Development of a preoperative questionnaire to improve satisfaction with hallux valgus repair: A Delphi study.

Humans Hallux Valgus / surgery Personal Satisfaction Delphi Technique Surveys and Questionnaires Treatment Outcome

Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2022
Historique:
received: 29 06 2022
accepted: 05 10 2022
entrez: 24 10 2022
pubmed: 25 10 2022
medline: 27 10 2022
Statut: epublish

Résumé

Satisfaction with hallux valgus repair is often poor, despite good surgical outcomes. Many tools have been developed to assess the outcome of the procedure; however none evaluate the association between the initial motive for repair and the reasons for post-surgical dissatisfaction. The aim of this study was to develop a new tool to analyse the subjective and objective expectations of individuals during a pre-operative consultation for hallux valgus repair in order to improve post-surgical satisfaction. We first collected the reasons for dissatisfaction with repair from the medical files of dissatisfied individuals. Then, a steering committee of 4 French experts in the management of hallux valgus designed a questionnaire based on the reasons for dissatisfaction. We then used the DELPHI method to validate the questionnaire: we submitted the questionnaire to a panel of 34 francophone experts in hallux valgus repair for rating in 4 rounds. The medical files of 853 individuals were reviewed and a 52-item questionnaire relating to expectations from hallux valgus surgery was drafted. After the 4 rounds, a final 44 item questionnaire reached consensus. Thirteen items related to clinical and psychological profile, 5 to pain, 9 to physical activity, 4 to aesthetics and 13 to footwear. This tool should facilitate gathering of individuals' expectations from hallux valgus repair to ensure realistic goals and reduce post-surgical dissatisfaction.

Sections du résumé

BACKGROUND
Satisfaction with hallux valgus repair is often poor, despite good surgical outcomes. Many tools have been developed to assess the outcome of the procedure; however none evaluate the association between the initial motive for repair and the reasons for post-surgical dissatisfaction. The aim of this study was to develop a new tool to analyse the subjective and objective expectations of individuals during a pre-operative consultation for hallux valgus repair in order to improve post-surgical satisfaction.
METHODS
We first collected the reasons for dissatisfaction with repair from the medical files of dissatisfied individuals. Then, a steering committee of 4 French experts in the management of hallux valgus designed a questionnaire based on the reasons for dissatisfaction. We then used the DELPHI method to validate the questionnaire: we submitted the questionnaire to a panel of 34 francophone experts in hallux valgus repair for rating in 4 rounds.
RESULTS
The medical files of 853 individuals were reviewed and a 52-item questionnaire relating to expectations from hallux valgus surgery was drafted. After the 4 rounds, a final 44 item questionnaire reached consensus. Thirteen items related to clinical and psychological profile, 5 to pain, 9 to physical activity, 4 to aesthetics and 13 to footwear.
CONCLUSION
This tool should facilitate gathering of individuals' expectations from hallux valgus repair to ensure realistic goals and reduce post-surgical dissatisfaction.

Identifiants

DOI: 10.1371/journal.pone.0276303 PMID: 36279269 PMC: PMC9591061
pubmed: 36279269
doi: 10.1371/journal.pone.0276303
pii: PONE-D-22-18469
pmc: PMC9591061
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0276303

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Cédric Blouin (C)

UFR Simone Veil-Santé, UR2020 Erphan, Université Versailles Saint-Quentin-en-Yvelines (UVSQ), Montigny-le-Bretonneux, France.
Service de Chirurgie Orthopédique, Hôpital de la Croix-Saint-Simon, Groupe Hospitalier Diaconesses-Croix-Saint-Simon, Paris, France.
ISPC Synergies, Paris, France.
ORCID: 0000-0002-1502-4668

François Genet (F)

ISPC Synergies, Paris, France.
Département PARASPORT-SANTE, Unité Péri Opératoire du Handicap, (UPOH-Perioperative Disability Unit), Service de Médecine Physique et de Réadaptation, Hôpital Raymond-Poincaré, Groupe Hospitalo-Universitaire APHP-Université PARIS SACLAY, Garches, France.
UFR Simone Veil-Santé, END: ICAP, Inserm U1179, Université Versailles Saint-Quentin-en-Yvelines (UVSQ), Montigny-le-Bretonneux, France.

Philippe Denormandie (P)

Service de Chirurgie Orthopédique, Hôpital Raymond Poincaré, APHP, Garches, France.
Groupe Mutuelle Nationale des Hospitaliers (MNH), Paris, France.

Wilfrid Graff (W)

Service de Chirurgie Orthopédique, Hôpital de la Croix-Saint-Simon, Groupe Hospitalier Diaconesses-Croix-Saint-Simon, Paris, France.

Antoine Perrier (A)

Service de Chirurgie Orthopédique, Hôpital de la Croix-Saint-Simon, Groupe Hospitalier Diaconesses-Croix-Saint-Simon, Paris, France.
Laboratoire de Recherche Translationnelle et D'Innovation en Médecine et Complexité TIMC, CNRS, Grenoble, France.
Service de Diabétologie, Groupe Hospitalier Pitié-Salpêtrière, Paris, France.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Development of a preoperative questionnaire to...
questionsmedicales.fr › Maladies ostéomusculaires › Anomalies morphologiques du pied › Hallux valgus › Development of a preoperative questionnaire to...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Comportement › Satisfaction personnelle › Development of a preoperative questionnaire to...
questionsmedicales.fr › Sciences de l'information › Analyse des systèmes › Méthode Delphi › Development of a preoperative questionnaire to...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Development of a preoperative questionnaire to...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Development of a preoperative questionnaire to...