Positive experience with treatment is associated with better surgical outcome in trapeziometacarpal osteoarthritis

Author:

Tsehaie Jonathan123,van der Oest Mark J. W.123,Poelstra Ralph123,Selles Ruud W.13,Feitz Reinier2,Slijper Harm P.2,Hovius Steven E. R.12,Porsius Jarry T.123,

Affiliation:

1. Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC Rotterdam, The Netherlands

2. Hand and Wrist Surgery, Xpert Clinic, The Netherlands

3. Department of Rehabilitation Medicine, Erasmus MC Rotterdam, The Netherlands

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. Level of evidence: IV

Publisher

SAGE Publications

Subject

Surgery

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