Variation in Treatment for Trapeziometacarpal Arthrosis | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 4، دوره 9، شماره 2، خرداد 2021، صفحه 158-166 اصل مقاله (1.2 M) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2020.42060.2144 | ||
| نویسندگان | ||
| Stéphanie J.E. Becker1؛ Wendy E. Bruinsma2؛ Thierry G. Guitton3؛ Chantal M.A.M. van der Horst1؛ Simon D. Strackee1؛ David Ring* 4 | ||
| 1Department of Plastic, Reconstructive and Hand Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands | ||
| 2Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands | ||
| 3Department of Plastic Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands | ||
| 4Department of Surgery and Perioperative Care, Dell Medical School at the University of Texas at Austin, Austin, TX, USA | ||
| چکیده | ||
| Background: Treatment recommendations for trapeziometacarpal (TMC) arthrosis are highly variable from surgeon to surgeon. This study addressed the influence of viewing radiographs on a decision to offer surgery for TMC arthrosis. Methods: In an online survey, 92 hand surgeons viewed clinical scenarios and were asked if they would offer surgery to 30 patients with TMC arthrosis. Forty-two observers were randomly assigned to review clinical information alone and 50 to review clinical information as well as radiographs. The degree of limitation of daily activities, time since diagnosis, prior treatment, pain with grind, crepitation with grind, and metacarpal adduction with metacarpophalangeal hyperextension were randomized for each patient scenario to determine the influence of these factors on offers of surgery. A cross-classified binary logistic multilevel regression analysis identified factors associated with surgeon offer of surgery. Results: Surgeons were more likely to offer surgery when they viewed radiographs (42% vs. 32%, P = 0.01). Other factors associated variation in offer of surgery included greater limitation of daily activities, symptoms for a year, prior splint or injection, deformity of the metacarpophalangeal joint. Factors not associated included limb dominance, prominence of the TMC joint, crepitation with the grind test, and pinch and grip strength. Conclusion: Surgeons that view radiographs are more likely to offer surgery to people with TMC arthrosis. Surgeons are also more likely to offer surgery when people do not adapt with time and nonoperative treatment. Given the notable influence of surgeon bias, and the potential for surgeon and patient impatience with the adaptation process, methods for increasing patient participation in the decision-making process merit additional attention and study. Level of evidence: Not applicable. | ||
| کلیدواژهها | ||
| Decision-making؛ Interobserver variation؛ Osteoarthritis؛ Surgery؛ Trapeziometacarpal arthrosis؛ Treatment | ||
| مراجع | ||
|
1. Spaans AJ, van Laarhoven CM, Schuurman AH, van Minnen LP. Interobserver agreement of the Eaton- Littler classification system and treatment strategy of thumb carpometacarpal joint osteoarthritis. The Journal of hand surgery. 2011; 36(9):1467-70. 2. Becker SJ, Teunis T, Blauth J, Kortlever JT, Dyer GS, Ring D. Medical services and associated costs vary widely among surgeons treating patients with hand osteoarthritis. Clinical Orthopaedics and Related Research®. 2015; 473(3):1111-7. 3. Wolf JM, Delaronde S. Current trends in nonoperative and operative treatment of trapeziometacarpal osteoarthritis: a survey of US hand surgeons. The Journal of hand surgery. 2012; 37(1):77-82. 4. Vermeulen GM, Slijper H, Feitz R, Hovius SE, Moojen TM, Selles RW. Surgical management of primary thumb carpometacarpal osteoarthritis: a systematic review. The Journal of hand surgery. 2011; 36(1):157-69. 