{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T11:06:12Z","timestamp":1774004772987,"version":"3.50.1"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Physician-review websites are a commonly used resource by patients when choosing a surgeon. While data exist regarding some surgical specialties, no study has examined negative one-star reviews for orthopaedic-trained hand surgeons. The goal of this study was to investigate one-star reviews regarding orthopaedic-trained hand and upper extremity surgeons in the 10 largest cities in the United States to determine the associated factors behind unsatisfied patients to improve patient care.<\/jats:p><jats:p>\n          Materials and Methods\u2003Patient reviews and narratives of orthopaedic-trained hand surgeons were collected from the 10 largest cities in the United States using Vitals.com. One-star reviews (out of a five-star maximum) with comments were identified and classified as operative or nonoperative. These reviews were further subclassified based on the nature of the comment.<\/jats:p><jats:p>\n          Results\u2003A total of 830 one-star reviews with 1,662 complaints were included in this study. Of these complaints, 557 (33.5%) were from patients who received operative care and 1,105 (66.5%) were from nonoperative care patients. Nonoperative patient one-star reviews had a significantly higher proportion of complaints related to bedside manners (37.6 to 19.6%, p\u2009&lt;\u20090.001), not enough time spent with the provider (18.1 to 4.5%, p\u2009&lt;\u20090.001), and wait time (13.3 to 3.2%, p\u2009&lt;\u20090.001) as compared with operative patient one-star reviews. Operative patient one-star reviews had a higher proportion of complaints related to disagreement with the physician's decision or plan (15.6 to 10.2%, p\u2009=\u20090.002); uncontrolled pain (14.4 to 7.9%, p\u2009&lt;\u20090.001); and medical staff or institution (17.2 to 12.9%, p\u2009=\u20090.018) as compared with nonoperative patients.<\/jats:p><jats:p>\n          Discussion\u2003Most one-star reviews regarding orthopaedic-trained hand surgeons referenced nonclinical components\u2014bedside manner was the most common complaint. It was determined that surgical patients were less likely to leave a one-star review; however, if they did, the most common complaint was in reference to a disagreement with the physician's decision or uncontrolled pain postoperatively.<\/jats:p><jats:p>\n          Type of Study\u2003Outcomes 2c.<\/jats:p>","DOI":"10.1055\/s-0044-1779446","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T23:55:33Z","timestamp":1706745333000},"page":"194-199","source":"Crossref","is-referenced-by-count":1,"title":["Examining One-Star Reviews in Orthopaedic Hand Surgeons in Large U.S. Cities"],"prefix":"10.1055","volume":"14","author":[{"given":"Kyle J.","family":"Hitchman","sequence":"additional","affiliation":[{"name":"Campbell University School of Osteopathic Medicine, Lillington, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert T.","family":"Anastasio","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Duke University, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony N.","family":"Baumann","sequence":"additional","affiliation":[{"name":"College of Medicine, Northeast Ohio Medical University, Rootstown, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah E.","family":"Welch","sequence":"additional","affiliation":[{"name":"Campbell University School of Osteopathic Medicine, Lillington, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kempland C.","family":"Walley","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Michigan | Michigan Medicine, Ann Arbor, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher S.","family":"Klifto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Duke University, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,1,31]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"e38","DOI":"10.2196\/jmir.2003","article-title":"A changing landscape of physician quality reporting: analysis of patients' online ratings of their physicians over a 5-year period","volume":"14","author":"G G Gao","year":"2012","journal-title":"J Med Internet Res"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"e324","DOI":"10.2196\/jmir.6612","article-title":"Association between physician online rating and quality of care","volume":"18","author":"K Okike","year":"2016","journal-title":"J Med Internet Res"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"e78","DOI":"10.2196\/resprot.3433","article-title":"Collecting and analyzing patient experiences of health care from social media","volume":"4","author":"M 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language processing","volume":"29","author":"D WG Langerhuizen","year":"2021","journal-title":"J Am Acad Orthop Surg"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"e0158","DOI":"10.2106\/JBJS.RVW.19.00158","article-title":"Physician-review websites in orthopaedic surgery","volume":"8","author":"D N Bernstein","year":"2020","journal-title":"JBJS Rev"},{"issue":"08","key":"ref12","first-page":"397","article-title":"Characterizing single-star negative online reviews of orthopaedic trauma association members","volume":"31","author":"E H Richman","year":"2023","journal-title":"J Am Acad Orthop Surg"},{"issue":"05","key":"ref13","doi-asserted-by":"crossref","first-page":"e1465","DOI":"10.1016\/j.asmr.2021.07.008","article-title":"The majority of complaints about orthopedic sports surgeons on yelp are nonclinical","volume":"3","author":"J R Pollock","year":"2021","journal-title":"Arthrosc Sports Med Rehabil"},{"issue":"02","key":"ref14","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.artd.2019.02.009","article-title":"Characterizing extremely negative reviews of total joint arthroplasty practices and surgeons on yelp.com","volume":"5","author":"J R Arthur","year":"2019","journal-title":"Arthroplast Today"},{"issue":"02","key":"ref15","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1007\/s11420-017-9600-6","article-title":"Online patient ratings are not correlated with total knee replacement surgeon-specific outcomes","volume":"14","author":"S K Trehan","year":"2018","journal-title":"HSS J"},{"issue":"03","key":"ref16","first-page":"139","article-title":"An assessment of online reviews of hand surgeons","volume":"5","author":"W Kirkpatrick","year":"2017","journal-title":"Arch Bone Jt Surg"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1177\/1558944718787285","article-title":"Utilization and impact of social media in hand surgeon practices","volume":"15","author":"G Garofolo","year":"2020","journal-title":"Hand (N Y)"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.jhsa.2015.10.006","article-title":"Online patient ratings of hand surgeons","volume":"41","author":"S K Trehan","year":"2016","journal-title":"J Hand Surg Am"},{"issue":"11","key":"ref19","first-page":"988","article-title":"Consumerism in health care: challenges and opportunities","volume":"15","author":"R Zeckhauser","year":"2013","journal-title":"Virtual Mentor"},{"issue":"03","key":"ref20","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1056\/NEJMp1610136","article-title":"Transparency and trust\u2014online patient reviews of physicians","volume":"376","author":"V Lee","year":"2017","journal-title":"N Engl J Med"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1779446.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T02:29:54Z","timestamp":1742956194000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1779446"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,31]]},"references-count":20,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2025,3,25]]},"published-print":{"date-parts":[[2025,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1779446","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"value":"2163-3916","type":"print"},{"value":"2163-3924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,31]]}}}