Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

01-12-2016 | Research | Uitgave 1/2016 Open Access

Journal of Foot and Ankle Research 1/2016

Interpreting outcome following foot surgery in people with rheumatoid arthritis

Tijdschrift:
Journal of Foot and Ankle Research > Uitgave 1/2016
Auteurs:
Michael R. Backhouse, Karen A. Vinall-Collier, Anthony C. Redmond, Philip S. Helliwell, Anne-Maree Keenan
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (doi:10.​1186/​s13047-016-0153-6) contains supplementary material, which is available to authorized users.

Abstract

Background

Foot surgery is common in RA but the current lack of understanding of how patients interpret outcomes inhibits evaluation of procedures in clinical and research settings. This study aimed to explore which factors are important to people with RA when they evaluate the outcome of foot and ankle surgery.

Methods and Results

Semi structured interviews with 11 RA participants who had mixed experiences of foot surgery were conducted and analysed using thematic analysis. Responses showed that while participants interpreted surgical outcome in respect to a multitude of factors, five major themes emerged: functional ability, participation, appearance of feet and footwear, surgeons’ opinion, and pain. Participants interpreted levels of physical function in light of other aspects of their disease, reflecting on relative change from their preoperative state more than absolute levels of ability. Appearance was important to almost all participants: physical appearance, foot shape, and footwear were closely interlinked, yet participants saw these as distinct concepts and frequently entered into a defensive repertoire, feeling the need to justify that their perception of outcome was not about cosmesis.
Surgeons’ post-operative evaluation of the procedure was highly influential and made a lasting impression, irrespective of how the outcome compared to the participants’ initial goals. Whilst pain was important to almost all participants, it had the greatest impact upon them when it interfered with their ability to undertake valued activities.

Conclusions

People with RA interpret the outcome of foot surgery using multiple interrelated factors, particularly functional ability, appearance and surgeons’ appraisal of the procedure. While pain was often noted, this appeared less important than anticipated. These factors can help clinicians in discussing surgical options in patients.

Onze productaanbevelingen

BSL Podotherapeut Totaal

Binnen de bundel kunt u gebruik maken van boeken, tijdschriften, e-learnings, web-tv's en uitlegvideo's. BSL Podotherapeut Totaal is overal toegankelijk; via uw PC, tablet of smartphone.

Extra materiaal
Additional file 1: Table S1. Evolution of codes used in thematic analysis. (DOC 80 kb)
13047_2016_153_MOESM1_ESM.doc
Literatuur
Over dit artikel

Andere artikelen Uitgave 1/2016

Journal of Foot and Ankle Research 1/2016 Naar de uitgave