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dc.contributor.authorMarks, Miriam-
dc.contributor.authorGrobet, Cécile-
dc.contributor.authorAudigé, Laurent-
dc.contributor.authorHerren, Daniel B.-
dc.date.accessioned2021-04-22T08:00:34Z-
dc.date.available2021-04-22T08:00:34Z-
dc.date.issued2019-
dc.identifier.issn1753-1934de_CH
dc.identifier.issn2043-6289de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/22279-
dc.description.abstractThe severity of preoperative symptoms at which patients are likely to achieve a minimal important change and patient acceptable symptom state after surgery may help the decision to perform surgery for trapeziometacarpal osteoarthritis. The study objective was to define these thresholds for pain at rest and during activities as well as for the brief Michigan Hand Outcomes Questionnaire. One hundred and fifty-one patients were examined before surgery and 3, 6 and 12 months after surgery. The minimal important change after surgery was 1.9, 3.9 and 16 scores for pain at rest, pain during activities and the brief Michigan Hand Outcomes Questionnaire, respectively. The respective patient acceptable symptom state values were 1.5, 2.5 and 70 after surgery. Our results show that patients with baseline pain values between 3.5 and 5.5 at rest, between 6.5 and 7.5 during activities and a presurgery brief Michigan Hand Outcomes Questionnaire score of about 47, have the greatest chance of achieving a relevant symptom change and an acceptable symptom state. The information from this study may help surgeons in deciding the surgical indications and help patients in their expectation in symptom relief after surgery. Level of evidence: IV.de_CH
dc.language.isoende_CH
dc.publisherSagede_CH
dc.relation.ispartofJournal of Hand Surgery (European Volume)de_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectMinimal important differencede_CH
dc.subjectMinimal important changede_CH
dc.subjectPatient acceptable symptom statede_CH
dc.subjectThumb carpometacarpal jointde_CH
dc.subjectTrapeziometacarpal jointde_CH
dc.subjectActivities of daily livingde_CH
dc.subjectAgedde_CH
dc.subjectAllograftsde_CH
dc.subjectCarpometacarpal jointsde_CH
dc.subjectCost-benefit analysisde_CH
dc.subjectEstheticsde_CH
dc.subjectFemalede_CH
dc.subjectGelatin sponge, absorbablede_CH
dc.subjectHumansde_CH
dc.subjectMalede_CH
dc.subjectOsteoarthritisde_CH
dc.subjectPain measurementde_CH
dc.subjectPatient satisfactionde_CH
dc.subjectProspective studiesde_CH
dc.subjectProstheses and implantsde_CH
dc.subjectQuality of lifede_CH
dc.subjectRange of motion, articularde_CH
dc.subjectSeverity of illness indexde_CH
dc.subjectThumbde_CH
dc.subjectDecision makingde_CH
dc.subject.ddc617.5: Orthopädische Chirurgiede_CH
dc.titleClinical thresholds of symptoms for deciding on surgery for trapeziometacarpal osteoarthritisde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Management and Lawde_CH
dc.identifier.doi10.1177/1753193419867823de_CH
dc.identifier.pmid31403875de_CH
zhaw.funding.euNode_CH
zhaw.issue9de_CH
zhaw.originated.zhawNode_CH
zhaw.pages.end945de_CH
zhaw.pages.start937de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume44de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedAngewandte Gerontologiede_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
Appears in collections:Publikationen School of Management and Law

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