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Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes-A Retrospective Study Using Patient-reported Outcome Measures

Rydberg, Mattias LU orcid ; Zimmerman, Malin LU orcid ; Gottsäter, Anders LU ; Åkesson, Anna ; Eeg-Olofsson, Katarina ; Arner, Marianne and Dahlin, Lars B LU orcid (2023) In Plastic and reconstructive surgery. Global open 11(6).
Abstract

UNLABELLED: Trigger finger is overrepresented among patients with diabetes mellitus (DM). Whether DM affects the outcome after open trigger finger release (OTFR) in patients with DM is not known. Our aim was thus to explore outcomes after OTFR in patients with type 1 (T1D) and type 2 DM (T2D).

METHODS: Data included patient-reported outcome measures (PROMs) from all OTFRs performed between 2010 and 2020 registered in the Swedish national registry for hand surgery in individuals over 18 years cross-linked with the Swedish National Diabetes Register (NDR). PROMs included QuickDASH and HQ8, a questionnaire designed for national registry for hand surgery, preoperative and at 3 and 12 months postoperative. HQ8 included pain on load,... (More)

UNLABELLED: Trigger finger is overrepresented among patients with diabetes mellitus (DM). Whether DM affects the outcome after open trigger finger release (OTFR) in patients with DM is not known. Our aim was thus to explore outcomes after OTFR in patients with type 1 (T1D) and type 2 DM (T2D).

METHODS: Data included patient-reported outcome measures (PROMs) from all OTFRs performed between 2010 and 2020 registered in the Swedish national registry for hand surgery in individuals over 18 years cross-linked with the Swedish National Diabetes Register (NDR). PROMs included QuickDASH and HQ8, a questionnaire designed for national registry for hand surgery, preoperative and at 3 and 12 months postoperative. HQ8 included pain on load, pain on motion without load, and stiffness. Outcome was calculated using linear-mixed models and presented as means adjusted for age and stratified by sex.

RESULTS: In total, 6242 OTFRs were included, whereof 496 had T1D (332, 67% women) and 869 had T2D (451, 52% women). Women with T1D reported more symptoms of stiffness (P < 0.001), and women with T2D reported more pain on load (P < 0.05), motion without load (P < 0.01), and worse overall result at 3 months. At 12 months, however, no differences were found in any of the HQ-8 PROMs among men or women. Women with T2D had slightly higher QuickDASH scores at 3 and 12 months.

CONCLUSION: Patients with T1D and T2D can expect the same results after OTFR as individuals without DM, although the improvement might take longer especially among women with T2D.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Plastic and reconstructive surgery. Global open
volume
11
issue
6
article number
e5037
publisher
Lippincott Williams & Wilkins
external identifiers
  • scopus:85163657879
  • pmid:37351117
ISSN
2169-7574
DOI
10.1097/GOX.0000000000005037
language
English
LU publication?
yes
additional info
Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
id
63c593f0-8c9c-4123-8b66-1e32dd7dd773
date added to LUP
2023-07-03 07:00:25
date last changed
2024-04-20 01:56:26
@article{63c593f0-8c9c-4123-8b66-1e32dd7dd773,
  abstract     = {{<p>UNLABELLED: Trigger finger is overrepresented among patients with diabetes mellitus (DM). Whether DM affects the outcome after open trigger finger release (OTFR) in patients with DM is not known. Our aim was thus to explore outcomes after OTFR in patients with type 1 (T1D) and type 2 DM (T2D).</p><p>METHODS: Data included patient-reported outcome measures (PROMs) from all OTFRs performed between 2010 and 2020 registered in the Swedish national registry for hand surgery in individuals over 18 years cross-linked with the Swedish National Diabetes Register (NDR). PROMs included QuickDASH and HQ8, a questionnaire designed for national registry for hand surgery, preoperative and at 3 and 12 months postoperative. HQ8 included pain on load, pain on motion without load, and stiffness. Outcome was calculated using linear-mixed models and presented as means adjusted for age and stratified by sex.</p><p>RESULTS: In total, 6242 OTFRs were included, whereof 496 had T1D (332, 67% women) and 869 had T2D (451, 52% women). Women with T1D reported more symptoms of stiffness (P &lt; 0.001), and women with T2D reported more pain on load (P &lt; 0.05), motion without load (P &lt; 0.01), and worse overall result at 3 months. At 12 months, however, no differences were found in any of the HQ-8 PROMs among men or women. Women with T2D had slightly higher QuickDASH scores at 3 and 12 months.</p><p>CONCLUSION: Patients with T1D and T2D can expect the same results after OTFR as individuals without DM, although the improvement might take longer especially among women with T2D.</p>}},
  author       = {{Rydberg, Mattias and Zimmerman, Malin and Gottsäter, Anders and Åkesson, Anna and Eeg-Olofsson, Katarina and Arner, Marianne and Dahlin, Lars B}},
  issn         = {{2169-7574}},
  language     = {{eng}},
  number       = {{6}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Plastic and reconstructive surgery. Global open}},
  title        = {{Patient Experiences after Open Trigger Finger Release in Patients with Type 1 and Type 2 Diabetes-A Retrospective Study Using Patient-reported Outcome Measures}},
  url          = {{http://dx.doi.org/10.1097/GOX.0000000000005037}},
  doi          = {{10.1097/GOX.0000000000005037}},
  volume       = {{11}},
  year         = {{2023}},
}