Royal Infirmary of Edinburgh, Edinburgh.
Glasgow Royal Infirmary, Glasgow.
J Hand Surg Am. 2021 May;46(5):403-408. doi: 10.1016/j.jhsa.2021.01.022. Epub 2021 Mar 17.
To describe patients' self-reported hand normality before and after surgery for Dupuytren contracture and to determine whether this metric could be used as an adjunct to determine the success of surgery.
Preoperative and 1-year postoperative Quick-Disabilities of the Arm, Shoulder, and Hand and EuroQol 5-Dimensions 5-level scores were collected prospectively over 5 years. Patients were asked "How normal is your hand?" Scores were recorded on a 100-point visual analog scale. Outcomes were available for 296 patients (77%).
Median hand normality score improved significantly from 50 to 86 after surgery. Effect size of the change in normality was 1.2 SDs. The change in normality score correlated significantly with the Quick-Disabilities of the Arm, Shoulder, and Hand score. No significant floor or ceiling effects were observed.
This study introduced the concept of self-perceived hand normality in Dupuytren disease. Hand normality improved after surgery for Dupuytren disease, and this score performed favorably compared with preexisting outcome measures, which suggests it may be a useful adjunct to gauge the success of surgery.
This study introduces the concept of self-perceived hand normality in patients undergoing surgery for Dupuytren disease and quantifies improvement observed after surgery.
描述掌腱膜挛缩症患者手术前后的自我报告手部正常情况，并确定该指标是否可作为辅助手段来确定手术的成功与否。
前瞻性收集 5 年内共 296 例（77%）患者的术前和术后 1 年 Quick-Disabilities of the Arm, Shoulder, and Hand（DASH）和 EuroQol 5-Dimensions 5-level（EQ-5D-5L）评分，并询问患者“您的手有多正常？”记录的评分在 100 点视觉模拟量表上。
手术后手部正常评分中位数从 50 显著改善至 86，正常评分的变化效应量为 1.2 个标准差。正常评分的变化与 DASH 评分显著相关。未观察到明显的地板或天花板效应。
本研究在掌腱膜挛缩症中引入了自我感知手部正常的概念。掌腱膜挛缩症手术后手部正常程度改善，与现有结局指标相比表现良好，这表明它可能是衡量手术成功的有用辅助手段。
本研究在接受掌腱膜挛缩症手术的患者中引入了自我感知手部正常的概念，并量化了手术后观察到的改善。
