Outcomes of Hand Surgery

Macey, A. C.; Burke, F. D.; Abbott, Kate; Barton, N. J.; Bradbury, Eileen; Bradley, Alexander T.; Bradley, Mary; Brady, O.; Burt, A.; Brown, Pauline; Bugby, J.; Elliot, David; Evans, Daniel M.; Fess, Elaine Ewing; Foster, A. J.; Gwilliam, Lynda; Harris, S. B.; Jerosch‐Herold, Christina; Kelly, Cormac; Kennedy, Sue; Leveridge, Autumn; Lunn, P. G.; Marsh, David; Woodbridge, Sarah

doi:10.1016/s0266-7681(95)80059-x

Cited by 168 publications

(85 citation statements)

References 38 publications

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“…The Patient Evaluation Measure (PEM) (Macey and Burke, 1995) was proposed by the first Derby consensus meeting for measuring outcomes in hand surgery as a practical means of recording functional outcomes in hand surgery. It consists of a series of ten questions, which address different aspects of symptoms pertaining to the hand and hand function.…”

Section: Introductionmentioning

confidence: 99%

Validity and Responsiveness of the Patient Evaluation Measure as an Outcome Measure for Carpal Tunnel Syndrome

Hobby

Watts

Elliot

2005

Journal of Hand Surgery

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The aim of this study was to assess the validity of the Patient Evaluation Measure questionnaire (PEM) as an outcome measure in carpal tunnel syndrome. The PEM was compared to the DASH questionnaire and to objective measurements of hand function. We also compared its responsiveness to changes following carpal tunnel release with that of the DASH score. Twenty-four patients completed the PEM and DASH questionnaires before and 3 months after open carpal tunnel release. Grip strength, static two-point discrimination and the nine-hole peg test were measured. There was a significant correlation between individual items of the PEM and the objective measures. There was also strong correlation between PEM and DASH scores. The PEM showed a greater responsiveness to change (effect size 0.97) than the DASH score (effect size 0.49). The PEM correlates well with objective measures of hand function and the DASH score when used in carpal tunnel syndrome. It is more responsive to change than the DASH score. It is very simple to complete and score and is an appropriate and practical outcome measure in carpal tunnel syndrome.

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Section: Introductionmentioning

confidence: 99%

Validity and Responsiveness of the Patient Evaluation Measure as an Outcome Measure for Carpal Tunnel Syndrome

Hobby

Watts

Elliot

2005

Journal of Hand Surgery

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“…Examples are measurements of strength (key, pinch, grip), sensibility (2-point discrimination, monofilament test), mobility (active and passive range of motion, pulp-to-palm distance), and function. [1][2][3][4] In the validated 5 evaluation of the American Medical Association (AMA), according to Guides to the Evaluation of Permanent Impairment, 6 objective parameters are combined, resulting in one impairment score for hand function, arm function, and total function. Patients' perceptions of outcome or accomplishments in activities of daily living (ADL) were not measured in a standardized way until recently.…”

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confidence: 99%

“…Various subjective hand function tests have been developed such as the patient evaluation measure, the hand function score, the standard health assessment questionnaire, the Michigan Hand Outcomes Questionnaire, and others. 3,[7][8][9][10] No tests were performed to look for a correlation between these subjective hand function tests and the AMA impairment ratings.…”

mentioning

confidence: 99%

Impairment and Disability After Severe Hand Injuries With Multiple Phalangeal Fractures

Oosterom¹,

Ettema²,

Mulder³

et al. 2007

The Journal of Hand Surgery

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“…Others are generic assessments of hand function and disability (eg DASH, PEM and MHQ). [12][13][14] These generic assessments give a better indication of overall hand function but can be complex and time consuming to complete and their validity has been questioned for certain specific conditions, such as nerve disorders. 15 Disease specific outcome assessments such as Brigham and Women's carpal tunnel questionnaire and PRWE are, unsurprisingly, a more sensitive tool for their respective diagnostic groups.…”

Section: Discussionmentioning

confidence: 99%

Three-dimensional assessment of hand outcome

Pearl

Belcher

2013

annals

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Introduction Patient reported outcome measures are central to National Health Service quality of care assessments. This study investigated the benefit of elective hand surgery by the simultaneous analysis of pain, function and appearance, using a three-dimensional (3D) graphical model for evaluating and presenting outcome. Methods A total of 188 patients scheduled for surgery completed pre- and postoperative questionnaires grading the severity of their pain, dysfunction and deformity of their hand(s). Scores were plotted on a 3D graph to demonstrate the degree of ‘normalisation’ following surgery. Results Surgical groups included: nerve compression (n=53), Dupuytren’s disease (n=51), trigger finger (n=20), ganglion (n=17) or other lump (n=21), trapeziometacarpal joint osteoarthritis (n=10), rheumatoid disease (n=5) and other pathology (n=13). A significant improvement towards normality was seen after surgery in each group except for patients with rheumatoid disease. Conclusions This study provides a simple, visual representation of hand surgery outcome by plotting patient scores for pain, function and appearance simultaneously on a 3D graph.

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Outcomes of Hand Surgery

Cited by 168 publications

References 38 publications

Validity and Responsiveness of the Patient Evaluation Measure as an Outcome Measure for Carpal Tunnel Syndrome

Validity and Responsiveness of the Patient Evaluation Measure as an Outcome Measure for Carpal Tunnel Syndrome

Impairment and Disability After Severe Hand Injuries With Multiple Phalangeal Fractures

Three-dimensional assessment of hand outcome

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