Patients’ Expectations Predict Surgery Outcomes: A Meta-Analysis

摘要: Background Several studies indicate that patients’ presurgical expectations can influence postsurgical health outcome. Purpose To estimate the potential for clinical exploitation of this association, a meta-analysis prospective which assess association between and quality life is applied to accumulate overall effect. Methods We searched databases MEDLINE, CENTRAL, PsychINFO English- German-language articles published from 1980 until December 2013. Additionally, manual searches bibliographies retrieved relevant reviews were conducted. Prospective measuring in patients aging 18–65 selected. Correlations extracted or provided by authors. Results The search yielded 21 (including 2611 undergoing surgery) with follow-up period ranging 1 week 13 years. pooled correlations 0.369 (95 % confidence interval (CI), 0.264 0.466; P heterogeneity <0.001; random-effects model) (11 studies), 0.126 CI, 0.079 0.172; heterogeneity=0.63; physical (12 0.208 0.113 0.299; mental indicating low moderate associations presurgery postsurgery life. Conclusions Theseresultsconfirmtheimportanceofpatients’ prediction outcomes underline necessity optimize these order improve postoperative