Department of Musculoskeletal and Plastic Surgery, Helsinki University Hospital, Helsinki, Finland.
Department of Musculoskeletal and Plastic Surgery, Helsinki University Hospital, Helsinki, Finland.
Hand Clin. 2025 Feb;41(1):117-128. doi: 10.1016/j.hcl.2024.08.005. Epub 2024 Sep 6.
Rheumatoid arthritis profoundly affects hand function and quality of life. Standardized outcome measures are lacking, hindering comparison between studies. Clinical assessment traditionally relies on performance-based tests like range of motion, grip, and the Jebsen-Taylor Hand Function Test, crucial for evaluating treatment effects, especially surgery. Patient-reported outcome measures have gained significance in assessing post-surgery results, with tools like Cochin Hand Disability Scale and Michigan Hand Outcomes Questionnaire proving effective. However, generic instruments and disease-specific ones also play roles in follow-up. Combining objective measures with patient-reported outcomes is essential for comprehensive evaluation and postoperative care in rheumatoid hand patients.
类风湿关节炎对手的功能和生活质量有深远影响。缺乏标准化的结果衡量指标，阻碍了研究之间的比较。临床评估传统上依赖于基于表现的测试，如活动范围、握力和 Jebsen-Taylor 手功能测试，这些测试对于评估治疗效果，尤其是手术效果至关重要。患者报告的结果衡量指标在手外科手术后结果的评估中变得越来越重要，如 Cochin 手功能障碍量表和密歇根手功能问卷等工具已被证明有效。然而，通用工具和特定于疾病的工具在手外科手术后的随访中也有作用。将客观测量与患者报告的结果相结合，对手部类风湿关节炎患者的综合评估和术后护理至关重要。
