Positive experience with treatment is associated with better surgical outcome in trapeziometacarpal osteoarthritis.
cross_sectional · Level IV
Where this comes from
- Record sourced from PubMed, PMID 31154893.
- Also identified by DOI 10.1177/1753193419851777 and PMC identifier 6696737.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
The aim of this study was to investigate the association between patients' experiences with trapeziometacarpal arthroplasty and treatment outcomes in terms of patient-reported outcome measures, grip and pinch strength. We included 233 patients who received a Weilby procedure for trapeziometacarpal osteoarthritis. Before surgery and 12 months after surgery, patients completed the Michigan Hand Outcomes Questionnaire, and their pinch and grip strengths were measured. At 3 months after surgery, a patient-reported experience measure was completed. Using regression analysis, significantly positive associations were found between the Michigan Hand questionnaire and the patient-reported experience measure, with the strongest significant associations being for patients' experiences with information provision. No significant associations were found between the patients' experience and strength outcomes. The results highlight the potential importance of positive experience with the treatment process to improve treatment outcomes in patients undergoing surgery for trapeziometacarpal osteoarthritis. <b>Level of evidence:</b> IV.
Medical subject headings
- Carpometacarpal Joints
- Osteoarthritis
- Patient Satisfaction
- Thumb
Anatomy
- hand
- wrist