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 .
Surgical management of Dupuytren's contracture in Europe: regional analysis of a surgeon survey and patient chart review.
AIM We explored regional variations in the surgical management of patients with Dupuytren 's contracture ( DC ) in 12 European countries using a surgeon survey and patient chart review . METHODS Twelve countries participated : Denmark , Finl and , Sweden ( Nordic region ) ; Czech Republic , Hungary , Pol and ( East ) ; France , Germany , the Netherl and s , UK ( West ) ; Italy , Spain ( Mediterranean ) . For the survey , a r and om sample of orthopaedic/plastic surgeons ( n = 687 ) with 3 - 30 years ' experience was asked about DC procedures performed during the previous 12 months . For the chart review ( n = 3357 ) , information from up to five consecutive patients was extracted . Descriptive statistics are reported . RESULTS Ninety-five per cent of all surgeons used fasciectomy for DC , followed by fasciotomy ( 70 % ) , dermofasciectomy ( 38 % ) and percutaneous needle fasciotomy ( 35 % ) . Most surgeons were satisfied with fasciectomy over other procedures . Recommended time away from work and duration of physical therapy  increased with the invasiveness of the procedure . The intra-operative complication rate was 4.0 % ; the postoperative complication rate was 34 % . Overall , ≥ 97 % of the procedures were rated by surgeons as having a positive outcome . Across all regions , 54 % of patients had no nodules or contracture after the procedures . Only 2 % of patients required retreatment within the first year of surgery . Important inter- and intraregional differences in these aspects of patient management are described . CONCLUSIONS Underst and ing current regional treatment patterns and their relationships to country-specific health systems may facilitate earlier identification of , and intervention for , DD and help to optimise the overall treatment for patients with this chronic condition
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 .