Evidence map›Paper›PMID 33183858›Full record

ArticleThe Journal of hand surgery2021

The Patient Perspective on Patient-Reported Outcome Measures Following Elective Hand Surgery: A Convergent Mixed-Methods Analysis.

Lauren M Shapiro, Sara L Eppler, Allison K Roe, Arden Morris, Robin N Kamal

Abstract read
In one paragraph

Article in The Journal of hand surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. What Do Patients Want? Outcome Measures in a Diverse World.Journal of hand surgery global online · 2026
    Article
  2. Evaluating Patient Satisfaction Outcome After Total Knee Arthroplasty Done at Our Hospital's Joint Replacement Registry, Egypt.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    Observational
  3. Article
  4. Article
  5. Article
  6. Review
  7. Comparison of patient preferences and responsiveness among common patient-reported outcome measures for hand/wrist injuries or disorders.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023
    Article
  8. Article
  9. Review
  10. Article
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

5 authors.

Lauren M ShapiroDepartment of Orthopaedic Surgery, Stanford University, Redwood City, CA.
Sara L EpplerDepartment of Orthopaedic Surgery, Stanford University, Redwood City, CA.
Allison K RoeDepartment of Orthopaedic Surgery, Stanford University, Redwood City, CA.
Arden MorrisDepartment of Surgery, Stanford University, Stanford, CA.
Robin N KamalDepartment of Orthopaedic Surgery, Stanford University, Redwood City, CA; VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, Redwood City, CA. Electronic address: rnkamal@stanford.edu.

Funding

Developing and Testing a Tool for Preference Elicitation in Carpal Tunnel SyndromeK23AR073307 · NIAMS · STANFORD UNIVERSITY · PI KAMAL, ROBIN N · 2018 to 2022
$866k
NIAMS NIH HHS K23 AR073307
6 · The paper itself

Abstract

purposePatient-reported outcome measures (PROMs) have traditionally been used for research purposes, but are now being used to evaluate outcomes from the patient's perspective and inform ongoing management and quality of care. We used quantitative and qualitative approaches to evaluate the short-version Disabilities of the Arm, Shoulder, and Hand (QuickDASH) and the Patient-Specific Functional Scale (PSFS) with regard to patient preference and measurement of patient goals and their responsiveness after treatment.

methodsPatients 18 years or older undergoing elective hand surgery received the QuickDASH and PSFS questionnaires before and at 6 weeks after surgery. Two additional questions intended to elicit patients' preferences regarding the QuickDASH and PSFS were included. Responsiveness was measured by change in pre- to postoperative score. We analyzed patients' responses to the 2 additional questions to identify themes in PROM preferences. Results from the quantitative and qualitative analyses were combined into a convergent mixed-methods (eg, quantitative and qualitative) analysis.

resultsThirty-eight patients completed preoperative questionnaires; 25 (66%) completed postoperative questionnaires. Seventeen patients (77%) preferred the PSFS, 3 (14%) had no preference, 2 (9%) preferred the QuickDASH. The average change from pre- to postoperative QuickDASH was -10 (SD, 20), and that of the PSFS was -27 (SD, 26). Ten patients (40%) reported QuickDASH score changes above the minimal clinically importance difference (MCID), 17 patients (68%) reported PSFS score changes above the MCID. Content analysis revealed 4 themes in preference for a PROM: instrument simplicity (ease of instrument understanding and completion), personalized assessment (individualization and relevance), goal directed (having measurable aims or objectives), distinct items (concrete or specific instrument items or functions).

conclusionsMost patients felt the PSFS better measured their goals because it is a simple, personalized instrument with distinct domains. CLINICAL RELEVANCE: Whereas standardized PROMs may better compare across populations, physicians, or conditions, employing PROMs that address patient-specific goals may better assess aspects of care most important to patients. A combination of these 2 types of PROMs can be used to assess outcomes and inform quality of care.

Indexed as

Disability EvaluationHandHumansMinimal Clinically Important DifferencePatient Reported Outcome MeasuresSurveys and QuestionnairesHand surgerypatient-centered carepatient-reported outcome measuresshared decision making

Identifiers

PMID33183858
PMCPMC8080672

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Registered trials

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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.