Patient Preferences for Graft Selection in Anterior Cruciate Ligament Reconstruction
Background: Selecting an appropriate graft for anterior cruciate ligament (ACL) reconstruction requires consideration of a patient's preferences, goals, age, and physical demands alongside the risks and benefits of each graft choice. Purpose: To determine the most popular ACL reconstruction gra...
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| Veröffentlicht in: | Orthopaedic journal of sports medicine 2024-08, Vol.12 (8), p.23259671241258429 |
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| creator | Pearsall, Christian Chen, Aaron Z. Abdelaziz, Abed Saltzman, Bryan M. Piasecki, Dana P. Popkin, Charles A. Redler, Lauren H. Levine, William N. Ahmad, Christopher S. Trofa, David P. |
| description | Background:
Selecting an appropriate graft for anterior cruciate ligament (ACL) reconstruction requires consideration of a patient's preferences, goals, age, and physical demands alongside the risks and benefits of each graft choice.
Purpose:
To determine the most popular ACL reconstruction grafts among patients and the most important factors influencing their decisions.
Study Design:
Cross-sectional study; Level of evidence, 3.
Methods:
Patients undergoing ACL reconstruction between October 2022 and April 2023 completed a survey either before (nonconsult group) or after (consult group) speaking with their surgeon, who provided an evidence-based description of the pros and cons of an allograft and the following autografts: bone-patellar tendon-bone (BPTB), hamstring tendon (HT), and quadriceps tendon (QT). Patient characteristics, graft choice, information influencing their graft choice, and surgeon recommendation were collected and compared between the groups.
Results:
Among the 100 included patients, 59.0% were male, and the mean age was 28.3 ± 10.4 years. The most popular grafts were the BPTB (56.0%), followed by the QT (29.0%), HT (8.0%), and allograft (7.0%). No significant difference was observed in the graft selection between the consult group (n = 60; BPTB, 46.7%; QT, 38.3%; HT, 8.3%; allograft, 6.7%) and nonconsult group (n = 40; BPTB, 70.0%; QT, 15.0%; HT, 7.5%; allograft, 7.5%) (P = .0757). In the consult group, 81.7% of patients selected the graft recommended to them by their surgeon. The top 2 graft selection reasons were usage in professional athletes and failure rates, while the top 2 ACL surgery concerns were returning to their desired level of athletics and graft failure risk. Among the 93 patients who researched their ACL graft options before their visit, the most popular information source was some form of media (72.0% [67/93]).
Conclusion:
The study findings underscore the importance of patient preference and surgeon recommendation in a patient's graft selection and highlight the need to be cognizant of the information sources available to patients when researching their graft options. |
| doi_str_mv | 10.1177/23259671241258429 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_3094473563</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_23259671241258429</sage_id><sourcerecordid>3111272776</sourcerecordid><originalsourceid>FETCH-LOGICAL-p251t-af2505c3312c8c70cc6191d78dc82db1b02a5607163432398a03706cef72c58f3</originalsourceid><addsrcrecordid>eNplkVFLwzAQx4Mobsx9AF-k4IsvnbmkadrHMXQKA4fO55Kl15HRpjNJH_z2tmyi6L3c8b_f_TnuCLkGOgOQ8p5xJvJUAkuAiSxh-RkZD1o8iOe_6hGZer-nfWQCci4vyYjnICRlfEw2axUM2hCtHVbo0Gr0UdW6aOlUFaI3rFEH09rI2GhuAzrT9xau00YFjFZmp5ph-hV1a33o9QG-IheVqj1OT3lC3h8fNounePWyfF7MV_GBCQixqpigQnMOTGdaUq1TyKGUWakzVm5hS5kSKZWQ8oQznmeKcklTjZVkWmQVn5C7o-_BtR8d-lA0xmusa2Wx7XzBaZ4kkouU9-jtH3Tfds722xUcAJhkUqY9dXOium2DZXFwplHus_i-Vw_MjoBXO_yxAFoMPyn-_YR_Adv5eUQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3111272776</pqid></control><display><type>article</type><title>Patient Preferences for Graft Selection in Anterior Cruciate Ligament Reconstruction</title><source>DOAJ Directory of Open Access Journals</source><source>Sage Journals GOLD Open Access 2024</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Pearsall, Christian ; Chen, Aaron Z. ; Abdelaziz, Abed ; Saltzman, Bryan M. ; Piasecki, Dana P. ; Popkin, Charles A. ; Redler, Lauren H. ; Levine, William N. ; Ahmad, Christopher S. ; Trofa, David P.</creator><creatorcontrib>Pearsall, Christian ; Chen, Aaron Z. ; Abdelaziz, Abed ; Saltzman, Bryan M. ; Piasecki, Dana P. ; Popkin, Charles A. ; Redler, Lauren H. ; Levine, William N. ; Ahmad, Christopher S. ; Trofa, David P.</creatorcontrib><description>Background:
Selecting an appropriate graft for anterior cruciate ligament (ACL) reconstruction requires consideration of a patient's preferences, goals, age, and physical demands alongside the risks and benefits of each graft choice.
