Surgical management of Dupuytren's contracture in Europe: regional analysis of a surgeon survey and patient chart review
Dias, J. ; Bainbridge, C. ; Leclercq, C. ; Gerber, R. A. ; Guerin, D. ; Cappelleri, J. C. ; Szczypa, P. P. and Dahlin, Lars LU
(2013)
In International Journal of Clinical Practice
67(3).
p.271-281
- Abstract
- Aim We explored regional variations in the surgical management of patients with Dupuytren's contracture (DC) in 12 European countries using a surgeon survey and patient chart review. Methods Twelve countries participated: Denmark, Finland, Sweden (Nordic region); Czech Republic, Hungary, Poland (East); France, Germany, the Netherlands, UK (West); Italy, Spain (Mediterranean). For the survey, a random sample of orthopaedic/plastic surgeons (n=687) with 330years' experience was asked about DC procedures performed during the previous 12months. For the chart review (n=3357), information from up to five consecutive patients was extracted. Descriptive statistics are reported. Results Ninety-five per cent of all surgeons used fasciectomy for DC,... (More)
- Aim We explored regional variations in the surgical management of patients with Dupuytren's contracture (DC) in 12 European countries using a surgeon survey and patient chart review. Methods Twelve countries participated: Denmark, Finland, Sweden (Nordic region); Czech Republic, Hungary, Poland (East); France, Germany, the Netherlands, UK (West); Italy, Spain (Mediterranean). For the survey, a random sample of orthopaedic/plastic surgeons (n=687) with 330years' experience was asked about DC procedures performed during the previous 12months. For the chart review (n=3357), information from up to five consecutive patients was extracted. Descriptive statistics are reported. Results Ninety-five per cent of all surgeons used fasciectomy for DC, followed by fasciotomy (70%), dermofasciectomy (38%) and percutaneous needle fasciotomy (35%). Most surgeons were satisfied with fasciectomy over other procedures. Recommended time away from work and duration of physical therapy increased with the invasiveness of the procedure. The intra-operative complication rate was 4.0%; the postoperative complication rate was 34%. Overall, 97% of the procedures were rated by surgeons as having a positive outcome. Across all regions, 54% of patients had no nodules or contracture after the procedures. Only 2% of patients required retreatment within the first year of surgery. Important inter- and intraregional differences in these aspects of patient management are described. Conclusions Understanding current regional treatment patterns and their relationships to country-specific health systems may facilitate earlier identification of, and intervention for, DD and help to optimise the overall treatment for patients with this chronic condition. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3671521
- author
- Dias, J.
; Bainbridge, C.
; Leclercq, C.
; Gerber, R. A.
; Guerin, D.
; Cappelleri, J. C.
; Szczypa, P. P.
and Dahlin, Lars
LU
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- in
- International Journal of Clinical Practice
- volume
- 67
- issue
- 3
- pages
- 271 - 281
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000315117700014
- scopus:84874047638
- pmid:23409695
- ISSN
- 1742-1241
- DOI
- 10.1111/ijcp.12106
- language
- English
- LU publication?
- yes
- id
- 33b7f84f-f6d5-4ed2-81b4-dd225cfb8026 (old id 3671521)
- date added to LUP
- 2016-04-01 13:26:27
- date last changed
- 2022-01-27 19:14:12
@article{33b7f84f-f6d5-4ed2-81b4-dd225cfb8026,
abstract = {{Aim We explored regional variations in the surgical management of patients with Dupuytren's contracture (DC) in 12 European countries using a surgeon survey and patient chart review. Methods Twelve countries participated: Denmark, Finland, Sweden (Nordic region); Czech Republic, Hungary, Poland (East); France, Germany, the Netherlands, UK (West); Italy, Spain (Mediterranean). For the survey, a random sample of orthopaedic/plastic surgeons (n=687) with 330years' experience was asked about DC procedures performed during the previous 12months. For the chart review (n=3357), information from up to five consecutive patients was extracted. Descriptive statistics are reported. Results Ninety-five per cent of all surgeons used fasciectomy for DC, followed by fasciotomy (70%), dermofasciectomy (38%) and percutaneous needle fasciotomy (35%). Most surgeons were satisfied with fasciectomy over other procedures. Recommended time away from work and duration of physical therapy increased with the invasiveness of the procedure. The intra-operative complication rate was 4.0%; the postoperative complication rate was 34%. Overall, 97% of the procedures were rated by surgeons as having a positive outcome. Across all regions, 54% of patients had no nodules or contracture after the procedures. Only 2% of patients required retreatment within the first year of surgery. Important inter- and intraregional differences in these aspects of patient management are described. Conclusions Understanding current regional treatment patterns and their relationships to country-specific health systems may facilitate earlier identification of, and intervention for, DD and help to optimise the overall treatment for patients with this chronic condition.}},
author = {{Dias, J. and Bainbridge, C. and Leclercq, C. and Gerber, R. A. and Guerin, D. and Cappelleri, J. C. and Szczypa, P. P. and Dahlin, Lars}},
issn = {{1742-1241}},
language = {{eng}},
number = {{3}},
pages = {{271--281}},
publisher = {{Wiley-Blackwell}},
series = {{International Journal of Clinical Practice}},
title = {{Surgical management of Dupuytren's contracture in Europe: regional analysis of a surgeon survey and patient chart review}},
url = {{http://dx.doi.org/10.1111/ijcp.12106}},
doi = {{10.1111/ijcp.12106}},
volume = {{67}},
year = {{2013}},
}