Outcomes , such as range of motion , recurrence , and clinical success , were frequently defined , however many different definitions were used .
This systematic review summarizes the outcome reporting st and ards in Dupuytren ’s disease treatment research .
Hand function and quality of life before and after fasciectomy for Dupuytren contracture.
PURPOSE To describe changes in joint motion , sensibility , and scar pliability and to investigate the patients ' expectations , self-reported recovery , and satisfaction with h and function , disability , and quality of life after surgery and h and therapy for Dupuytren disease . METHODS This prospect i ve cohort study collected measurements before surgery and 3 , 6 , and 12 months after surgery and h and therapy .  Ninety patients with total active extension deficits of 60 ° or more from Dupuytren contracture were included . Outcomes measures were range of motion ; sensibility ; scar pliability ; self-reported outcomes on expectations , recovery , and satisfaction with h and function ; Disabilities of the Arm , Shoulder , and H and scores ; safety and social issues of h and function ; physical activity habits ; and quality of life with the Euroqol . RESULTS The extension deficit decreased , and there was a transient decrease in active finger flexion during the first year after surgery . Sensibility remained unaffected . Generally , patients with surgery on multiple fingers had worse scar pliability . The majority of the patients had their expectations met , and at 6 months , 32 % considered h and function as fully recovered , and 73 % were satisfied with their h and function . Fear of hurting the h and and worry about not trusting the h and function were of greatest concern among safety and social issues . The Disability of the Arm , Shoulder , and H and score and the Euroqol improved over time . CONCLUSIONS After surgery and h and therapy , disability decreased independent of single or multiple operated fingers . The total active finger extension improved enough for the patients to reach a functional range of motion despite an impairment of active finger flexion still present 12 months after treatment . TYPE OF STUDY /LEVEL OF EVIDENCE Therapeutic IV
Outcomes , such as range of motion , recurrence , and clinical success , were frequently defined , however many different definitions were used .
This systematic review summarizes the outcome reporting st and ards in Dupuytren ’s disease treatment research .