Wrist deformity, bother and function following wrist fracture in the elderly
Abstract Objective Wrist deformity in older people is common following treatment for a wrist fracture, particularly after non-surgical treatment. A cohort of older wrist fracture patients were surveyed by telephone regarding perceived deformity, bother with deformity and patient-reported wrist funct...
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doaj-0853043cb4224b9b9e84b6de537e09602020-11-25T02:54:27ZengBMCBMC Research Notes1756-05002020-03-011311610.1186/s13104-020-05013-5Wrist deformity, bother and function following wrist fracture in the elderlyAndrew Lawson0Partiban Santhakumar1Justine M. Naylor2Tim Churches3Steve Frost4Ian A. Harris5Whitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, UNSWWhitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, UNSWWhitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, UNSWIngham Institute for Applied Medical Research, South Western Sydney Clinical School, UNSWCentre for Applied Nursing Research, Ingham Institute of Applied Medical ResearchWhitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, UNSWAbstract Objective Wrist deformity in older people is common following treatment for a wrist fracture, particularly after non-surgical treatment. A cohort of older wrist fracture patients were surveyed by telephone regarding perceived deformity, bother with deformity and patient-reported wrist function. The objectives were to: (1) determine whether older patients with wrist fractures perceived a deformity of their wrist and if they were bothered by it; (2) test if there were associations between deformity and treatment-type and between deformity and function; (3) test for associations between bother and treatment-type and between bother and function; (4) measure the test–retest reliability of the ‘bother’ question. Results Of 98 eligible patients who were invited to participate, 41 responded. Out of 41, 14 (34%) believed they had a deformity and 4 (10%) reported that they were bothered by the appearance of their wrist. Deformity was associated with non-surgical treatment (RR = 3.85, p = 0.006) but was not significantly associated with functional outcomes (p = 0.15). All those who were bothered belonged to the non-surgical treatment group. Bother was significantly associated with poorer functional outcomes (p = 0.006) and this association was clinically significant (MD = 35 points). The deformity and bother questions were found to have excellent test–retest reliability; κ = 1.00 and κ = 0.92, respectively.http://link.springer.com/article/10.1186/s13104-020-05013-5BotherWristConservative treatmentDeformityFracture fixationPatient reported outcome |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Andrew Lawson Partiban Santhakumar Justine M. Naylor Tim Churches Steve Frost Ian A. Harris |
spellingShingle |
Andrew Lawson Partiban Santhakumar Justine M. Naylor Tim Churches Steve Frost Ian A. Harris Wrist deformity, bother and function following wrist fracture in the elderly BMC Research Notes Bother Wrist Conservative treatment Deformity Fracture fixation Patient reported outcome |
author_facet |
Andrew Lawson Partiban Santhakumar Justine M. Naylor Tim Churches Steve Frost Ian A. Harris |
author_sort |
Andrew Lawson |
title |
Wrist deformity, bother and function following wrist fracture in the elderly |
title_short |
Wrist deformity, bother and function following wrist fracture in the elderly |
title_full |
Wrist deformity, bother and function following wrist fracture in the elderly |
title_fullStr |
Wrist deformity, bother and function following wrist fracture in the elderly |
title_full_unstemmed |
Wrist deformity, bother and function following wrist fracture in the elderly |
title_sort |
wrist deformity, bother and function following wrist fracture in the elderly |
publisher |
BMC |
series |
BMC Research Notes |
issn |
1756-0500 |
publishDate |
2020-03-01 |
description |
Abstract Objective Wrist deformity in older people is common following treatment for a wrist fracture, particularly after non-surgical treatment. A cohort of older wrist fracture patients were surveyed by telephone regarding perceived deformity, bother with deformity and patient-reported wrist function. The objectives were to: (1) determine whether older patients with wrist fractures perceived a deformity of their wrist and if they were bothered by it; (2) test if there were associations between deformity and treatment-type and between deformity and function; (3) test for associations between bother and treatment-type and between bother and function; (4) measure the test–retest reliability of the ‘bother’ question. Results Of 98 eligible patients who were invited to participate, 41 responded. Out of 41, 14 (34%) believed they had a deformity and 4 (10%) reported that they were bothered by the appearance of their wrist. Deformity was associated with non-surgical treatment (RR = 3.85, p = 0.006) but was not significantly associated with functional outcomes (p = 0.15). All those who were bothered belonged to the non-surgical treatment group. Bother was significantly associated with poorer functional outcomes (p = 0.006) and this association was clinically significant (MD = 35 points). The deformity and bother questions were found to have excellent test–retest reliability; κ = 1.00 and κ = 0.92, respectively. |
topic |
Bother Wrist Conservative treatment Deformity Fracture fixation Patient reported outcome |
url |
http://link.springer.com/article/10.1186/s13104-020-05013-5 |
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