Hrefna (DHC)May 29, 2023

#RegretRate for various surgeries:

* Knee surgery: 22% total regret, 2.9% even without complications http://doi.org/10.1186/s12891-020-3041-y

* Back surgery: 21% in older adults http://doi.org/10.1097/BRS.0000000000004287

* Regret of having children: varies by study, but usually in the 10-20% range http://doi.org/10.1371/journal.pone.0254163

* Breast reconstruction after a mastectomy: 19.5% moderate to strong regret http://doi.org/10.1080/14768320601124899

* #GenderAffirmationSurgery: < 1% http://doi.org/10.1097/GOX.0000000000003477

#trans

Patients’ experiences of discontentment one year after total knee arthroplasty- a qualitative study - BMC Musculoskeletal Disorders

Background Total knee arthroplasty is a common procedure with generally good results. However, there are still patients who are dissatisfied without known explanation. Satisfaction and dissatisfaction have previously been captured by quantitative designs, but there is a lack of qualitative studies regarding these patients’ experiences. Qualitative knowledge might be useful in creating strategies to decrease the dissatisfaction rate. Methods Of the 348 patients who responded to a letter asking if they were satisfied or dissatisfied with their surgery, 61 (18%) reported discontent. After excluding patients with documented complications and those who declined to participate, semi-structured interviews were conducted with 44 patients. The interviews were analyzed according to qualitative content analysis. The purpose was to describe patients’ experiences of discontentment 1 year after total knee arthroplasty. Results The patients experienced unfulfilled expectations and needs regarding unresolved and new problems, limited independence, and lacking of relational supports. They were bothered by pain and stiffness, and worried that changes were complications as a result of surgery. They described inability to perform daily activities and valued activities. They also felt a lack of relational supports, and a lack of respect and continuity, support from health care, and information adapted to their needs. Conclusion Patient expectation seems to be the major contributing factor in patient discontentment after knee replacement surgery. This qualitative study sheds light on the on the meaning of unfulfilled expectations, in contrast to previous quantitative studies. The elements of unfulfilled expectations need to be dealt with both on the individual staff level and on the organizational level. For instance, increased continuity of healthcare staff and facilities may help to improve patient satisfaction after surgery.

BioMed Central
Show threadTim Ward ⭐🇪🇺🔶 #FBPE
@hrefna Maybe more knee surgeons should be like mine: "I can operate if you want me to, but that might make it worse". I chose not to have the operation, and it got better by itself after about a year.
May 29, 2023 at 10:30pmWeb
Show threadJanneMay 30, 2023

@TimWardCam @hrefna there's actually some evidence that some common knee operations are no better than placebo.

Unlike gender affirming care, where some undertake surgery, and vast majority of those who do, get great results, decreasing dysphoria, increasing life satisfaction and psychosocial ability to function.

https://www.nejm.org/doi/full/10.1056/nejmoa1305189

Show threadJanneMay 30, 2023

@TimWardCam @hrefna one is prescribed like tylenol, and the other requires succesfull navigation in societal, medicinal and financial hellscape, including long observational periods, and skillfully jumping tricky bureaucracy hoops.

Or might be illegal in your state.