Carol A. Mancuso MD is a general internist and clinical epidemiologist with joint appointments at the New York Presbyterian Hospital and the Hospital for Special Surgery. As a clinical researcher, she works closely with clinicians and researchers at both institutions. Her areas of particular interest are expectations of elective orthopedic surgery, adverse lifestyle outcomes caused by rheumatoid arthritis and systemic lupus erythematosus, and self-management and quality of life in asthma patients. 

Patients’ Expectations and Satisfaction with Outcomes of Orthopedic Surgery

Dr. Mancuso conducted a series of studies to ascertain patients’ expectations and satisfaction with hip, knee, and shoulder surgery. She found that in addition to improvement in pain and function, major expectations included regaining independence and restoring psychological well-being. These studies resulted in the development and validation of patient-derived surveys that have become gold standards for measuring expectations in clinical practice and research. Dr. Mancuso used these surveys in a study supported by the Arthritis Foundation to assess fulfillment of expectations of total hip arthroplasty, and in two randomized controlled trials supported by the National Institute on Aging to test the effectiveness of educational interventions to modify expectations of total hip and total knee arthroplasty. Future work will include development of expectations surveys for patients undergoing spine surgery, and assessment of change in expectations during staged bilateral arthroplasty and revision arthroplasty.

Adverse Psychosocial Outcomes in Patients with Connective Tissue Diseases