Factors associated with satisfaction with bunion surgery in women

NewsBot · Aug 24, 2007

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Factors associated with satisfaction with bunion surgery in women: A prospective study
The Foot
Volume 17, Issue 3, September 2007, Pages 119-125

Background
Hallux valgus is a common indication for foot surgery. Over 25% of patients are dissatisfied with the outcome.

Objective
To examine women's pre- and post-surgical characteristics, regarding satisfaction with surgery for hallux valgus (‘bunions’).

Method
Prospective cohort of 95 consecutive female patients (132 ‘foot cases’) undergoing bunion surgery. Baseline interview and questionnaire asked about attitudes to fashion and footwear, plus SF-36 general health survey. At 12 months post-surgery, patients who were ‘very pleased’ with their surgery were compared with everyone else regarding their pre-, peri- and post-operative characteristics.

Results
By 12 months, key SF-36 domains had significantly improved. The 75 foot operations (n = 75/116, 64.7%) were associated with respondents being ‘very pleased’ with their foot surgery. Following adjustment, the odds of being ‘very pleased’ were severely reduced where respondents were not ‘very pleased’ their foot's appearance (p < 0.001), or where foot pain was anything but absent (p = 0.018). There was significant interaction between pre-operative expectations of resumption of hiking/sports activities and range of footwear able to be worn post-operatively.

Conclusions
The perceived appearance of their foot and range of shoes that women can wear, are crucial to womens’ satisfaction with the outcome of bunion surgery. The (total) alleviation of pain is also important.
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DrPod · Aug 24, 2007

Conclusions
The perceived appearance of their foot and range of shoes that women can wear, are crucial to womens’ satisfaction with the outcome of bunion surgery. The (total) alleviation of pain is also important.
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Am I missing something here? Dont we already know this. Its not rocket science.

drsarbes · Aug 27, 2007

DrPod, I think you're right. I realized this while still in my residency.

You can add to the list that is paramount to success:
* A scar you can't see (under magnification!)
* No out of pocket expense.
I can also add a "return to work" issue - a full spectrum of time frame. Whether it is returning in one day or returning in five months, depending (of course) on the patient's wishes!

DrSArbes

NewsBot · Sep 26, 2018

Delayed access to bunion correction surgery
Are patient-reported outcomes affected?
Kevin Wing, MD, FRCSC, Jason Sutherland, MSc, PhD, Alastair Younger, MBChB, ChM, FRCSC, ...
Foot & Ankle Orthopaedics September 19, 2018

Introduction/Purpose:
Little is known about the effect of delayed access to bunion correction (Hallux Valgus) surgery on patient-reported outcomes. The objective of this study is to measure the association between delayed access to bunion correction surgery and post-operative patient-reported outcomes.

Methods:
This study prospectively recruited patients to complete pre-operative patient-reported outcomes measuring pain, depression and foot and ankle health. Patients complete the same patient-reported outcomes six months post-operatively. Linear regression models measured outcomes, adjusting for baseline health, age category, sex, comorbidities and socio-economic status.

Results:
This study included 74 participants, a response rate of 53% among eligible patients. Among participants, 58.9% underwent a Lapidus procedure, the remainder underwent a corrective osteotomy. There was no relationship between post-operative depression and pain scores with duration of wait time, adjusting for patient characteristics. Longer waits for bunion correction surgery, adjusting for other factors, were associated with smaller gains in health in four of the five domains of measurement of foot and ankle health.

Conclusion:
At the six-month post-operative time point, prolonged wait times were detrimental to foot and ankle outcomes in four of the five domains of the foot and ankle specific PRO. Policies for expediting access for symptomatic hallux valgus are warranted to mitigate poorer long-term outcomes.
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NewsBot · Nov 9, 2019

Role of Patient-Reported Outcome Measures on Predicting Outcome of Bunion Surgery
Ashlee MacDonald, MD, Jeff Houck, PT, PhD, Judith F. Baumhauer, MD, MPH
Foot & Ankle International November 8, 2019

Background:
Prior studies have suggested preoperative patient-reported outcome scores could predict patients who would achieve a clinically meaningful improvement with hallux valgus surgery. Our goal was to determine bunionectomy-specific thresholds using Patient-Reported Outcomes Measurement Information System (PROMIS) values to predict patients who would or would not benefit from bunion surgery.

Methods:
PROMIS physical function (PF), pain interference (PI), and depression assessments were prospectively collected. Forty-two patients were included in the study. Using preoperative and final follow-up visit scores, minimally clinically important differences (MCID), receiver operating characteristic (ROC) curves, and area under the curve (AUC) analyses were performed to determine if preoperative PROMIS scores predicted achieving MCID with 95% specificity or failing to achieve an MCID with 95% sensitivity.

Results:
PROMIS PF demonstrated a significant AUC and likelihood ratio. The preoperative threshold score for failing to achieve MCID for PF was 49.6 with 95% sensitivity. The likelihood ratio was 0.14 (confidence interval, 0.02-0.94). The posttest probability of failure to achieve an MCID for PF was 94.1%. PI and depression AUCs were not significant, and thus thresholds were not determined.

Conclusion:
We identified a PF threshold of 49.6, which was nearly 1 standard deviation higher than previously published. If a patient is hoping to improve PF, a patient with a preoperative t score >49.6 may not benefit from surgery. This study also suggests the need for additional research to delineate procedure-specific thresholds.
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Factors associated with satisfaction with bunion surgery in women

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drsarbes Well-Known Member

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Factors associated with satisfaction with bunion surgery in women

NewsBot The Admin that posts the news.

DrPod Active Member

drsarbes Well-Known Member

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Factors associated with patient satisfaction with foot and ankle surgery

Factors associated with emergency room visits within 30 days of outpatient foot and ankle surgeries.

Biomechanical Factors Associated With Achilles Tendinopathy and Medial Tibial Stress Syndrome in Run

Factors Associated With Callus in Diabetic Patients

Factors Associated with Pain Severity in Severs Disease

Factors associated with chronic pain one year after foot surgery

Factors associated with injury in a marathon

Share This Page

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