Use of Treatments after Recovery from Thumb Carpometacarpal Arthritis Surgery.
Use of Treatments after Recovery from Thumb Carpometacarpal Arthritis Surgery.
- 2023
BACKGROUND: Which treatments patients continue to use more than 1 year after primary thumb carpometacarpal arthritis surgery, and how such use relates to patient-reported outcomes, is largely unknown. CONCLUSIONS: Clinically relevant proportions of patients continue to use various treatments a median of 3 years after primary thumb carpometacarpal arthritis surgery. Continued use of any treatment is associated with significantly worse patient-reported outcomes for function and pain. Copyright © 2023 by the American Society of Plastic Surgeons. METHODS: The authors identified patients who had isolated primary trapeziectomy alone or with ligament reconstruction +/- tendon interposition and were 1 to 4 years postoperative. Participants completed a surgical site-focused electronic questionnaire about what treatments they still used. Patient-reported outcome measures were the Quick Disability of the Arm, Shoulder, and Hand questionnaire and visual analog/numerical rating scales for current pain, pain with activities, and typical worst pain. RESULTS: A total of 112 patients met inclusion and exclusion criteria and participated. At a median of 3 years after surgery, over 40% reported current use of at least one treatment for their thumb carpometacarpal surgical site, with 22% using more than one treatment. Of those who still used treatments, 48% used over-the-counter medications, 34% used home or office-based hand therapy, 29% used splinting, 25% used prescription medications, and 4% used corticosteroid injections. A total of 108 participants completed all patient-reported outcome measures. With bivariate analyses, the authors found that use of any treatment after recovering from surgery was associated with statistically and clinically significantly worse scores for all measures.
English
0032-1052
00006534-990000000-01649 [pii] 10.1097/PRS.0000000000010393 [doi]
*Carpometacarpal Joints
*Osteoarthritis
*Plastic Surgery Procedures
*Trapezium Bone
Carpometacarpal Joints/su [Surgery]
Humans
Ligaments/su [Surgery]
Osteoarthritis/su [Surgery]
Thumb/su [Surgery]
Trapezium Bone/su [Surgery]
Curtis National Hand Center
Curtis National Hand Center
Curtis National Hand Center
Curtis National Hand Center
MedStar Health Research Institute
Journal Article
BACKGROUND: Which treatments patients continue to use more than 1 year after primary thumb carpometacarpal arthritis surgery, and how such use relates to patient-reported outcomes, is largely unknown. CONCLUSIONS: Clinically relevant proportions of patients continue to use various treatments a median of 3 years after primary thumb carpometacarpal arthritis surgery. Continued use of any treatment is associated with significantly worse patient-reported outcomes for function and pain. Copyright © 2023 by the American Society of Plastic Surgeons. METHODS: The authors identified patients who had isolated primary trapeziectomy alone or with ligament reconstruction +/- tendon interposition and were 1 to 4 years postoperative. Participants completed a surgical site-focused electronic questionnaire about what treatments they still used. Patient-reported outcome measures were the Quick Disability of the Arm, Shoulder, and Hand questionnaire and visual analog/numerical rating scales for current pain, pain with activities, and typical worst pain. RESULTS: A total of 112 patients met inclusion and exclusion criteria and participated. At a median of 3 years after surgery, over 40% reported current use of at least one treatment for their thumb carpometacarpal surgical site, with 22% using more than one treatment. Of those who still used treatments, 48% used over-the-counter medications, 34% used home or office-based hand therapy, 29% used splinting, 25% used prescription medications, and 4% used corticosteroid injections. A total of 108 participants completed all patient-reported outcome measures. With bivariate analyses, the authors found that use of any treatment after recovering from surgery was associated with statistically and clinically significantly worse scores for all measures.
English
0032-1052
00006534-990000000-01649 [pii] 10.1097/PRS.0000000000010393 [doi]
*Carpometacarpal Joints
*Osteoarthritis
*Plastic Surgery Procedures
*Trapezium Bone
Carpometacarpal Joints/su [Surgery]
Humans
Ligaments/su [Surgery]
Osteoarthritis/su [Surgery]
Thumb/su [Surgery]
Trapezium Bone/su [Surgery]
Curtis National Hand Center
Curtis National Hand Center
Curtis National Hand Center
Curtis National Hand Center
MedStar Health Research Institute
Journal Article