We have been impressed by the body of evidence indicating that among the 4Ps (problem, patient, physician, procedure), the patient is a very important determinant of the result of treatment. As William Osler observed, 'It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has.". Over the last several years we have noted data supporting what "our friend Bill" said many years ago.
Here are some of our posts demonstrating the importance of the patient - some relate to shoulder surgery and others to other procedures.
General considerations
Patient health and surgical risk
Charlson Comorbidity Index
Ten modifiable factors that can improve health and outcome
Catastrophic thinking
General health status
Psychological distress
Preoperative pain 1
Preoperative pain 2
Preoperative health
Exercise
Emotional health
Habits
Alcohol Consumption and Complications
Smoking - effect on healing
Smoking - relation to pain 1
Smoking - relation to pain 2
Smoking - effect on cuff tear size
Demographic factors
Age 1
Age 2
Effect of insurance and ethnicity
Effect of income
Medicaid
Workers' compensation
Compliance and worker's compensation
Bone quality
Osteoporosis
Osteoporosis #2
Medical conditions
Diabetes 1
Diabetes 2 - glycemic control
Depression
Mental health
Atrial fibrillation
General health status
Psychological distress
Preoperative pain 1
Preoperative pain 2
Preoperative health
Exercise
Emotional health
Habits
Alcohol Consumption and Complications
Smoking - effect on healing
Smoking - relation to pain 1
Smoking - relation to pain 2
Smoking - effect on cuff tear size
Demographic factors
Age 1
Age 2
Effect of insurance and ethnicity
Effect of income
Medicaid
Workers' compensation
Compliance and worker's compensation
Bone quality
Osteoporosis
Osteoporosis #2
Medical conditions
Diabetes 1
Diabetes 2 - glycemic control
Depression
Mental health
Atrial fibrillation
Atrial fibrillation 2
Hypertension
Sleeplessness
Sleep apnea
Co morbidities, diabetes, smoking
Obesity
Obesity 1
Obesity 2
Obesity 3
Obesity 4
Obesity 5
Hypertension
Sleeplessness
Sleep apnea
Co morbidities, diabetes, smoking
Obesity
Obesity 1
Obesity 2
Obesity 3
Obesity 4
Obesity 5
Mediations
Asprin
Opiod use 1
Opiod use 2
**Check out the new (under construction) Shoulder Arthritis Book - click here.**
Asprin
Opiod use 1
Opiod use 2
**Check out the new (under construction) Shoulder Arthritis Book - click here.**