کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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2691959 | 1143398 | 2013 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: The impact of a hand therapy screening and management clinic for patients referred for surgical opinion in an Australian public hospital The impact of a hand therapy screening and management clinic for patients referred for surgical opinion in an Australian public hospital](/preview/png/2691959.png)
Study designRetrospective cohort study.PurposeTo measure the impact of initial treatment by a hand therapist of people referred to a hand surgeon for common hand conditions.MethodsThis retrospective cohort study included 224 patients with Carpal Tunnel Syndrome, Trigger Finger/Thumb, de Quervain's tenosynovitis, and trapeziometacarpal osteoarthrosis. All were invited to attend for assessment and non-operative treatment and were followed up for at least one year. Between groups comparisons for who attended (N = 164) and those who did not (N = 60) were conducted.Results40.8% of the non-operative treatment group and 65% of the no treatment group underwent surgery, which was statistically significant (p = 0.02). Univariate analysis found that the variable “attending non-operative treatment” was able to predict those who did not have surgery (p = 0.02). Multivariate analysis using logistic regression also showed that this was the only significant predictor of not progressing to surgery (p = 0.001).ConclusionsAssessment and treatment by a non-operative provider were associated with a decrease in the rate of operative treatment. Prospective, randomized studies could help determine if this observed difference is related to the treatment approach.Level of evidence2C
Journal: Journal of Hand Therapy - Volume 26, Issue 4, October–December 2013, Pages 318–322