Rheumatoid hand surgery: differing perceptions amongst surgeons, rheumatologists and therapists in the UK.
J Hand Surg Eur Vol
; 36(8): 632-41, 2011 Oct.
Article
en En
| MEDLINE
| ID: mdl-21719521
ABSTRACT
Rheumatoid arthritis is a systemic disease that requires coordinated management by rheumatologists, surgical specialists and therapists working in a multidisciplinary team. Differences of opinion within the team may adversely affect patient care. Our aim was to assess differences in perception about rheumatoid hand surgery between rheumatologists, hand surgeons and hand therapists in the UK. We used a postal questionnaire to assess commonly performed rheumatoid hand operations. For each procedure, respondents rated the most important indication for surgery and scored effectiveness at reducing pain, improving function and aesthetics, and preventing deformity. Statistically significant differences were found between all three groups with regards to expected outcome and main indications for surgery. We concluded that significant differences do exist in the perceptions of rheumatologists, surgeons and therapists. Rheumatoid hand operations require more detailed study, clarifying indications and outcome to allow consistent advice to patients from all members of the multidisciplinary team.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Artritis Reumatoide
/
Pautas de la Práctica en Medicina
/
Deformidades Adquiridas de la Mano
/
Actitud del Personal de Salud
/
Articulaciones de la Mano
Tipo de estudio:
Prognostic_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Hand Surg Eur Vol
Año:
2011
Tipo del documento:
Article
País de afiliación:
Reino Unido