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Associations between surgeons' preoperative expectations of lumbar surgery and patient-reported 2-year outcomes.

Carol A MancusoRoland DuculanFrank P CammisaAndrew A SamaAlexander P HughesDarren R LeblFederico P Girardi
Published in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2024)
Surgeons' preoperative expectations were associated with patient-reported postoperative improvement in symptoms and function, but not with satisfaction. These findings are consistent with clinical practice in that surgeons expect some but not complete improvement from surgery and do not anticipate that any particular patient will have markedly unfavorable satisfaction ratings. In addition to preoperative discussions about expectations, patients and surgeons should acknowledge different types of outcomes and address them jointly in postoperative discussions.
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