PMID- 35643790
OWN - NLM
STAT- MEDLINE
DCOM- 20220712
LR  - 20220725
IS  - 1531-6564 (Electronic)
IS  - 0363-5023 (Linking)
VI  - 47
IP  - 7
DP  - 2022 Jul
TI  - Patient-Reported Outcomes 1 Year After Proximal Interphalangeal Joint 
      Arthroplasty for Osteoarthritis.
PG  - 603-610
LID - S0363-5023(22)00207-6 [pii]
LID - 10.1016/j.jhsa.2022.03.026 [doi]
AB  - PURPOSE: Implant survival, range of motion, and complications of proximal 
      interphalangeal joint arthroplasty have been reported often, but patient-reported 
      outcomes are less frequently described. This study evaluated patients' 
      experiences during the first year after proximal interphalangeal joint 
      arthroplasty, measured with the Michigan Hand Outcomes Questionnaire (MHQ). The 
      primary focus was the reduction of patient-reported pain after proximal 
      interphalangeal joint implant placement and the percentage of patients who 
      considered this reduction clinically relevant, indicated by the minimal 
      clinically important difference (MCID). METHODS: Data were collected 
      prospectively; 98 patients completed the MHQ before and at 3 and 12 months after 
      surgery. Our primary outcome was the change in the pain score. An increase of 24 
      points or more was considered a clinically important difference. Secondary 
      outcomes included changes in MHQ total and subscale scores and MCIDs, range of 
      motion (ROM), patient satisfaction with the outcome of the surgery, and 
      complications. RESULTS: The pain score improved significantly, from 42 (95% 
      confidence interval, 38-46) at baseline to 65 (95% confidence interval, 60-69) at 
      12 months after surgery. The MCID was reached by 50% (n = 49) of patients. The 
      ROM did not improve, reoperations occurred in 13% (n = 13) of patients, and swan 
      neck deformities only occurred among surface replacement implants. CONCLUSIONS: 
      Although most patients undergoing arthroplasty for osteoarthritis experienced 
      significantly less pain after surgery, the pain reduction was considered 
      clinically relevant in only 50% (n = 49) of patients. Patients with high MHQ pain 
      scores before surgery are at risk for postoperative pain reduction that will not 
      be clinically relevant. Likewise, the other subscales of the MHQ improved after 
      surgery, but reached a clinically relevant improvement in only 46% (n = 45) to 
      63% (n = 62) of patients. This knowledge can be used during preoperative 
      consultation to improve shared decision making. TYPE OF STUDY/LEVEL OF EVIDENCE: 
      Prognostic IV.
CI  - Copyright (c) 2022. Published by Elsevier Inc.
FAU - Notermans, Bo J W
AU  - Notermans BJW
AD  - Department of Surgery, Reconstructive and Hand Surgery, Radboud UMC, Nijmegen, 
      The Netherlands. Electronic address: bo.notermans@gmail.com.
FAU - van der Oest, Mark J W
AU  - van der Oest MJW
AD  - Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, 
      The Netherlands; Department of Rehabilitation Medicine, Erasmus MC, Rotterdam, 
      The Netherlands.
FAU - Selles, Ruud W
AU  - Selles RW
AD  - Department of Plastic, Reconstructive and Hand Surgery, Erasmus MC, Rotterdam, 
      The Netherlands; Department of Rehabilitation Medicine, Erasmus MC, Rotterdam, 
      The Netherlands.
FAU - de Boer, Luitzen H L
AU  - de Boer LHL
AD  - Hand and Wrist Centre, Xpert Clinic, The Netherlands.
CN  - Hand-Wrist Study Group
FAU - van der Heijden, Brigitte E P A
AU  - van der Heijden BEPA
AD  - Department of Surgery, Reconstructive and Hand Surgery, Radboud UMC, Nijmegen, 
      The Netherlands; Department of Plastic Surgery, Jeroen Bosch Ziekenhuis, 
      's-Hertogenbosch, The Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20220526
PL  - United States
TA  - J Hand Surg Am
JT  - The Journal of hand surgery
JID - 7609631
SB  - IM
MH  - Arthroplasty
MH  - *Arthroplasty, Replacement, Finger
MH  - Finger Joint/surgery
MH  - Humans
MH  - *Joint Prosthesis
MH  - *Osteoarthritis/surgery
MH  - Pain/surgery
MH  - Patient Reported Outcome Measures
MH  - Range of Motion, Articular
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Arthroplasty
OT  - MHQ
OT  - PIP
OT  - PROM
OT  - osteoarthritis
EDAT- 2022/06/02 06:00
MHDA- 2022/07/14 06:00
CRDT- 2022/06/01 09:44
PHST- 2020/12/30 00:00 [received]
PHST- 2022/02/06 00:00 [revised]
PHST- 2022/03/16 00:00 [accepted]
PHST- 2022/06/02 06:00 [pubmed]
PHST- 2022/07/14 06:00 [medline]
PHST- 2022/06/01 09:44 [entrez]
AID - S0363-5023(22)00207-6 [pii]
AID - 10.1016/j.jhsa.2022.03.026 [doi]
PST - ppublish
SO  - J Hand Surg Am. 2022 Jul;47(7):603-610. doi: 10.1016/j.jhsa.2022.03.026. Epub 
      2022 May 26.