Purpose:
To determine the most popular ACL reconstruction grafts among patients and the most important factors influencing their decisions.
Study Design:
Cross-sectional study; Level of evidence, 3.
Methods:
Patients undergoing ACL reconstruction between October 2022 and April 2023 completed a survey either before (nonconsult group) or after (consult group) speaking with their surgeon, who provided an evidence-based description of the pros and cons of an allograft and the following autografts: bone-patellar tendon-bone (BPTB), hamstring tendon (HT), and quadriceps tendon (QT). Patient characteristics, graft choice, information influencing their graft choice, and surgeon recommendation were collected and compared between the groups.
Results:
Among the 100 included patients, 59.0% were male, and the mean age was 28.3 ± 10.4 years. The most popular grafts were the BPTB (56.0%), followed by the QT (29.0%), HT (8.0%), and allograft (7.0%). No significant difference was observed in the graft selection between the consult group (n = 60; BPTB, 46.7%; QT, 38.3%; HT, 8.3%; allograft, 6.7%) and nonconsult group (n = 40; BPTB, 70.0%; QT, 15.0%; HT, 7.5%; allograft, 7.5%) (P = .0757). In the consult group, 81.7% of patients selected the graft recommended to them by their surgeon. The top 2 graft selection reasons were usage in professional athletes and failure rates, while the top 2 ACL surgery concerns were returning to their desired level of athletics and graft failure risk. Among the 93 patients who researched their ACL graft options before their visit, the most popular information source was some form of media (72.0% [67/93]).
Conclusion:
The study findings underscore the importance of patient preference and surgeon recommendation in a patient's graft selection and highlight the need to be cognizant of the information sources available to patients when researching their graft options.</description><identifier>ISSN: 2325-9671</identifier><identifier>EISSN: 2325-9671</identifier><identifier>DOI: 10.1177/23259671241258429</identifier><identifier>PMID: 39157023</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Information sources ; Patients ; Surgeons</subject><ispartof>Orthopaedic journal of sports medicine, 2024-08, Vol.12 (8), p.23259671241258429</ispartof><rights>The Author(s) 2024</rights><rights>The Author(s) 2024.</rights><rights>The Author(s) 2024. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/23259671241258429$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/23259671241258429$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,864,21964,27851,27922,27923,44943,45331</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39157023$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pearsall, Christian</creatorcontrib><creatorcontrib>Chen, Aaron Z.</creatorcontrib><creatorcontrib>Abdelaziz, Abed</creatorcontrib><creatorcontrib>Saltzman, Bryan M.</creatorcontrib><creatorcontrib>Piasecki, Dana P.</creatorcontrib><creatorcontrib>Popkin, Charles A.</creatorcontrib><creatorcontrib>Redler, Lauren H.</creatorcontrib><creatorcontrib>Levine, William N.</creatorcontrib><creatorcontrib>Ahmad, Christopher S.</creatorcontrib><creatorcontrib>Trofa, David P.</creatorcontrib><title>Patient Preferences for Graft Selection in Anterior Cruciate Ligament Reconstruction</title><title>Orthopaedic journal of sports medicine</title><addtitle>Orthop J Sports Med</addtitle><description>Background:
Selecting an appropriate graft for anterior cruciate ligament (ACL) reconstruction requires consideration of a patient's preferences, goals, age, and physical demands alongside the risks and benefits of each graft choice.
