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Development of a preoperative questionnaire to improve satisfaction with hallux valgus repair: A Delphi study
oleh: Cédric Blouin, François Genet, Philippe Denormandie, Wilfrid Graff, Antoine Perrier
Format: | Article |
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Diterbitkan: | Public Library of Science (PLoS) 2022-01-01 |
Deskripsi
<h4>Background</h4> 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. <h4>Methods</h4> 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. <h4>Results</h4> 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. <h4>Conclusion</h4> This tool should facilitate gathering of individuals’ expectations from hallux valgus repair to ensure realistic goals and reduce post-surgical dissatisfaction.