Patient satisfaction after treatment of distal radial fractures in older adults

被引：11

作者：

Chung, Kevin C. ^{[1
,4
]}

Sasor, Sarah E. ^{[2
]}

Speth, Kelly A. ^{[3
]}

Wang, Lu ^{[3
]}

Shauver, Melissa J. ^{[1
,4
]}

Kim, H. Myra ^{[4
]}

Haase, Steven C. ^{[4
]}

Lawton, Jeffrey N. ^{[4
]}

Lien, John R. ^{[4
]}

Momoh, Adeyiza O. ^{[4
]}

Ozer, Kagan ^{[4
]}

Sears, Erika D. ^{[4
]}

Waljee, Jennifer F. ^{[4
]}

Brown, Matthew S. ^{[4
]}

Cho, Hoyune E. ^{[4
]}

Michelotti, Brett F. ^{[4
]}

Malay, Sunitha ^{[4
]}

Shauver, Melissa J. ^{[1
,4
]}

Rozental, Tamara D. ^{[5
]}

Appleton, Paul T. ^{[5
]}

Rodriguez, Edward K. ^{[5
]}

Deschamps, Laura N. ^{[5
]}

Mattfolk, Lindsay ^{[5
]}

Wagner, Katiri ^{[5
]}

Blazar, Philip ^{[6
]}

Earp, Brandon E. ^{[6
]}

Floyd, W. Emerson ^{[6
]}

Louie, Dexter L. ^{[6
]}

Leversedge, Fraser J. ^{[7
]}

Richard, Marc J. ^{[7
]}

Ruch, David S. ^{[7
]}

Finley, Suzanne ^{[7
]}

Howe, Cameron ^{[7
]}

Manson, Maria ^{[7
]}

Whitfield, Janna ^{[7
]}

Perey, Bertrand H. ^{[8
]}

Apostle, Kelly ^{[8
]}

Boyer, Dory ^{[8
]}

Moola, Farhad ^{[8
]}

Stone, Trevor ^{[8
]}

Viskontas, Darius ^{[8
]}

Zomar, Mauri ^{[8
]}

Moon, Karyn ^{[8
]}

Moon, Raely ^{[8
]}

Kalliainen, Loree K. ^{[9
,10
]}

Ward, Christina M. ^{[9
]}

Fletcher, James W. ^{[9
]}

Heinrich, Cherrie A. ^{[9
]}

Pico, Katharine S. ^{[9
]}

Mahajan, Ashish Y. ^{[9
]}

机构：

[1] Univ Michigan, Sch Med, Dept Surg, Ann Arbor, MI USA

[2] Med Coll Wisconsin, Dept Plast Surg, Milwaukee, WI 53226 USA

[3] Univ Michigan, Dept Biostat, Ann Arbor, MI 48109 USA

[4] Michigan Med, Coordinating Ctr, Ann Arbor, MI USA

[5] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA

[6] Brigham & Womens Hosp, Boston, MA 02115 USA

[7] Duke Hlth, Durham, NC USA

[8] Fraser Hlth Author, Surrey, BC, Canada

[9] HealthPartners Inst Educ & Res, Bloomington, MN USA

[10] Univ North Carolina Hlth Care, Chapel Hill, NC USA

[11] Johns Hopkins Med, Baltimore, MD USA

[12] Kettering Hlth Network, Dayton, OH USA

[13] London Hlth Sci Ctr, London, ON, Canada

[14] Massachusetts Gen Hosp, Boston, MA 02114 USA

[15] Univ Texas Hlth Austin, Austin, TX USA

[16] Mayo Clin, Rochester, MN USA

[17] MetroHlth Syst, Cleveland, OH USA

[18] Natl Univ Singapore, Singapore, Singapore

[19] Northwell Hlth, Manhasset, NY USA

[20] Norton Healthcare, Louisville, KY USA

[21] OrthoCarolina Res Inst, Charlotte, NC USA

[22] Pan Am Clin, Winnipeg, MB, Canada

[23] Univ Manitoba, Winnipeg, MB, Canada

[24] Univ Connecticut Hlth, Storrs, CT USA

[25] Univ Chicago Med, Chicago, IL USA

[26] Univ Oklahoma Med, Oklahoma City, OK USA

[27] Univ Penn Hlth Syst, Philadelphia, PA USA

[28] Univ Pittsburgh, Med Ctr, Pittsburgh, PA 15260 USA

[29] Univ Rochester, Rochester, NY 14627 USA

[30] Univ Washington Med, Seattle, WA USA

[31] Wake Forest Baptist Hlth, Winston Salem, NC USA

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2020年 / 45卷 / 01期

基金：

美国国家卫生研究院;

关键词：

Distal radius fracture; hand therapy; patient satisfaction; WRIST; Michigan Hand Outcomes Questionnaire; receiver operator characteristic curve; PLATE FIXATION; WRIST; PHYSIOTHERAPY; RELIABILITY; OUTCOMES; MOTION; HAND;

D O I：

10.1177/1753193419878981

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The Wrist and Radius Injury Surgical Trial (WRIST) collaboration is the largest clinical trial ever conducted in hand surgery. We applied data from this study to examine the relationship between functional outcomes and patient satisfaction after treatment of distal radial fractures. Patients aged 60 years and older with isolated distal radial fractures were enrolled at 24 health systems. Grip strength and the arc of wrist motion were measured after treatment. The Michigan Hand Outcomes Questionnaire was used to measure patient satisfaction. Receiver operating characteristic curves were created using patient satisfaction as the reference standard and each functional measure as a predictor. At 12 months after treatment, mean grip strength was 82% of normal and mean arc of motion was 88% of normal. The optimal cut-off points to distinguish satisfaction from dissatisfaction occurred when patients recovered 59% of hand strength and 79% of wrist motion. Continuing therapy to increase functional gains beyond this point unnecessarily utilizes healthcare resources without additional patient-reported gains.

引用

页码：77 / 84

页数：8

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