Reporting Outcomes and Outcome Measures in Digital Replantation: A Systematic Review

Author:

Moltaji Syena1,Gallo Matteo2,Wong Chloe2,Murphy Jessica3,Gallo Lucas3,Waltho Daniel3,Copeland Andrea3,Karpinski Marta2,Mowakket Sadek2,Duku Eric4,Thoma Achilleas356,

Affiliation:

1. Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada

2. Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada

3. Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada

4. Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada

5. Department of Surgery, McMaster University, Hamilton, Ontario, Canada

6. Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada

Abstract

AbstractIntroduction There is a lack of consensus on what the critical outcomes in replantation are and how best to measure them. This review aims to identify all reported outcomes and respective outcome measures used in digital replantation.Materials and Methods Randomized controlled trials, cohort studies, and single-arm observational studies of adults undergoing replantation with at least one well-described outcome or outcome measure were identified. Primary outcomes were classified into six domains, and outcome measures were classified into eight domains. The clinimetric properties were identified and reported. A total of 56 observational studies met the inclusion criteria.Results In total, 29 continuous and 29 categorical outcomes were identified, and 87 scales and instruments were identified. The most frequently used outcomes were survival of replanted digit, sensation, and time in hospital. Outcomes and measures were most variable in domains of viability, quality of life, and motor function. Only eight measures used across these domains were validated and proven reliable.Conclusion Lack of consensus creates an obstacle to reporting, understanding, and comparing the effectiveness of various replantation strategies.

Publisher

Georg Thieme Verlag KG

Subject

Surgery

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