“I just want to get it done”—a mixed-methods study on how people undergoing hallux valgus surgery perceive risk

Abstract

Background

This scoping study explored patients’ preoperative perspectives of their expectations, their tolerance for risk, and what factors may influence their decision to undergo hallux valgus surgery.

Methods

Recently consented patients for hallux valgus surgery at a tertiary public hospital were recruited for this mixed-methods study. Firstly, semi-structured interviews were undertaken to explore attitudes, perceptions, feelings about risk, and expectations of surgery. Following the interview, questionnaires assessing demographics, pain, and health-related quality of life were completed. The data were analysed using NVivo and SPSS.

Results

Seven participants (Five women; mean age 63, range 47–79, years) were recruited for this study. Foot pain was rated as moderate to high, but catastrophisation and sensitisation were low. Surgery was viewed a definitive resolution and expectations were high. Participants with higher pain had higher expectations and the experience of others was used to judge the chance of a successful outcome.

Conclusion

People with high foot pain and hallux valgus may have higher expectations of a successful operation. Expectations and acceptance of risk in people having surgery for hallux valgus are optimistic.

Key points

People use previous experience with non-related surgery as predictor of success of hallux valgus surgery

People trust their surgeon and are optimistic about their outcome

People with higher pain expect higher levels of improvement with hallux valgus surgery