Patients' Expectations Predict Surgery Outcomes: A Meta-Analysis
Patients' Expectations Predict Surgery Outcomes: A Meta-Analysis
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DOI：
10.1007/s12529-015-9500-4
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发表时间：
2016-02-01
影响因子：
2.7
通讯作者：
Rief, Winfried
中科院分区：
文献类型：
--
作者：
Auer, Charlotte J.;Glombiewski, Julia A.;Rief, Winfried
几项研究表明，患者术前的期望会影响术后的健康结果。为了评估这种关联在临床上的潜在应用价值，我们对前瞻性研究进行了荟萃分析，这些研究评估了患者术前期望与术后生活质量之间的关联，以汇总总体效应。我们检索了1980年至2013年12月发表的英文和德文文章的MEDLINE、CENTRAL和PsychINFO数据库。此外，还对检索到的文章的参考文献和相关综述进行了手动检索。选择了测量18 - 65岁患者术前期望和术后生活质量的前瞻性研究。作者提取或提供了术前期望和术后生活质量之间的相关性。
检索到21项前瞻性研究（包括2611名接受手术的患者），随访期从1周至13年不等。总体生活质量（11项研究）的合并相关性为0.369（95%置信区间(CI)，0.264 - 0.466；异质性P < 0.001；随机效应模型），身体生活质量（12项研究）为0.126（95%CI，0.079 - 0.172；异质性P = 0.63；随机效应模型），心理生活质量（12项研究）为0.208（95%CI，0.113 - 0.299；异质性P < 0.001；随机效应模型），表明术前患者期望与术后生活质量之间存在低到中度的关联。
这些结果证实了患者期望在预测术后结果中的重要性，并强调了优化这些期望以提高术后生活质量的必要性。
Several studies indicate that patients' presurgical expectations can influence postsurgical health outcome.To estimate the potential for clinical exploitation of this association, a meta-analysis of prospective studies which assess the association between patients' presurgical expectations and postsurgical quality of life is applied to accumulate the overall effect.We searched the databases MEDLINE, CENTRAL, and PsychINFO for English- and German-language articles published from 1980 until December 2013. Additionally, manual searches of bibliographies of retrieved articles and relevant reviews were conducted. Prospective studies measuring presurgical expectations and postsurgical quality of life in patients aging 18-65 were selected. Correlations between presurgical expectations and postsurgical quality of life were extracted or provided by the authors.The search yielded 21 prospective studies (including 2611 patients undergoing surgery) with a follow-up period ranging from 1 week to 13 years. The pooled correlations were 0.369 (95 % confidence interval (CI), 0.264 to 0.466; P for heterogeneity < 0.001; random-effects model) for overall quality of life (11 studies), 0.126 (95 % CI, 0.079 to 0.172; P for heterogeneity = 0.63; random-effects model) for physical quality of life (12 studies), and 0.208 (95 % CI, 0.113 to 0.299; P for heterogeneity < 0.001; random-effects model) for mental quality of life (12 studies), indicating low to moderate associations between presurgery patients' expectations and postsurgery quality of life.These results confirm the importance of patients' expectations in the prediction of postsurgical outcomes and underline the necessity to optimize these expectations in order to improve postoperative quality of life.