Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes—A Retrospective Study Using Patient-reported Outcome Measures
Background:. Trigger finger is overrepresented among patients with diabetes mellitus (DM). Whether DM affects the outcome after open trigger finger release (OTFR) in patients with DM is not known. Our aim was thus to explore outcomes after OTFR in patients with type 1 (T1D) and type 2 DM (T2D). Meth...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2023-06-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005037 |
| _version_ | 1797792054603939840 |
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| author | Mattias Rydberg, MD Malin Zimmerman, MD, PhD Anders Gottsäter, MD, PhD Anna Åkesson, MSc Katarina Eeg-Olofsson, MD, PhD Marianne Arner, MD, PhD Lars B. Dahlin, MD, PhD |
| author_facet | Mattias Rydberg, MD Malin Zimmerman, MD, PhD Anders Gottsäter, MD, PhD Anna Åkesson, MSc Katarina Eeg-Olofsson, MD, PhD Marianne Arner, MD, PhD Lars B. Dahlin, MD, PhD |
| author_sort | Mattias Rydberg, MD |
| collection | DOAJ |
| description | Background:. Trigger finger is overrepresented among patients with diabetes mellitus (DM). Whether DM affects the outcome after open trigger finger release (OTFR) in patients with DM is not known. Our aim was thus to explore outcomes after OTFR in patients with type 1 (T1D) and type 2 DM (T2D).
Methods:. Data included patient-reported outcome measures (PROMs) from all OTFRs performed between 2010 and 2020 registered in the Swedish national registry for hand surgery in individuals over 18 years cross-linked with the Swedish National Diabetes Register (NDR). PROMs included QuickDASH and HQ8, a questionnaire designed for national registry for hand surgery, preoperative and at 3 and 12 months postoperative. HQ8 included pain on load, pain on motion without load, and stiffness. Outcome was calculated using linear-mixed models and presented as means adjusted for age and stratified by sex.
Results:. In total, 6242 OTFRs were included, whereof 496 had T1D (332, 67% women) and 869 had T2D (451, 52% women). Women with T1D reported more symptoms of stiffness (P < 0.001), and women with T2D reported more pain on load (P < 0.05), motion without load (P < 0.01), and worse overall result at 3 months. At 12 months, however, no differences were found in any of the HQ-8 PROMs among men or women. Women with T2D had slightly higher QuickDASH scores at 3 and 12 months.
Conclusion:. Patients with T1D and T2D can expect the same results after OTFR as individuals without DM, although the improvement might take longer especially among women with T2D. |
| first_indexed | 2024-03-13T02:27:37Z |
| format | Article |
| id | doaj.art-eaf42121daa94a34bc8202d79731ea9a |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-13T02:27:37Z |
| publishDate | 2023-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-eaf42121daa94a34bc8202d79731ea9a2023-06-30T01:49:19ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-06-01116e503710.1097/GOX.0000000000005037202306000-00049Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes—A Retrospective Study Using Patient-reported Outcome MeasuresMattias Rydberg, MD0Malin Zimmerman, MD, PhD1Anders Gottsäter, MD, PhD2Anna Åkesson, MSc3Katarina Eeg-Olofsson, MD, PhD4Marianne Arner, MD, PhD5Lars B. Dahlin, MD, PhD6From the * Department of Hand Surgery, Lund University, Skåne University Hospital, Malmö, SwedenFrom the * Department of Hand Surgery, Lund University, Skåne University Hospital, Malmö, Sweden§ Department of Medicine, Lund University, Skåne University Hospital, Malmö, Sweden¶ Clinical Studies Sweden—Forum South, Skåne University Hospital, Lund, Sweden‖ National Diabetes Register, Centre of Registers, Gothenburg, Sweden‡‡ Department of Clinical Science and Education, Karolinska Institutet and Department of Hand surgery Södersjukhuset, Stockholm, Sweden.From the * Department of Hand Surgery, Lund University, Skåne University Hospital, Malmö, SwedenBackground:. Trigger finger is overrepresented among patients with diabetes mellitus (DM). Whether DM affects the outcome after open trigger finger release (OTFR) in patients with DM is not known. Our aim was thus to explore outcomes after OTFR in patients with type 1 (T1D) and type 2 DM (T2D). Methods:. Data included patient-reported outcome measures (PROMs) from all OTFRs performed between 2010 and 2020 registered in the Swedish national registry for hand surgery in individuals over 18 years cross-linked with the Swedish National Diabetes Register (NDR). PROMs included QuickDASH and HQ8, a questionnaire designed for national registry for hand surgery, preoperative and at 3 and 12 months postoperative. HQ8 included pain on load, pain on motion without load, and stiffness. Outcome was calculated using linear-mixed models and presented as means adjusted for age and stratified by sex. Results:. In total, 6242 OTFRs were included, whereof 496 had T1D (332, 67% women) and 869 had T2D (451, 52% women). Women with T1D reported more symptoms of stiffness (P < 0.001), and women with T2D reported more pain on load (P < 0.05), motion without load (P < 0.01), and worse overall result at 3 months. At 12 months, however, no differences were found in any of the HQ-8 PROMs among men or women. Women with T2D had slightly higher QuickDASH scores at 3 and 12 months. Conclusion:. Patients with T1D and T2D can expect the same results after OTFR as individuals without DM, although the improvement might take longer especially among women with T2D.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005037 |
| spellingShingle | Mattias Rydberg, MD Malin Zimmerman, MD, PhD Anders Gottsäter, MD, PhD Anna Åkesson, MSc Katarina Eeg-Olofsson, MD, PhD Marianne Arner, MD, PhD Lars B. Dahlin, MD, PhD Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes—A Retrospective Study Using Patient-reported Outcome Measures Plastic and Reconstructive Surgery, Global Open |
| title | Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes—A Retrospective Study Using Patient-reported Outcome Measures |
| title_full | Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes—A Retrospective Study Using Patient-reported Outcome Measures |
| title_fullStr | Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes—A Retrospective Study Using Patient-reported Outcome Measures |
| title_full_unstemmed | Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes—A Retrospective Study Using Patient-reported Outcome Measures |
| title_short | Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes—A Retrospective Study Using Patient-reported Outcome Measures |
| title_sort | patient experiences after open trigger finger release in patients with type 1 and type 2 diabetes a retrospective study using patient reported outcome measures |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005037 |
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