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Open Access Study protocol

Patient anxiety and concern as predictors for the perceived quality of treatment and patient reported outcome (PRO) in orthopaedic surgery

Randi Bilberg12*, Birgitte Nørgaard3, Søren Overgaard45 and Kirsten Kaya Roessler2

Author Affiliations

1 Department of Orthopaedic Surgery, Kolding Hospital, a part of Lillebaelt Hospital, Skovvangen 2-6, Kolding 6000, Denmark

2 Institute of Psychology, University of Southern Denmark, Odense, Denmark

3 Emergency Department, Kolding Hospital, a part of Lillebaelt Hospital, Kolding, Denmark

4 Department of Orthopaedics and Traumatology, Odense University Hospital, Odense, Denmark

5 Institute of Clinical Research, University of Southern Denmark, Odense, Denmark

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BMC Health Services Research 2012, 12:244  doi:10.1186/1472-6963-12-244

Published: 8 August 2012

Abstract

Background

Previous studies have shown that patients’ anxiety and dissatisfaction are predictors for increased postoperative pain and reduced efficacy of pain treatment. However, it remains to be shown whether patient anxiety and concern are predictors for the perceived quality of treatment and patient reported outcome (PRO).

The aim of this study is to investigate whether there is a correlation between preoperative anxiety and concern, and the perceived quality of postoperative treatment and outcome. The hypothesis is that anxious and concerned patients are less satisfied with treatment and have a poorer outcome.

Methods/design

This study is designed as a prospective follow-up study and has the aim of investigating the correlation between patient anxiety and concern, patients´ perceived quality of treatment and outcome. This correlation will be detected using five questionnaires: CMD-SQ (Common Mental Disorders Screening Questionnaire), EuroQol 5 Dimensions (EQ-5D), Short form 12 (SF-12), “What is your evaluation of the patient progress in the Department of Orthopaedic Surgery?” (HVOK), Questionnaire for patients who have had hip surgery (RCS) and Oxford Hip Score (OHS) or Oxford Shoulder Score (OSS). The patients will complete the above mentioned questionnaires preoperatively in the outpatient department, and postoperatively just before discharge from the inpatient department, and 12 and 52 weeks after the operation. The study includes a reliability test of CMD-SQ regarding this specific population and tested by means of a Kappa. A total of 500 hip- and shoulder-patients will be included from October 2010 till October 2011.

Discussion

If a correlation between patient anxiety and concern, patients´ perceived quality of treatment and patient reported outcome is found, it will be recommended to screen all hip- and shoulder-patients for anxiety and concern preoperatively. Besides, it would be relevant to carry out investigations of possible interventions towards anxious and concerned patients.

Trial registration

Current Controlled Trials: NCT01205295