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Evaluation of Clinical Recovery After Surgical Treatment for Hand Ischemia From Vasospastic and Occlusive Disease Using PROMIS
- Source :
- HAND. 18:15-21
- Publication Year :
- 2021
- Publisher :
- SAGE Publications, 2021.
-
Abstract
- Background There is a paucity of literature describing the recovery trajectory after surgery for upper extremity ischemia. Using Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF), Upper Extremity (UE), Pain Interference (PI), and Depression domains, we aimed to describe the postoperative recovery of such patients. Methods We queried our PROMIS database for patients undergoing surgery for vasospastic or occlusive disease over a 4.5-year period. Inclusion criteria were preoperative, early (average 3 weeks) and late (average 6 months) postoperative PROMIS PF and/or UE, PI, and Depression scores. The change in PROMIS scores was calculated for each time point. Changes in PROMIS scores were compared with minimal clinically important difference estimates. Results We identified 13 patients undergoing 13 surgical interventions that met inclusion criteria. More than one-half of our patients were men (n = 7 [54%]), and more than one-half of the surgeries (n = 7 [54%]) were for isolated occlusive diagnoses, with the remainder for vasospastic disease. At short-term postoperative follow-up, the change in PROMIS PF, UE, PI, and Depression scores was −6.34 (SD: 9.13), −6.81 (SD: 9.61), 3.16 (SD: 5.78), and −3.05 (SD: 8.37), respectively. At mid-term postoperative follow-up, the change in PROMIS PF, UE, PI, and Depression scores was 4.45 (SD: 10.33), 8.04 (SD: 13.84), −7.03 (SD: 7.06), and −12.27 (SD: 10.85), respectively. Conclusions Our findings suggest patients undergoing surgical treatment for upper extremity ischemia experience a worsening of functional symptoms initially, as expected, followed by notable improvement.
- Subjects :
- Male
medicine.medical_specialty
Ulnar artery thrombosis
Minimal Clinically Important Difference
Occlusive disease
Ischemia
Scleroderma
Upper Extremity
03 medical and health sciences
0302 clinical medicine
Aneurysmal disease
Vascular reconstruction
medicine
Humans
Orthopedics and Sports Medicine
Patient Reported Outcome Measures
030212 general & internal medicine
Surgical treatment
030222 orthopedics
Depression
business.industry
medicine.disease
Surgery
Female
business
Subjects
Details
- ISSN :
- 15589455 and 15589447
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- HAND
- Accession number :
- edsair.doi.dedup.....e12227b8c589a3d2387e3462d41e5d38