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Cited by 22Shoulder Injury and TreatmentPatient-Provider Communication in HealthcareOrthopedic Surgery and Rehabilitation

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

Factors That Influence the Choice to Undergo Surgery for Shoulder and Elbow Conditions

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Modi, Chetan S., Veillette, Christian J. H., Gandhi, Rajiv, Perruccio, Anthony V., Rampersaud, Raja Y.·2014·Clinical Orthopaedics & Related Research
DOI 10.1007/s11999-013-3357-0PMC PMC3916628
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Abstract

BACKGROUND: Knowledge of the factors that influence the willingness of patients considering elective orthopaedic surgery is essential for patient-centered care. To date, however, these factors remain undefined in the orthopaedic population with shoulder and elbow disorders. QUESTIONS/PURPOSES: In a cohort of patients seeking surgical consultation for shoulder or elbow conditions, we sought to identify factors that influenced the willingness and decision to undergo surgery. METHODS: In this prospective study, 384 patients completed a questionnaire collecting socioeconomic and health status data before consultation from June 2009 to December 2010. An additional 120 patients who were offered surgery after consultation completed a second questionnaire on their perceptions and concerns regarding surgery. Logistic regression analyses were used to identify factors influencing the willingness and decision to undergo surgery. RESULTS: Lower income (odds ratio [OR], 0.02; CI, 0.02-0.08; p < 0.001) and living alone (OR, 0.25; CI, 0.08-0.77; p = 0.015) were negative predictors of willingness to consider surgery. Physical functioning did not influence willingness (p = 0.994). A greater perceived level of the likelihood of surgical success by the patient (OR, 41.84; CI, 5.24-333.82; p < 0.001) and greater fluency in the English language (OR, 28.39; CI, 3.49-230.88; p = 0.002) were positive predictors of willingness. Willingness to consider surgery as a possible treatment option before the consultation was a predictor of patients' ultimate decisions to undergo surgery (OR, 4.56; CI, 1.05-19.76; p = 0.042). Patients expressing concern about surgery being an inconvenience to daily life, however, were less likely to decide to proceed with surgery (OR, 0.12; CI, 0.02-0.68; p = 0.017). CONCLUSIONS: Many of the identified factors may act as barriers to potentially beneficial surgical interventions. Although most are not modifiable, an awareness of the influence of individual demographics and possible perceptions of patients' choices may show that more in-depth questioning and provisions for cultural differences may be required during the consultation to enable patients to make fully informed decisions. Future studies using qualitative methods would provide a greater in-depth understanding of patients' perceptions regarding surgery and their decision to proceed. Larger or more homogeneous cohorts also would enable additional identification of these factors for different shoulder and elbow conditions. LEVEL OF EVIDENCE: Level II, prognostic study. See the Instructions for Authors for a complete description of levels of evidence.

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  • Evidence shows that a patient's willingness to undergo surgery is one of the main predictors of future surgery, and individuals ending interventions without surgery intention are unlikely to proceed to surgery.

    “Evidence shows that a patient’s willingness to undergo surgery is one of the main predictors of future surgery [87], and individuals ending interventions without surgery intention are unlikely to proceed to surgery [88].”

    From Digital Rehabilitation for Elbow Pain Musculoskeletal Conditions: A Prospective Longitudinal Cohort Study (2022) · cites this paper as [87]

    The Decision to Undergo Surgery section reports that willingness before consultation independently predicted a later decision to have surgery (adjusted OR 4.56). The study measured patients’ decisions after consultation, not whether they subsequently underwent surgery. The separate claim about ending interventions without surgery intention is attached to [88], not this source. (LLM, conf=0.84)

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Metadata

Authors
Modi, C. S., Veillette, C. J. H., Gandhi, R., Perruccio, A. V., & Rampersaud, R. Y.
Affiliations
University Health Network (CA)
ORCID
Venue
Clinical Orthopaedics & Related Research
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2014-03
Volume
472
Issue
3
Pages
883-891
ISSN
0009-921X (ISSN-L)
DOI
10.1007/s11999-013-3357-0
PMC
PMC3916628
OpenAlex
W2085936655
Cited by
22
References
23
Citations by year
2025: 2 · 2024: 5 · 2023: 1 · 2022: 5 · 2021: 3 · 2020: 2 · 2019: 1 · 2018: 2 · 2015: 1
FWCI
0.33
Type
journal article
Language
en
Open access
Locations
  • Clinical Orthopaedics and Related Research (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Shoulder Injury and Treatment
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Surgery › Orthopedic Surgery and Rehabilitation
Keywords
surgical decision-making, shoulder disorders, elbow disorders, elective orthopaedic surgery, socioeconomic factors, income, living alone, language barriers, barriers to surgery, patient-centered care, informed consent, physical function, patient satisfaction
MeSH terms
Adult, Aged, Choice Behavior, Elbow, Female, Health Status, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Patient Acceptance of Health Care, Patients, Prospective Studies, Surveys and Questionnaires, Referral and Consultation, Shoulder, Socioeconomic Factors, Multivariate Analysis, Logistic Models, Odds Ratio, Elective Surgical Procedures, Orthopedic Procedures

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