{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T10:58:43Z","timestamp":1787828323411,"version":"build-2784847793"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2017,2,14]],"date-time":"2017-02-14T00:00:00Z","timestamp":1487030400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Few authors have investigated patients\u2019 expectations from foot and ankle surgery. In this study, we aimed to examine relationships between patients\u2019 preoperative expectations and their demographic and clinical characteristics. We hypothesized that patients with more disability and those with anxiety or depressive symptoms would have greater expectations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All adult patients scheduled for elective foot or ankle surgery by 1 of 6 orthopaedic foot and ankle surgeons were screened for inclusion over 8 months. Preoperatively, all patients completed the Hospital for Special Surgery Foot &amp; Ankle Surgery Expectations Survey in addition to the Foot &amp; Ankle Outcome Score (FAOS), Short Form (SF)\u201312, Patient Health Questionnaire (PHQ)\u20138, Generalized Anxiety Disorder 7-item scale (GAD-7), and pain visual analog scale (VAS). The expectations survey contained 23 expectations categories, each with 5 answer choices ranging from \u201cI do not have this expectation\u201d to \u201ccomplete improvement\u201d expected. It was scored from 0 to 100, with higher scores indicating more expectations. Differences in expectations relating to numerous patient demographic and clinical variables were assessed. In total, 352 patients with an average age of 55 \u00b1 15 (range, 18-86) years were enrolled.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Expectations scores were not related to age ( P = .36). On average, women expected to achieve complete improvement more often than men ( P = .011). Variables that were significantly associated with higher expectations scores ( P &lt; .05) included nonwhite race, use of a cane or other assistive device, and greater medical comorbidity. Worse function and quality of life (as assessed by all FAOS subscales and the SF-12 physical and mental components), more depressive and anxiety symptoms, and higher pain VAS scores were associated with higher expectations scores and more expectations ( P &lt; .01 for all).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The results of this study may help inform surgeons\u2019 preoperative discussions with their patients regarding realistic expectations from surgery. Generally, patients with worse function and more disability had higher expectations from surgery. Addressing these patients\u2019 expectations preoperatively may help improve their ultimate satisfaction with surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level II, cross sectional study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100717690807","type":"journal-article","created":{"date-parts":[[2017,2,15]],"date-time":"2017-02-15T01:09:30Z","timestamp":1487120970000},"page":"472-478","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":37,"title":["Patient Factors Associated With Higher Expectations From Foot and Ankle Surgery"],"prefix":"10.1177","volume":"38","author":[{"given":"Elizabeth A.","family":"Cody","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol A.","family":"Mancuso","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayme C.","family":"Burket","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Stanford University School of Medicine, Palo Alto, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anca","family":"Marinescu","sequence":"additional","affiliation":[{"name":"Foot and Ankle Service, Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aoife","family":"MacMahon","sequence":"additional","affiliation":[{"name":"Weill Cornell Medical College, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott J.","family":"Ellis","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the HSS Orthopaedic Foot and Ankle Surgery Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,2,14]]},"reference":[{"key":"bibr1-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"bibr2-1071100717690807","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2012.1145"},{"key":"bibr3-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716666260"},{"key":"bibr4-1071100717690807","first-page":"839","volume":"10","author":"Corson K","year":"2004","journal-title":"Am J Manag Care"},{"key":"bibr5-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2484-3"},{"key":"bibr6-1071100717690807","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01114"},{"key":"bibr7-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-015-9466-4"},{"key":"bibr8-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318160d093"},{"key":"bibr9-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2016.04.011"},{"key":"bibr10-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001378"},{"key":"bibr11-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-014-3597-z"},{"key":"bibr12-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000349"},{"key":"bibr13-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-007-0052-z"},{"key":"bibr14-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(03)00276-6"},{"key":"bibr15-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(97)90194-7"},{"key":"bibr16-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.97B5.33940"},{"key":"bibr17-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713483117"},{"key":"bibr18-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102201004"},{"key":"bibr19-1071100717690807","first-page":"100","volume":"6","author":"Rudge G","year":"2033","journal-title":"Br J Podiatr"},{"key":"bibr20-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1007\/s002640100289"},{"key":"bibr21-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1177\/230949900801600121"},{"key":"bibr22-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003"},{"key":"bibr23-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-4-27"},{"key":"bibr24-1071100717690807","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714565902"}],"updated-by":[{"DOI":"10.1177\/1071100717729354","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2017,8,29]],"date-time":"2017-08-29T00:00:00Z","timestamp":1503964800000}}],"container-title":["Foot &amp; 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