Better patients' treatment experiences are associated with better postoperative results in Dupuytren's disease

Ralph Poelstra*, Ruud W Selles, the Hand-Wrist Study Group, Harm P Slijper, Mark J W van der Oest, Reinier Feitz, Steven E R Hovius, Jarry T Porsius

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

12 Citations (Scopus)
17 Downloads (Pure)

Abstract

This prospective study investigates the extent to which a better experience with healthcare delivery is associated with better postoperative treatment outcomes after surgery for Dupuytren's contracture. Patients undergoing limited fasciectomy or percutaneous needle fasciotomy for Dupuytren's contractures completed the Michigan Hand Outcomes Questionnaire before and 3 months after surgery, together with a patient reported experience measure, while hand therapists assessed the straightness of the finger with a goniometer. Regression analyses were used to examine associations. We found that a better experience with healthcare delivery was associated with better patient-reported outcomes, while association with residual extension deficit was minimal. Strongest associations were seen with communication of the physician, postoperative care and information about the treatment. Experience with the treatment explained up to 12% of the variance in treatment outcome. These findings suggest that patient reported treatment outcomes in Dupuytren's disease can be improved by improving the treatment context.

LEVEL OF EVIDENCE: II.

Original languageEnglish
Pages (from-to)848-854
Number of pages7
JournalJournal of Hand Surgery-European Volume
Volume43
Issue number8
DOIs
Publication statusPublished - Oct 2018

Research programs

  • EMC NIHES-01-50-01-A

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