Format

Send to

Choose Destination
J Hand Surg Eur Vol. 2019 Nov 28:1753193419890284. doi: 10.1177/1753193419890284. [Epub ahead of print]

Patient's satisfaction beyond hand function in Dupuytren's disease: analysis of 1106 patients.

Author information

1
Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Rotterdam, Rotterdam, The Netherlands.
2
Department of Rehabilitation Medicine, University Medical Center Rotterdam, Rotterdam, The Netherlands.
3
Hand and Wrist Centre, Xpert Clinic, Hilversum, The Netherlands.
4
Center for Hand Therapy, Handtherapie Nederland, Utrecht, The Netherlands.

Abstract

This study investigates the outcomes of 1106 patients with Dupuytren's disease treated with limited fasciectomy or percutaneous needle fasciotomy over 16 years according to the different domains of patient-reported hand function. These patients completed the Michigan Hand Outcomes Questionnaire before and 3 months after surgery. Scores for the various outcome parameters were calculated and linear regression analyses were used to examine associations between the changes in digital extension deficit and change in Michigan Hand Outcomes Questionnaire (sub)scores. We found the largest effects of surgical treatment in the decreases in extension deficit, the appearance of the hand, and the satisfaction with the hand function. However, associations between different domains of evaluation were weak. We conclude that improvement of digital extension deficits is not parallel to varying aspects of patient satisfaction. The findings underline the importance of assessing domains relating to patient satisfaction other than objective hand function measures in Dupuytren's disease. Level of evidence: IV.

KEYWORDS:

Dupuytren's contracture; finger goniometry; hand appearance; patient-reported outcome measure; treatment outcome

PMID:
31779520
DOI:
10.1177/1753193419890284

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center