Purpose:
To determine the most popular ACL reconstruction grafts among patients and the most important factors influencing their decisions.
Study Design:
Cross-sectional study; Level of evidence, 3.
Methods:
Patients undergoing ACL reconstruction between October 2022 and April 2023 completed a survey either before (nonconsult group) or after (consult group) speaking with their surgeon, who provided an evidence-based description of the pros and cons of an allograft and the following autografts: bone-patellar tendon-bone (BPTB), hamstring tendon (HT), and quadriceps tendon (QT). Patient characteristics, graft choice, information influencing their graft choice, and surgeon recommendation were collected and compared between the groups.
Results:
Among the 100 included patients, 59.0% were male, and the mean age was 28.3 ± 10.4 years. The most popular grafts were the BPTB (56.0%), followed by the QT (29.0%), HT (8.0%), and allograft (7.0%). No significant difference was observed in the graft selection between the consult group (n = 60; BPTB, 46.7%; QT, 38.3%; HT, 8.3%; allograft, 6.7%) and nonconsult group (n = 40; BPTB, 70.0%; QT, 15.0%; HT, 7.5%; allograft, 7.5%) (P = .0757). In the consult group, 81.7% of patients selected the graft recommended to them by their surgeon. The top 2 graft selection reasons were usage in professional athletes and failure rates, while the top 2 ACL surgery concerns were returning to their desired level of athletics and graft failure risk. Among the 93 patients who researched their ACL graft options before their visit, the most popular information source was some form of media (72.0% [67/93]).
Conclusion:
The study findings underscore the importance of patient preference and surgeon recommendation in a patient's graft selection and highlight the need to be cognizant of the information sources available to patients when researching their graft options.</description><subject>Information sources</subject><subject>Patients</subject><subject>Surgeons</subject><issn>2325-9671</issn><issn>2325-9671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNplkVFLwzAQx4Mobsx9AF-k4IsvnbmkadrHMXQKA4fO55Kl15HRpjNJH_z2tmyi6L3c8b_f_TnuCLkGOgOQ8p5xJvJUAkuAiSxh-RkZD1o8iOe_6hGZer-nfWQCci4vyYjnICRlfEw2axUM2hCtHVbo0Gr0UdW6aOlUFaI3rFEH09rI2GhuAzrT9xau00YFjFZmp5ph-hV1a33o9QG-IheVqj1OT3lC3h8fNounePWyfF7MV_GBCQixqpigQnMOTGdaUq1TyKGUWakzVm5hS5kSKZWQ8oQznmeKcklTjZVkWmQVn5C7o-_BtR8d-lA0xmusa2Wx7XzBaZ4kkouU9-jtH3Tfds722xUcAJhkUqY9dXOium2DZXFwplHus_i-Vw_MjoBXO_yxAFoMPyn-_YR_Adv5eUQ</recordid><startdate>202408</startdate><enddate>202408</enddate><creator>Pearsall, Christian</creator><creator>Chen, Aaron Z.</creator><creator>Abdelaziz, Abed</creator><creator>Saltzman, Bryan M.</creator><creator>Piasecki, Dana P.</creator><creator>Popkin, Charles A.</creator><creator>Redler, Lauren H.</creator><creator>Levine, William N.</creator><creator>Ahmad, Christopher S.</creator><creator>Trofa, David P.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>202408</creationdate><title>Patient Preferences for Graft Selection in Anterior Cruciate Ligament Reconstruction</title><author>Pearsall, Christian ; Chen, Aaron Z. ; Abdelaziz, Abed ; Saltzman, Bryan M. ; Piasecki, Dana P. ; Popkin, Charles A. ; Redler, Lauren H. ; Levine, William N. ; Ahmad, Christopher S. ; Trofa, David P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p251t-af2505c3312c8c70cc6191d78dc82db1b02a5607163432398a03706cef72c58f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Information sources</topic><topic>Patients</topic><topic>Surgeons</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pearsall, Christian</creatorcontrib><creatorcontrib>Chen, Aaron Z.