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Patient satisfaction after treatment of distal radial fractures in older adults.

Publication ,  Journal Article
Chung, KC; Sasor, SE; Speth, KA; Wang, L; Shauver, MJ; WRIST Group,
Published in: J Hand Surg Eur Vol
January 2020

The Wrist and Radius Injury Surgical Trial (WRIST) collaboration is the largest clinical trial ever conducted in hand surgery. We applied data from this study to examine the relationship between functional outcomes and patient satisfaction after treatment of distal radial fractures. Patients aged 60 years and older with isolated distal radial fractures were enrolled at 24 health systems. Grip strength and the arc of wrist motion were measured after treatment. The Michigan Hand Outcomes Questionnaire was used to measure patient satisfaction. Receiver operating characteristic curves were created using patient satisfaction as the reference standard and each functional measure as a predictor. At 12 months after treatment, mean grip strength was 82% of normal and mean arc of motion was 88% of normal. The optimal cut-off points to distinguish satisfaction from dissatisfaction occurred when patients recovered 59% of hand strength and 79% of wrist motion. Continuing therapy to increase functional gains beyond this point unnecessarily utilizes healthcare resources without additional patient-reported gains. Level of evidence: IV.

Duke Scholars

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Published In

J Hand Surg Eur Vol

DOI

EISSN

2043-6289

Publication Date

January 2020

Volume

45

Issue

1

Start / End Page

77 / 84

Location

England

Related Subject Headings

  • Range of Motion, Articular
  • Radius Fractures
  • Patient Satisfaction
  • Orthopedics
  • Male
  • Humans
  • Hand Strength
  • Fracture Fixation, Internal
  • Female
  • External Fixators
 

Citation

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Chung, K. C., Sasor, S. E., Speth, K. A., Wang, L., Shauver, M. J., & WRIST Group, . (2020). Patient satisfaction after treatment of distal radial fractures in older adults. J Hand Surg Eur Vol, 45(1), 77–84. https://doi.org/10.1177/1753193419878981
Chung, Kevin C., Sarah E. Sasor, Kelly A. Speth, Lu Wang, Melissa J. Shauver, and Melissa J. WRIST Group. “Patient satisfaction after treatment of distal radial fractures in older adults.J Hand Surg Eur Vol 45, no. 1 (January 2020): 77–84. https://doi.org/10.1177/1753193419878981.
Chung KC, Sasor SE, Speth KA, Wang L, Shauver MJ, WRIST Group. Patient satisfaction after treatment of distal radial fractures in older adults. J Hand Surg Eur Vol. 2020 Jan;45(1):77–84.
Chung, Kevin C., et al. “Patient satisfaction after treatment of distal radial fractures in older adults.J Hand Surg Eur Vol, vol. 45, no. 1, Jan. 2020, pp. 77–84. Pubmed, doi:10.1177/1753193419878981.
Chung KC, Sasor SE, Speth KA, Wang L, Shauver MJ, WRIST Group. Patient satisfaction after treatment of distal radial fractures in older adults. J Hand Surg Eur Vol. 2020 Jan;45(1):77–84.
Journal cover image

Published In

J Hand Surg Eur Vol

DOI

EISSN

2043-6289

Publication Date

January 2020

Volume

45

Issue

1

Start / End Page

77 / 84

Location

England

Related Subject Headings

  • Range of Motion, Articular
  • Radius Fractures
  • Patient Satisfaction
  • Orthopedics
  • Male
  • Humans
  • Hand Strength
  • Fracture Fixation, Internal
  • Female
  • External Fixators