Single Assessment Numeric Evaluation (SANE) in Hand Surgery: Does a One-Question Outcome Instrument Compare Favorably?

Gire, Jacob D.; Koltsov, Jayme; Segovia, Nicole A.; Kenney, Deborah; Yao, Jeffrey; Ladd, Amy L.

doi:10.1016/j.jhsa.2020.03.024

Cited by 26 publications

(38 citation statements)

References 21 publications

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“…The Single Assessment Numeric Evaluation (SANE) is a patient reported single outcome score used to evaluate a patient's rating of current function of the affected hand in relation to normal. The assessment is a single patient-reported value from 0–100 (100 being normal function) [ 9 ]. The SANE score has been validated as a quick and useful tool to obtain patient outcomes in hand surgery [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…The assessment is a single patient-reported value from 0–100 (100 being normal function) [ 9 ]. The SANE score has been validated as a quick and useful tool to obtain patient outcomes in hand surgery [ 9 ]. The patient had a near normal return of his hand function as seen by his self-reported SANE score of 95 as well as his DASH score.…”

Section: Discussionmentioning

confidence: 99%

“…Three months after surgery, repeated X-rays showed a healed trapezium fracture ( Figure 4 ). During this time, his DASH score was 10 and his SANE score [ 9 ] was 95.…”

Section: Case Presentationmentioning

confidence: 99%

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Comminuted Trapezium Fracture: Case Presentation and Review of Surgical Fixation Techniques

Spielman

2021

Case Reports in Orthopedics

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Comminuted Trapezium Fracture: Case Presentation and Review of Surgical Fixation Techniques

Spielman

2021

Case Reports in Orthopedics

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“…We also asked them “how normal is your hand?” and scored responses on a 100-point visual analogue scale (VAS) from 0 (least normal) to 100 (most normal). This represents a single-item adjunct to validated upper limb PROMs, which has recently been used in patients with a distal radial fracture 28 and Dupuytren’s disease. 29 The patients reported their overall satisfaction with the virtual service on a 100-point VAS.…”

Section: Methodsmentioning

confidence: 99%

Virtual management of clinically suspected scaphoid fractures

Stirling

Simpson

Ring

et al. 2022

The Bone & Joint Journal

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Aims The aim of this study was to describe the introduction of a virtual pathway for the management of patients with a suspected fracture of the scaphoid, and to report patient-reported outcome measures (PROMs) and satisfaction following treatment using this service. Methods All adult patients who presented with a clinically suspected scaphoid fracture that was not visible on radiographs at the time of presentation during a one-year period were eligible for inclusion in the pathway. Demographic details, findings on examination, and routine four-view radiographs at the time of presentation were collected. All radiographs were reviewed virtually by a single consultant hand surgeon, with patient-initiated follow-up on request. PROMs were assessed at a minimum of one year after presentation and included the abbreviated version of the Disabilities of the Arm, Shoulder and Hand Score (QuickDASH), the EuroQol five-dimension five-level health questionnaire (EQ-5D-5L), the Net Promoter Score (NPS), and return to work. Results A total of 221 patients were referred to the virtual pathway. Their mean age was 41 years (range 16 to 87) and there were 99 male patients (45%). A total of 189 patients (86%) were discharged with advice and 19 (9%) were recalled for clinical review: seven with an undisplaced scaphoid fracture, six with another fracture of the hand or wrist, two with a scapholunate ligament injury, and four in whom no abnormality was detected. A total of 13 patients (6%) initiated follow-up with the hand service: no fracture or ligament injury was identified in this group. PROMs were available for 179 patients (81%) at a mean follow-up of 19 months (range 13 to 33). The median QuickDASH score was 2.3 (interquartile range (IQR) 0 to 15.9), the median EQ-5D-5L was 0.85 (IQR 0.73 to 1.00), the NPS was 76, and 173 patients (97%) were satisfied with their treatment. There were no documented cases of symptomatic nonunion one year following injury. Conclusion We describe the introduction of a virtual pathway for the management of patients with a suspected scaphoid fracture. We found high levels of patient satisfaction, excellent PROMs, and no detrimental effects in the vast majority of cases. Cite this article: Bone Joint J 2022;104-B(6):709–714.

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“…A similar comparison was made by asking about any remaining subjective differences in finger strength. In addition, participants were asked to rate the overall functional outcome function using the Single Assessment Numeric Evaluation (SANE), which has been previously validated as a reasonable measure for patients undergoing common hand procedures [ 17 ].…”

Section: Methodsmentioning

confidence: 99%

Nonoperative Treatment of Finger Flexor Tenosynovitis in Sport Climbers—A Retrospective Descriptive Study Based on a Clinical 10-Year Database

Mohn

Spörri

Mauler

et al. 2022

Biology

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The aim of this study was to describe the nonoperative treatment outcomes of finger flexor tenosynovitis in sport climbers and to evaluate the association with baseline measures and therapy contents. Sixty-five sport climbers (49 males, mean age 34.1 years) diagnosed with tenosynovitis of the finger flexors were retrospectively asked about injury triggers, therapy contents and outcomes. Pulley thickness was measured by ultrasound. All patients were initially treated conservatively, and only one of the patients needed further therapy (single injection with hyaluronic acid); none of them underwent surgical treatment. The most frequently applied therapy was climbing-related load reduction (91%). The treatment resulted in a statistically significant reduction in pain intensity during climbing (before/after therapy ratio [Visual Analog Scale (VAS)/VAS] = 0.62, 95% CI = 0.55, 0.68). The average duration of the symptoms was 30.5 weeks (range 1–120 weeks). In a multiple linear regression analysis, initial daily life pain intensity and a climbing level higher than 7b according to the French/sport grading scale were the only predictive parameters for the relative change in pain intensity and symptom duration, respectively. All patients were able to resume climbing, with 75% regaining or even exceeding their initial climbing level. The good to excellent outcomes and no correlation between particular therapy contents and therapy outcome may suggest that finger flexor tenosynovitis in sport climbers has a favorable natural course without requiring invasive therapy. However, further cohort studies and, ultimately, randomized controlled trials are needed to conclusively confirm our promising observations.

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Single Assessment Numeric Evaluation (SANE) in Hand Surgery: Does a One-Question Outcome Instrument Compare Favorably?

Cited by 26 publications

References 21 publications

Comminuted Trapezium Fracture: Case Presentation and Review of Surgical Fixation Techniques

Comminuted Trapezium Fracture: Case Presentation and Review of Surgical Fixation Techniques

Virtual management of clinically suspected scaphoid fractures

Nonoperative Treatment of Finger Flexor Tenosynovitis in Sport Climbers—A Retrospective Descriptive Study Based on a Clinical 10-Year Database

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