Evidence map›Paper›PMID 27975029›Full record

ArticlePlastic and reconstructive surgery. Global open2016

Barriers to Reconstructive Hand Surgery for Rheumatoid Arthritis in China: A Multicenter Survey of Patients and Physicians.

Lauren E Franzblau, Xuebing Liang, Keming Wang, Zhanguo Li, Yingni Li, Melissa Shauver, Kevin C Chung

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 79% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Lauren E FranzblauUniversity of Michigan Medical School, Ann Arbor, Mich. (L.E.F.); Plastic Surgery Hospital and 17th Department of Plastic Surgery, Plastic Surgery Hospital (K.W.), Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China (X.L.); Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China (Z.L., Y.L.); and Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich. (M.S., K.C.C.).
Xuebing LiangUniversity of Michigan Medical School, Ann Arbor, Mich. (L.E.F.); Plastic Surgery Hospital and 17th Department of Plastic Surgery, Plastic Surgery Hospital (K.W.), Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China (X.L.); Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China (Z.L., Y.L.); and Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich. (M.S., K.C.C.).
Keming WangUniversity of Michigan Medical School, Ann Arbor, Mich. (L.E.F.); Plastic Surgery Hospital and 17th Department of Plastic Surgery, Plastic Surgery Hospital (K.W.), Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China (X.L.); Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China (Z.L., Y.L.); and Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich. (M.S., K.C.C.).
Zhanguo LiUniversity of Michigan Medical School, Ann Arbor, Mich. (L.E.F.); Plastic Surgery Hospital and 17th Department of Plastic Surgery, Plastic Surgery Hospital (K.W.), Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China (X.L.); Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China (Z.L., Y.L.); and Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich. (M.S., K.C.C.).
Yingni LiUniversity of Michigan Medical School, Ann Arbor, Mich. (L.E.F.); Plastic Surgery Hospital and 17th Department of Plastic Surgery, Plastic Surgery Hospital (K.W.), Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China (X.L.); Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China (Z.L., Y.L.); and Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich. (M.S., K.C.C.).
Melissa ShauverUniversity of Michigan Medical School, Ann Arbor, Mich. (L.E.F.); Plastic Surgery Hospital and 17th Department of Plastic Surgery, Plastic Surgery Hospital (K.W.), Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China (X.L.); Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China (Z.L., Y.L.); and Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich. (M.S., K.C.C.).
Kevin C ChungUniversity of Michigan Medical School, Ann Arbor, Mich. (L.E.F.); Plastic Surgery Hospital and 17th Department of Plastic Surgery, Plastic Surgery Hospital (K.W.), Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China (X.L.); Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China (Z.L., Y.L.); and Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, Mich. (M.S., K.C.C.).
Chinese Academy of Medical Sciences & Peking Union Medical College · CNPeking University · CNPeking University People's Hospital · CN

Funding

An Outcome Study of Rheumatoid Hand ArthroplastyR01AR047328 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2003 to 2016
$3.1M
Evidence-Based Research in Hand SurgeryK24AR053120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2008 to 2018
$1.6M
NIAMS NIH HHS K24 AR053120NIAMS NIH HHS R01 AR047328
6 · The paper itself

Abstract

backgroundChina has a similar rheumatoid arthritis (RA) disease burden compared with other countries, yet RA patients rarely receive surgical treatment for hand deformities that limit function and impact appearance. We investigated potential barriers to rheumatoid hand surgery in China.

methodsPatients with RA, rheumatologists, and hand surgeons at 3 large tertiary hospitals in Beijing completed questionnaires that assess knowledge and attitudes surrounding RA hand surgery. We calculated descriptive statistics and compared responses among groups using chi-square and Fisher exact tests as appropriate.

resultsOne hundred RA patients with hand deformities and 94 physicians completed the surveys. No patients had received hand surgery, and just 13% were aware of this treatment option. Patients and physicians most frequently cited uncertain effectiveness of surgery, high cost, and risk of surgical complications as potential barriers to hand reconstruction. Rheumatologists reported low rates of referral to hand surgeons (39% referred <5% of the time and 31% never referred). Most hand surgeons (69%) had not performed metacarpophalangeal arthroplasty, a common procedure for RA hand deformities, within the past year. Some had never performed this operation.

conclusionsThis survey revealed multiple barriers that support previous observations of infrequent reconstruction of RA hand deformities in China. These obstacles can be addressed through patient education, coordination between specialists, and more robust hand surgeon training in common RA procedures through the application of international plastic surgery collaborations.

Identifiers

PMID27975029
PMCPMC5142495
OpenAlexW2549667526

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.