Neuromas cause severe residual problems at long-term despite surgery
Dahlin, Emma LU ; Gudinge, Hanna ; Dahlin, Lars B. LU
and Nyman, Erika
LU
(2023)
In Scientific Reports
13(1).
- Abstract
Pain, and disabilities after neuroma surgery, using patient reported outcome measurements (PROMs), were evaluated by QuickDASH and a specific Hand Questionnaire (HQ-8). The 69 responding individuals (response rate 61%; 59% women; 41% men; median follow up 51 months) reported high QuickDASH score, pain on load, cold sensitivity, ability to perform daily activities and sleeping difficulties. Individuals reporting impaired ability to perform daily activities and sleeping problems had higher scores for pain, stiffness, weakness, numbness/tingling, cold sensitivity and QuickDASH. Only 17% of individuals reported no limitations at all. No differences were observed between sexes. Surgical methods did not influence outcome. Symptoms and... (More)
Pain, and disabilities after neuroma surgery, using patient reported outcome measurements (PROMs), were evaluated by QuickDASH and a specific Hand Questionnaire (HQ-8). The 69 responding individuals (response rate 61%; 59% women; 41% men; median follow up 51 months) reported high QuickDASH score, pain on load, cold sensitivity, ability to perform daily activities and sleeping difficulties. Individuals reporting impaired ability to perform daily activities and sleeping problems had higher scores for pain, stiffness, weakness, numbness/tingling, cold sensitivity and QuickDASH. Only 17% of individuals reported no limitations at all. No differences were observed between sexes. Surgical methods did not influence outcome. Symptoms and disabilities correlated moderately-strongly to each other and to ability to perform regular daily activities as well as to sleeping difficulties. Pain, cold sensitivity, sleeping difficulties and limitation to perform daily activities were associated to higher QuickDASH. A weak association was found between follow up time and QuickDASH score as well as pain on load, but not cold sensitivity. A major nerve injury was frequent among those with limitations during work/performing other regular daily activities. Despite surgical treatment, neuromas cause residual problems, which affect the capacity to perform daily activities and ability to sleep with limited improvement in long-term.
(Less)
- author
- Dahlin, Emma
LU
; Gudinge, Hanna
; Dahlin, Lars B.
LU
and Nyman, Erika
LU
- organization
- publishing date
- 2023-12
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scientific Reports
- volume
- 13
- issue
- 1
- article number
- 15693
- publisher
- Nature Publishing Group
- external identifiers
-
- pmid:37735475
- scopus:85171868226
- ISSN
- 2045-2322
- DOI
- 10.1038/s41598-023-42245-4
- language
- English
- LU publication?
- yes
- additional info
- Funding Information: This work was supported by grants from the Swedish Research Council [2022-01942], The Swedish Diabetes Foundation [DIA2020-492], the Regional Agreement on Medical Training and Clinical Research (ALF) between Region Skåne and Lund University, as well as between Region Östergötland and Linköping University, Region Skåne, and funds from Skåne University Hospital. The sponsors had no role in the design of the study, collection, analysis, and interpretation of data, writing of the report or submission of the paper. We thank Helena P Hansson, Linnea Ekman and Tina Folker, Department of Hand Surgery, Skåne University Hospital, Malmö, and Department of Translational Medicine-Hand Surgery, Lund University, Malmö for administrative help with questionnaires. Funding Information: This work was supported by grants from the Swedish Research Council [2022-01942], The Swedish Diabetes Foundation [DIA2020-492], the Regional Agreement on Medical Training and Clinical Research (ALF) between Region Skåne and Lund University, as well as between Region Östergötland and Linköping University, Region Skåne, and funds from Skåne University Hospital. The sponsors had no role in the design of the study, collection, analysis, and interpretation of data, writing of the report or submission of the paper. We thank Helena P Hansson, Linnea Ekman and Tina Folker, Department of Hand Surgery, Skåne University Hospital, Malmö, and Department of Translational Medicine-Hand Surgery, Lund University, Malmö for administrative help with questionnaires. Publisher Copyright: © 2023, Springer Nature Limited.
- id
- 58733ddb-84a6-4168-bd73-24d030cce7d5
- date added to LUP
- 2023-12-01 11:35:25
- date last changed
- 2024-04-14 12:47:03
@article{58733ddb-84a6-4168-bd73-24d030cce7d5,
abstract = {{<p>Pain, and disabilities after neuroma surgery, using patient reported outcome measurements (PROMs), were evaluated by QuickDASH and a specific Hand Questionnaire (HQ-8). The 69 responding individuals (response rate 61%; 59% women; 41% men; median follow up 51 months) reported high QuickDASH score, pain on load, cold sensitivity, ability to perform daily activities and sleeping difficulties. Individuals reporting impaired ability to perform daily activities and sleeping problems had higher scores for pain, stiffness, weakness, numbness/tingling, cold sensitivity and QuickDASH. Only 17% of individuals reported no limitations at all. No differences were observed between sexes. Surgical methods did not influence outcome. Symptoms and disabilities correlated moderately-strongly to each other and to ability to perform regular daily activities as well as to sleeping difficulties. Pain, cold sensitivity, sleeping difficulties and limitation to perform daily activities were associated to higher QuickDASH. A weak association was found between follow up time and QuickDASH score as well as pain on load, but not cold sensitivity. A major nerve injury was frequent among those with limitations during work/performing other regular daily activities. Despite surgical treatment, neuromas cause residual problems, which affect the capacity to perform daily activities and ability to sleep with limited improvement in long-term.</p>}},
author = {{Dahlin, Emma and Gudinge, Hanna and Dahlin, Lars B. and Nyman, Erika}},
issn = {{2045-2322}},
language = {{eng}},
number = {{1}},
publisher = {{Nature Publishing Group}},
series = {{Scientific Reports}},
title = {{Neuromas cause severe residual problems at long-term despite surgery}},
url = {{http://dx.doi.org/10.1038/s41598-023-42245-4}},
doi = {{10.1038/s41598-023-42245-4}},
volume = {{13}},
year = {{2023}},
}