Moderate evidence correlates higher preoperative patient expectations for surgery with higher patient reported outcomes after rotator cuff repair.

Management of Rotator Cuff Injuries
Endorsed by: AANA, ASES, AOSSM, ASSET, APTA
Moderate Evidence MODERATE EVIDENCE
Rationale
One study (Henn 2007) correlated the score from the Musculoskeletal Outcomes Data Evaluation and Management System (MODEMS) questionnaire-used to measure patient expectations- to SST, VAS, SF-36, SST, DASH and found that greater preoperative expectations correlated with better postoperative patient reported outcome scores.

Risks and Harms of Implementing this Recommendation
There are no undue risks or harms when performing rotator cuff repair on patients different expectations after surgery, however patient reported outcomes may be lower in patients with lower expectations and patients should be advised of this finding.

Future Research
There is currently very little research on optimal ways to evaluate and influence patient expectation.
  1. Henn, R. F., 3rd, Kang, L., Tashjian, R. Z., Green, A. Patients' preoperative expectations predict the outcome of rotator cuff repair. Journal of Bone & Joint Surgery - American Volume 2007; 9: 1913-9