TY - JOUR
T1 - A Standard Set for Outcome Measurement in Patients With Hand and Wrist Conditions
T2 - Consensus by the International Consortium for Health Outcomes Measurement Hand and Wrist Working Group
AU - the ICHOM Hand and Wrist Working Group
AU - Wouters, Robbert M.
AU - Jobi-Odeneye, Adedayo O.
AU - de la Torre, Alethse
AU - Joseph, Andria
AU - Shin, Alexander Y.
AU - MacDermid, Joy C.
AU - Warwick, David
AU - Novak, Christine B.
AU - Bain, Gregory I.
AU - Jerosch-Herold, Christina
AU - Chung, Kevin C.
AU - Dahlin, Lars B.
AU - Iglesias, Martin
AU - Öksüz, Çigdem
AU - Sabapathy, S. Raja
AU - van de Ven-Stevens, Lucelle
AU - Trickett, Ryan
AU - Leblebicioğlu, Gürsel
AU - Calcagni, Maurizio
AU - Selles, Ruud W.
AU - Hovius, Steven E.R.
N1 - Funding Information:
This work was funded by the International Federation of Societies for Surgery of the Hand, the Federation of European Societies for the Surgery of the Hand, the British Society for Surgery of the Hand, the Dutch Society for Surgery of the Hand, the Dutch Society for Hand Therapy, the Australian Hand Surgery Society, the Swiss Society for Surgery of the Hand, Handtherapie Nederland, and Xpert Clinic. The authors would like to thank Matt Salt, Nigel Davies, Christiana Ilesanmi, and Goo Hyun Baek for their support during different stages of this project. In addition, the authors thank all patients and professionals who participated in the surveys. The members of the ICHOM Hand and Wrist Working Group are: Alexander Y. Shin, MD (Division of Hand and Microvascular Surgery, Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN); Joy C. MacDermid, BSc, PT, PhD (Department of Physical Therapy and Surgery, Western University, London, Ontario, Canada; Clinical Research Lab, Hand and Upper Limb Centre, St. Joseph's Health Centre, London, Ontario, Canada); David Warwick, MD (Department of Hand Surgery, University Hospital Southampton, Southampton, United Kingdom); Christine B. Novak, PT, PhD (Division of Plastic & Reconstructive Surgery; Department of Surgery, University of Toronto and Hospital for Sick Children, Toronto, Ontario, Canada); Gregory I. Bain, MD, PhD (Department of Orthopedics, Flinders University; Flinders Medical Center, Bedford Park, Australia); Christina Jerosch-Herold, OT, PhD (School of Health Sciences, University of East Anglia, Norwich, United Kingdom); Kevin C. Chung, MD (Department of Plastic Surgery, The University of Michigan Medical School, Ann Arbor, Mich); Lars B. Dahlin, MD, PhD (Department of Translational Medicine - Hand Surgery, Lund University, Lund, Sweden; Department of Hand Surgery, Skåne University Hospital, Malmö, Sweden); Martin Iglesias, MD (Department of Plastic Surgery, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico); Çigdem Öksüz, PT, PhD (Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey); S. Raja Sabapathy, MD (Department of Plastic, Hand and Microsurgery and Burns, Ganga Hospital, Coimbatore, India); Lucelle van de Ven-Stevens, OT, PhD (Dutch Association of Occupational Therapy, Dutch Society for Hand Surgery, Dutch Society for Hand Therapy, Utrecht, Netherlands); Ryan Trickett, MD (Department of Trauma and Orthopaedics, Cardiff and Vale University Health Board, Cardiff, United Kingdom); Gürsel Leblebicioğlu, MD (Division of Hand Surgery, Department of Orthopaedic Surgery and Traumatology, Hacettepe University, Ankara, Turkey); Maurizio Calcagni, MD (Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Switzerland); and Ruud W. Selles, PhD (Department of Plastic, Reconstructive and Hand Surgery, Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands).
Funding Information:
This work was funded by the International Federation of Societies for Surgery of the Hand, the Federation of European Societies for the Surgery of the Hand, the British Society for Surgery of the Hand, the Dutch Society for Surgery of the Hand, the Dutch Society for Hand Therapy, the Australian Hand Surgery Society, the Swiss Society for Surgery of the Hand, Handtherapie Nederland, and Xpert Clinic.
Publisher Copyright:
© 2021 American Society for Surgery of the Hand
PY - 2021/10
Y1 - 2021/10
N2 - Purpose: To describe the principles, process, and results of creating the International Consortium for Health Outcomes Measurement (ICHOM) standard set for hand and wrist conditions. Methods: Following the standardized methods of ICHOM, an international working group of hand surgeons, therapists, and researchers was assembled to develop an evidence-based, patient-centered, standard set of outcome measures for patients with hand and wrist conditions. Multiple systematic reviews were performed to support our choices of outcome domains and tools for hand and wrist conditions. Fourteen video conferences were held between March 2018 and March 2020, and a modified Delphi process was used. Results: A consensus was reached on 5 measurement tracks: the thumb, finger, wrist, nerve, and severe hand trauma tracks, with a distinction between regular and extended tracks for which specific allocation criteria applied. The standard set contains a selection of outcome tools and predefined time points for outcome measurement. Additionally, we developed a hierarchy for using the tracks when there are multiple conditions, and we selected risk-adjustment, case-mix variables. Conclusions: The global implementation of the ICHOM standard set for hand and wrist conditions may facilitate value-based health care for patients with hand and wrist conditions. Clinical relevance: The ICHOM standard set for hand and wrist conditions can enable clinical decision making, quality improvement, and comparisons between treatments and health care professionals.
AB - Purpose: To describe the principles, process, and results of creating the International Consortium for Health Outcomes Measurement (ICHOM) standard set for hand and wrist conditions. Methods: Following the standardized methods of ICHOM, an international working group of hand surgeons, therapists, and researchers was assembled to develop an evidence-based, patient-centered, standard set of outcome measures for patients with hand and wrist conditions. Multiple systematic reviews were performed to support our choices of outcome domains and tools for hand and wrist conditions. Fourteen video conferences were held between March 2018 and March 2020, and a modified Delphi process was used. Results: A consensus was reached on 5 measurement tracks: the thumb, finger, wrist, nerve, and severe hand trauma tracks, with a distinction between regular and extended tracks for which specific allocation criteria applied. The standard set contains a selection of outcome tools and predefined time points for outcome measurement. Additionally, we developed a hierarchy for using the tracks when there are multiple conditions, and we selected risk-adjustment, case-mix variables. Conclusions: The global implementation of the ICHOM standard set for hand and wrist conditions may facilitate value-based health care for patients with hand and wrist conditions. Clinical relevance: The ICHOM standard set for hand and wrist conditions can enable clinical decision making, quality improvement, and comparisons between treatments and health care professionals.
KW - Consensus
KW - ICHOM
KW - hand
KW - outcome assessment (health care)
KW - value-based health care
KW - wrist
UR - http://www.scopus.com/inward/record.url?scp=85111476697&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85111476697&partnerID=8YFLogxK
U2 - 10.1016/j.jhsa.2021.06.004
DO - 10.1016/j.jhsa.2021.06.004
M3 - Article
C2 - 34325941
AN - SCOPUS:85111476697
VL - 46
SP - 841-855.e7
JO - Journal of Hand Surgery
JF - Journal of Hand Surgery
SN - 0266-7681
IS - 10
ER -