Backhouse, Michael R orcid.org/0000-0003-0056-8467, Vinall-Collier, Karen A, Redmond, Anthony C et al. (2 more authors) (2016) Interpreting outcome following foot surgery in people with rheumatoid arthritis. Journal of Foot and Ankle Research. p. 20.
Abstract
BACKGROUND: Foot surgery is common in RA but the current lack of understanding of how patients interpret outcomes inhibits evaluation of procedures in clinical and research settings. This study aimed to explore which factors are important to people with RA when they evaluate the outcome of foot and ankle surgery. METHODS AND RESULTS: Semi structured interviews with 11 RA participants who had mixed experiences of foot surgery were conducted and analysed using thematic analysis. Responses showed that while participants interpreted surgical outcome in respect to a multitude of factors, five major themes emerged: functional ability, participation, appearance of feet and footwear, surgeons' opinion, and pain. Participants interpreted levels of physical function in light of other aspects of their disease, reflecting on relative change from their preoperative state more than absolute levels of ability. Appearance was important to almost all participants: physical appearance, foot shape, and footwear were closely interlinked, yet participants saw these as distinct concepts and frequently entered into a defensive repertoire, feeling the need to justify that their perception of outcome was not about cosmesis. Surgeons' post-operative evaluation of the procedure was highly influential and made a lasting impression, irrespective of how the outcome compared to the participants' initial goals. Whilst pain was important to almost all participants, it had the greatest impact upon them when it interfered with their ability to undertake valued activities. CONCLUSIONS: People with RA interpret the outcome of foot surgery using multiple interrelated factors, particularly functional ability, appearance and surgeons' appraisal of the procedure. While pain was often noted, this appeared less important than anticipated. These factors can help clinicians in discussing surgical options in patients.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016 The Author(s) |
Keywords: | Adult,Aged,Ankle Joint,Arthritis, Rheumatoid,Attitude of Health Personnel,Attitude to Health,Esthetics,Female,Foot Joints,Humans,Male,Middle Aged,Pain,Patient Reported Outcome Measures,Recovery of Function,Shoes,Walking,Journal Article |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Depositing User: | Pure (York) |
Date Deposited: | 19 Apr 2018 11:40 |
Last Modified: | 16 Oct 2024 14:40 |
Published Version: | https://doi.org/10.1186/s13047-016-0153-6 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1186/s13047-016-0153-6 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:129859 |
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Filename: s13047_016_0153_6.pdf
Description: Interpreting outcome following foot surgery in people with rheumatoid arthritis
Licence: CC-BY 2.5