</creatorcontrib><creatorcontrib>Abdelaziz, Abed</creatorcontrib><creatorcontrib>Saltzman, Bryan M.</creatorcontrib><creatorcontrib>Piasecki, Dana P.</creatorcontrib><creatorcontrib>Popkin, Charles A.</creatorcontrib><creatorcontrib>Redler, Lauren H.</creatorcontrib><creatorcontrib>Levine, William N.</creatorcontrib><creatorcontrib>Ahmad, Christopher S.</creatorcontrib><creatorcontrib>Trofa, David P.</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Orthopaedic journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pearsall, Christian</au><au>Chen, Aaron Z.</au><au>Abdelaziz, Abed</au><au>Saltzman, Bryan M.</au><au>Piasecki, Dana P.</au><au>Popkin, Charles A.</au><au>Redler, Lauren H.</au><au>Levine, William N.</au><au>Ahmad, Christopher S.</au><au>Trofa, David P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient Preferences for Graft Selection in Anterior Cruciate Ligament Reconstruction</atitle><jtitle>Orthopaedic journal of sports medicine</jtitle><addtitle>Orthop J Sports Med</addtitle><date>2024-08</date><risdate>2024</risdate><volume>12</volume><issue>8</issue><spage>23259671241258429</spage><pages>23259671241258429-</pages><issn>2325-9671</issn><eissn>2325-9671</eissn><abstract>Background:
Selecting an appropriate graft for anterior cruciate ligament (ACL) reconstruction requires consideration of a patient's preferences, goals, age, and physical demands alongside the risks and benefits of each graft choice.
Purpose:
To determine the most popular ACL reconstruction grafts among patients and the most important factors influencing their decisions.
Study Design:
Cross-sectional study; Level of evidence, 3.
Methods:
Patients undergoing ACL reconstruction between October 2022 and April 2023 completed a survey either before (nonconsult group) or after (consult group) speaking with their surgeon, who provided an evidence-based description of the pros and cons of an allograft and the following autografts: bone-patellar tendon-bone (BPTB), hamstring tendon (HT), and quadriceps tendon (QT). Patient characteristics, graft choice, information influencing their graft choice, and surgeon recommendation were collected and compared between the groups.
Results:
Among the 100 included patients, 59.0% were male, and the mean age was 28.3 ± 10.4 years. The most popular grafts were the BPTB (56.0%), followed by the QT (29.0%), HT (8.0%), and allograft (7.0%). No significant difference was observed in the graft selection between the consult group (n = 60; BPTB, 46.7%; QT, 38.3%; HT, 8.3%; allograft, 6.7%) and nonconsult group (n = 40; BPTB, 70.0%; QT, 15.0%; HT, 7.5%; allograft, 7.5%) (P = .0757). In the consult group, 81.7% of patients selected the graft recommended to them by their surgeon. The top 2 graft selection reasons were usage in professional athletes and failure rates, while the top 2 ACL surgery concerns were returning to their desired level of athletics and graft failure risk. Among the 93 patients who researched their ACL graft options before their visit, the most popular information source was some form of media (72.0% [67/93]).
Conclusion:
The study findings underscore the importance of patient preference and surgeon recommendation in a patient's graft selection and highlight the need to be cognizant of the information sources available to patients when researching their graft options.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>39157023</pmid><doi>10.1177/23259671241258429</doi><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Information sources Patients Surgeons |
| title | Patient Preferences for Graft Selection in Anterior Cruciate Ligament Reconstruction |
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