Evidence map›Paper›PMID 37575026›Full record

ArticleHand (New York, N.Y.)2025

What Factors Influence Variability in Thumb Carpometacarpal Arthroplasty Care? A Survey of ASSH Members.

Patrick C Barret, Darren T Hackley, Ellen S Lockhart, Andrea A Yu-Shan, Cesar J Bravo, Peter J Apel

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Hand (New York, N.Y.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06820528 (Trapeziectomy and Suture Suspensionplasty for Thumb Carpometacarpal Arthritis - Is In-Clinic Therapy Needed?), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.6field-weighted citation impact, top 17% 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.

NCT06820528 narecruitingnot on this map

Trapeziectomy and Suture Suspensionplasty for Thumb Carpometacarpal Arthritis - Is In-Clinic Therapy Needed?

TypeinterventionalSponsorJulie NuelleRan2025 to 2028Enrolled180ConditionsCMC Arthritis, Occupational Therapy, Hand ArthritisArmsOccupational Therapy, Home Exercise Program
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

6 authors at 1 institution in 1 country.

Patrick C BarretVirginia Tech Carilion School of Medicine, Roanoke, USA.
Darren T HackleyInstitute for Orthopaedics and Neurosciences, Carilion Clinic, Roanoke, VA, USA.ORCID 0000-0002-7598-0766
Ellen S LockhartInstitute for Orthopaedics and Neurosciences, Carilion Clinic, Roanoke, VA, USA.
Andrea A Yu-ShanInstitute for Orthopaedics and Neurosciences, Carilion Clinic, Roanoke, VA, USA.
Cesar J BravoInstitute for Orthopaedics and Neurosciences, Carilion Clinic, Roanoke, VA, USA.
Peter J ApelVirginia Tech Carilion School of Medicine, Roanoke, USA.ORCID 0000-0002-5428-2125
Carilion Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to gather information regarding current practices in the care of carpometacarpal (CMC) arthroplasty including the use of hand therapy, immobilization, and surgical technique, and to determine which factors influence these patterns.

methodsWe conducted a survey from February 24, 2022, through March 26, 2022, of 3648 currently practicing members of the American Society for Surgery of the Hand. We developed an 11-item questionnaire that contained questions about surgical technique, immobilization, and postoperative therapy utilization. Results were analyzed using chi-square analysis and a Bonferroni correction was applied to account for multiple comparisons. Statistical significance was set at a

resultsA total of 811 hand surgeons completed the survey (22% response rate). Surgeons who are employed by the same medical center as their hand therapist use more in-person hand therapy than surgeons with other types of business relationships. Surgeons with more than 25 years of experience are less likely to recommend therapy routinely, more likely to use ligament reconstruction and tendon interposition, and less likely to be an employee of the same medical center as their hand therapist. The length of immobilization and the time at which hand therapy began were related to surgical technique.

conclusionsVariability in hand therapy usage after CMC arthroplasty is at least partially explained by business relationships with hand therapists and surgeon experience. Variability in the length of immobilization and the beginning of hand therapy postoperatively was more associated with surgical technique.

Indexed as

ArthroplastyCarpometacarpal JointsPractice Patterns, Physicians'ThumbFemaleHealth Care SurveysHumansImmobilizationMalePhysical Therapy ModalitiesSurveys and QuestionnairesUnited Statesbusiness relationshipscarpometacarpal arthroplastyhand therapyimmobilization durationsurvey

Identifiers

PMID37575026
PMCPMC11653270
OpenAlexW4385799272

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.