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 treatment of Dupuytren’s disease – outcome and health economy in relation to smoking and diabetes
Background The conventional treatment for Dupuytren ’s disease is surgery . The introduction of alternative treatment strategies creates a need to track outcomes and costs relating to surgical treatment and risk factors , such as smoking and diabetes . This was the aim of the present study . Methods In a prospect i ve study , the outcome of open surgical treatment for finger flexion contracture in Dupuytren ’s disease ( 175 patients ; 182 surgical procedures ) was studied by evaluating valid QuickDASH forms answered by subjects before surgery and one year postoperatively . Data were also obtained from medical records , and preoperative declarations concerning health . Results In all subjects ( median [ 25 % - 75 % percentiles ] age 68 [ 62 - 73 ] ) , the QuickDASH score improved from 22 [ 9 - 36 ] to 5 [ 0 - 18 ] . Smokers ( 27/179 procedures ) were younger and had a more severe degree of disease and dysfunction preoperatively than non-smokers , but the outcome of surgery did not differ between the groups . Subjects with diabetes ( 20/181 procedures ) were younger than those without diabetes , but their disease severity or outcome did not differ . H and specialists operated faster than residents , but the surgical outcome did not differ . Healthcare costs for surgery for Dupuytren ’s contracture were $ 2392 ( € 1859 ) , which were not higher among smokers or subjects with diabetes . Only 22 patients remained in hospital ( 2 [ 1 - 2.3 ] days ) and 28 patients needed sick leave ( 28 [ 21 - 31 ] days ) . The occurrence of necrosis of skin flaps ( 12 % ) or infections ( 6 % ) was no more frequent among smokers or those with diabetes . Conclusions There is no difference in surgical outcome for finger flexion contracture in Dupuytren ’s disease between smokers and non-smokers or between subjects with or without diabetes , although smokers had more severe preoperative contracture . The costs for surgical treatment for finger flexion contracture in Dupuytren ’s disease should be viewed in relation to that for other treatment strategies
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 .