5. Wajon A, Vinycomb T, Carr E, Edmunds I, Ada L. Surgery for thumb (trapeziometacarpal joint) osteoarthritis. Cochrane database of systematic reviews. 2015(2). 6. Guitton TG, Ring D, Earp BE, Ladd AL, Evans PJ, Kuo CE, et al. Interobserver reliability of radial head fracture classification: two-dimensional compared with threedimensional CT. JBJS. 2011; 93(21):2015-21. 7. Birkmeyer JD, Reames BN, McCulloch P, Carr AJ, Campbell WB, Wennberg JE. Understanding of regional variation in the use of surgery. The Lancet. Becker SJ, Bot AG, Curley SE, Jupiter JB, Ring D. A prospective randomized comparison of neoprene vs thermoplast hand-based thumb spica splinting for trapeziometacarpal arthrosis. Osteoarthritis and Cartilage. 2013; 21(5):668-75. 9. Lozano-Calderon SA, Souer JS, Jupiter JB, Ring D. Psychological differences between patients that elect operative or nonoperative treatment for trapeziometacarpal joint arthrosis. Hand. 2008; 3(3):271-5. 10. Makarawung DJ, Becker SJ, Bekkers S, Ring D. Disability and pain after cortisone versus placebo injection for trapeziometacarpal arthrosis and de Quervain syndrome. Hand. 2013; 8(4):375-81. 11. Eaton RG, Glickel SZ. Trapeziometacarpal osteoarthritis. Staging as a rationale for treatment. Hand clinics. 1987; 3(4):455-71. 12. Glickel SZ, Kornstein AN, Eaton RG. Long-term followup of trapeziometacarpal arthroplasty with coexisting scaphotrapezial disease. The Journal of hand surgery. 1992; 17(4):612-20. 13. Haara MM, Heliövaara M, Kröger H, Arokoski JP, Manninen P, Kärkkäinen A, et al. Osteoarthritis in the carpometacarpal joint of the thumb: prevalence and associations with disability and mortality. JBJS. 2004; 86(7):1452-7. 14. Becker SJ, Makarawung DJ, Spit SA, King JD, Ring D. Disability in patients with trapeziometacarpal joint arthrosis: incidental versus presenting diagnosis. The Journal of hand surgery. 2014; 39(10):2009-15. 15. Janssen SJ, Teunis T, Guitton TG, Ring D. Do surgeons treat their patients like they would treat themselves? Clinical Orthopaedics and Related Research®. 2015; 473(11):3564-72. 16. Teunis T, Janssen S, Guitton TG, Ring D, Parisien R. Do orthopaedic surgeons acknowledge uncertainty? Clinical Orthopaedics and Related Research®. 2016; 474(6):1360-9. 17. Teunis T, Janssen SJ, Guitton TG, Vranceanu AM, Goos B, Ring D. Surgeon personality is associated with recommendation for operative treatment. Hand. 2015; 10(4):779-84. 18. Toronto Arthroplasty Research Group Writing Committee. Variability in physician opinions about the indications for knee arthroplasty. The Journal of arthroplasty. 2011; 26(4):569-75. 19. Bloor MJ, Venters GA, Samphier ML. Geographical variation in the incidence of operations on the tonsils and adenoids: An epidemiological and sociological investigation (Part 2). The Journal of Laryngology & Otology. 1978; 92(10):883-95. 20. Wright JG, Coyte P, Hawker G, Bombardier C, Cooke D, Heck D, et al. Variation in orthopedic surgeons’ perceptions of the indications for and outcomes of knee replacement. CMAJ: Canadian Medical Association Journal. 1995; 152(5):687. 21. Fraenkel L, Suter L, Weis L, Hawker GA. Variability in recommendations for total knee arthroplasty among rheumatologists and orthopedic surgeons. The Journal of rheumatology. 2014; 41(1):47-52. 22. Ochtman AE, Guitton TG, Buijze GA, Zurakowski D, Mudgal C, Jupiter JB, et al. Trapeziometacarpal arthrosis: predictors of a second visit and surgery. Journal of hand and microsurgery. 2013; 5(1):9-13. 23. Stacey D, Legare F, Col NF, Bennett CL, Barry MJ, Eden KB, et al. Decision aids for people facing health treatment or screening decisions. The Cochrane database of systematic reviews. 2014; 1(CD001431. | ||
|
آمار تعداد مشاهده مقاله: 619 تعداد دریافت فایل اصل مقاله: 407 |
||