Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Sep;44(7):714-721.
doi: 10.1177/1753193419851777. Epub 2019 Jun 1.

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

Jonathan Tsehaie  1   2   3 , Mark J W van der Oest  1   2   3 , Ralph Poelstra  1   2   3 , Ruud W Selles  1   3 , Reinier Feitz  2 , Harm P Slijper  2 , Steven E R Hovius  1   2 , Jarry T Porsius  1   2   3 ; Hand-Wrist Study Group
Affiliations

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

Jonathan Tsehaie et al. J Hand Surg Eur Vol. 2019 Sep.

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.

Keywords: Carpometacarpal; PREMS; PROMS; context; osteoarthritis; patient experience; thumb; trapeziometacarpal.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Flowchart showing the selection of patients and the reasons for exclusion. TMC OA: trapeziometacarpal osteoarthritis; APL: abductor pollicis longus; PROM: patient-reported outcome measure; PREM: patient-reported experience measure.
See this image and copyright information in PMC

References

    1. Arnold MH, Finniss DG, Kerridge I. Medicine’s inconvenient truth: the placebo and nocebo effect. Intern Med J. 2014, 44: 398–405. - PubMed
    1. Becker SJE, Briet JP, Hageman MGJS, Ring D. Death, taxes, and trapeziometacarpal arthrosis hand. Clin Orthop Relat Res. 2013, 471: 3738–44. - PMC - PubMed
    1. Black N, Varaganum M, Hutchings A. Relationship between patient reported experience (PREMs) and patient reported outcomes (PROMs) in elective surgery. BMJ Qual Saf. 2014, 23: 534–43. - PubMed
    1. Chassany O, Boureau F, Liard F, et al. Effects of training on general practitioners’ management of pain in osteoarthritis: a randomized multicenter study. J Rheumatol. 2006, 33: 1827–34. - PubMed
    1. Chung KC, Pillsbury MS, Walter MR, Hayward RA. Reliability and validity testing of the Michigan Hand Outcome Questionnaire. J Hand Surg Am. 1998, 23: 575–87. - PubMed