjective assessment of their QOL showed that it was significantly lower in TTS-than CTS patients both pre-and postoperatively. Six months after the operation, the NRS for symptoms and the (EQ-5D-5L) scale for the QOL were significantly improved in TTS-and CTS patients; however, these scores were significantly better after CTS-than TTS surgery. Also, the postoperative NRS was significantly lower in the CTS-than the TTS patients. Our comparison of the patients' expected-and actual surgical outcome showed that the result was better than expected after CTS-and TTS surgery; in CTS patients the difference was significant. Overall, CTS-were more satisfied than TTS patients with the treatment outcome. Satisfaction with the treatment was greater after CTS-than TTS surgery. TTS-experienced less symptom relief than CTS patients although the actual-exceeded the expected outcome in patients operated for TTS.

show abstract

“…Studies have reported that preoperative state anxiety was positively correlated with postoperative pain [9,96,97]; the underlying mechanisms may be that anxiety is associated with a lower pain threshold [66], overestimation of pain intensity [103], and activation of the entorhinal cortex of the hippocampal formation [104]. The level of preoperative anxiety is closely related to postoperative pain, discomfort, satisfaction with recovery from surgery, and psychosocial outcomes; high levels of anxiety are associated with higher levels of discomfort and dissatisfaction [105,106].…”

Section: The Influence Of Preoperative Anxiety On Postoperative Outcomesmentioning

confidence: 99%

Personality, Preoperative Anxiety, and Postoperative Outcomes: A Review

Sang

Zhang

et al. 2022

IJERPH

View full text Add to dashboard Cite

Research has shown that personality is associated with anxiety levels in the general population. However, little is known about the relationship between personality and preoperative anxiety and the subsequent health outcomes in patients undergoing surgery. Therefore, this review aimed to identify studies that explored the relationship between personality traits and preoperative anxiety, as well as their association with postoperative outcomes. Existing literature shows that anxiety may play an intermediary role in the relationship between personality and postoperative outcomes. Severe anxiety may partially explain the adverse effects of certain personality traits, such as neuroticism, on postoperative outcomes. However, the relationship between personality traits, preoperative anxiety, and postoperative outcomes remains unclear. Interventions such as clinical evaluation, preoperative counseling, and management strategies can be of great value in identifying and resolving patients’ anxiety and negative emotions to improve postoperative outcomes.

show abstract

Preoperative predictors of postoperative satisfaction with surgery

Cited by 10 publications

References 16 publications

Evaluation of Postoperative Pain and Satisfaction After Orbital Fracture Repair

Evaluation of Postoperative Pain and Satisfaction After Orbital Fracture Repair

Patient Satisfaction with Surgery for Tarsal- and Carpal- Tunnel Syndrome - Comparative Study

Personality, Preoperative Anxiety, and Postoperative Outcomes: A Review

Contact Info

Product

Resources

About