+ Most Popular
Cunninghamia lanceolata plantations in China
Mammalian lairs in paleo ecological studies and palynology
Studies on technological possibilities in utilization of anhydrous milk fat for production of recombined butter-like products
Should right-sided fibroelastomas be operated upon?
Large esophageal lipoma
Apoptosis in the mammalian thymus during normal histogenesis and under various in vitro and in vivo experimental conditions
Poissons characoides nouveaux ou non signales de l'Ilha do Bananal, Bresil
Desensitizing efficacy of Colgate Sensitive Maximum Strength and Fresh Mint Sensodyne dentifrices
Administration of fluid by subcutaneous infusion: revival of a forgotten method
Tundra mosquito control - an impossible dream?
Schizophrenia for primary care providers: how to contribute to the care of a vulnerable patient population
Geochemical pattern analysis; method of describing the Southeastern limestone regional aquifer system
Incidence of low birth weights in a hospital of Mexico City
Graded management intensity of grassland systems for enhancing floristic diversity
Microbiology and biochemistry of cheese and fermented milk
The ember tetra: a new pygmy characid tetra from the Rio das Mortes, Brazil, Hyphessobrycon amandae sp. n. (Pisces, Characoidei)
Risk factors of contrast-induced nephropathy in patients after coronary artery intervention
Renovation of onsite domestic wastewater in a poorly drained soil
Observations of the propagation velocity and formation mechanism of burst fractures caused by gunshot
Systolic blood pressure in a population of infants in the first year of life: the Brompton study
Haematological studies in rats fed with metanil yellow
Studies on pasteurellosis. I. A new species of Pasteurella encountered in chronic fowl cholera
Dormancy breaking and germination of Acacia salicina Lindl. seeds
therapy of lupus nephritis. a two-year prospective study

Psychological differences between patients that elect operative or nonoperative treatment for trapeziometacarpal joint arthrosis

Psychological differences between patients that elect operative or nonoperative treatment for trapeziometacarpal joint arthrosis

Hand 3(3): 271-275

ISSN/ISBN: 1558-9447

PMID: 18780109

DOI: 10.1007/s11552-008-9098-y

Among 44 consecutive patients electing operative treatment of trapeziometacarpal arthrosis, three age- and gender-matched controls that presented during the same time period but had not yet requested operative treatment were selected from billing records. Each patient and control was mailed a survey that included an upper extremity-specific health status measure (Disabilities of the Arm, Shoulder, and Hand questionnaire; DASH) and a set of questionnaires evaluating psychological factors including the Pain Anxiety Symptoms Scale (PASS), the Pain Catastrophizing Scale (PCS) and the Center for the Epidemiological Study of Depression (CES-D) instrument. Seventy-two patients (45%; 31 that elected operative and 41 nonoperative care) returned a completed questionnaire with usable data. Older age was the only significant predictor of choice for nonoperative treatment among survey responders. Arm-specific disability (DASH) correlated with the CES-D, PASS, and PCS scores, and the influence of radiographic severity was near significant (p = 0.06). Stepwise multiple linear regression resulted in a model including the CES-D and PCS scores and accounting for 51% of the variability in DASH scores for patients from both cohorts. For both the operative and nonoperative cohorts, a model including CES-D alone accounted for 50% of the variability in DASH scores (p < 0.01). This study suggests that depression, pain anxiety, and pain catastrophizing are strong correlates of arm-specific disability but do not predict election of operative treatment in patients with trapeziometacarpal arthrosis.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 055271414

Download citation: RISBibTeXText

Related references

Trapeziometacarpal joint arthrodesis for the treatment of arthrosis. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 34(3): 245-248, 2000

Equivalent PROMIS Scores after Nonoperative or Operative Treatment of Trapeziometacarpal Osteoarthritis. Archives of Bone and Joint Surgery 8(3): 383-390, 2020

Current trends in nonoperative and operative treatment of trapeziometacarpal osteoarthritis: a survey of US hand surgeons. Journal of Hand Surgery 37(1): 77-82, 2012

Current Trends in Nonoperative and Operative Treatment of Trapeziometacarpal Osteoarthritis: A Survey of Us Hand Surgeons. Yearbook of Hand and Upper Limb Surgery 2012: 13-14, 2012

Disability in patients with trapeziometacarpal joint arthrosis: incidental versus presenting diagnosis. Journal of Hand Surgery 39(10): 2009-2015.E8, 2014

QuickDASH Score Is Associated With Treatment Choice in Patients With Trapeziometacarpal Arthrosis. Hand 12(5): 461-466, 2017

Dorsoradial Capsulodesis for Stage i Trapeziometacarpal Joint Arthrosis. Hand 2021: 15589447211017221, 2021

On the operative treatment of arthrosis deformans of the hip joint. Zentralblatt für Chirurgie 85: 362-367, 1960

Outcome analysis of trapezectomy with and without pyrocarbon interposition to treat primary arthrosis of the trapeziometacarpal joint. Hand Surgery: An International Journal Devoted to Hand and Upper Limb Surgery and Related Research: Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand 16(1): 49-54, 2011

Operative treatment of arthrosis deformans of the temporomandibular joint: a preliminary report. International Journal of Oral Surgery 6(1): 48-50, 1977

Differences between operative and nonoperative treatment of lumbar burst fractures. Clinical Orthopaedics and Related Research 306: 286, 1994

Rupture of the lateral ligaments of the ankle joint in athletes operative vs nonoperative treatment. Acta Orthopaedica Scandinavica 48(2): 224, 1977

Decision making: operative versus nonoperative treatment of acromioclavicular joint injuries. Clinics in Sports Medicine 22(2): 277-290, 2003

Surgical treatment of trapeziometacarpal arthrosis. Advances in Orthopaedic Surgery 10(3): 105-121, 1986

Variation in Treatment for Trapeziometacarpal Arthrosis. Archives of Bone and Joint Surgery 9(2): 158-166, 2021