Embracing the biopsychosocial and psychosocial characteristics of our patients

I write extensively about shared-decision making and patient´preferences as part of our decision making orthopaedics. Hence I considered this Invited Paper by Quaile, Mavrogenis and Scarlat in the International Orthopaedics as truly excellent piece: Managing patients’ expectations in orthopaedics.

Authors write among other things:

There is a problem with patient-reported outcome measurements, PROMs, as depressive symptoms and catastrophising appear to be key factors influencing their score and the scoring of clinician-rated outcomes [12]

In 2021 we don´t treat radiographs or objectively defined measurements. We treat patients who may have biopsychosocial and psychosocial dimensions which we need to consider with a scrutiny. These dimensions must be considered in daily clinical practice. This requires the use of shared-decision making. Depressive symptoms and pain catastrophising may have large influence on what the patient consideres important in decision making and those may be very different to what treating surgeon values. Only way to navigate among these issues is a thorough discussion with the patient.

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