Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians

Michiel G.J.S. Hageman; Jeroen K. Bossen; Valentin Neuhaus; Chaitanya S. Mudgal; David Ring; Abzug M. Joshua; Julie Adams; Gallo Fabio Arbelaez; T. Aspard; George W. Balfour; Brent H. Bamberger; Jose Camilo Barreto Romero; Michael Baskies; Arnnold W. Batson; Taizoon Baxamusa; Ramón De Bedout; Steven Beldner; Prosper Benhaim; Leon Benson; Jorge G. Boretto; Martin Boyer; Gregory Byrd Dee; Ryan P. Calfee; Cecilia Gladys Caro Zambrano; Charles Cassidy; Louis Catalano; Karel Chivers; Ralph M. Costanzo; Phani Dantuluri; Gregory DeSilva; Seth Dodds; John P. Evans; Luis Felipe Náquira Escobar; C. H. Fernandes; Thomas J. Fischer; Jochen Fischer; Renato M. Fricker; Gary K. Frykman; Aida E. Garcia; Glenn R. Gaston; Fernando José Giovanni Di; Charles A. Goldfarb; Michael W. Grafe; H. W. Grunwald; Warren C. Hammert; Randy Hauck; Ricardo German Hernandez; Eric Hofmeister; Richard L. Hutchison; Asif Ilyas; Jonathan Isaacs; Sidney M. Jacoby; Peter Jebson; Christopher M. Jones; Michael Jones; Sanjeev Kakar; David M. Kalainov; Kaplan D. Thomas; Saul Kaplan; Leonid Katolik; Stephen A. Kennedy; Michael W. Kessler; Hervey L. Kimball; G. A. Kraan; Paul A. Martineau; John McAuliffe; Steven J. McCabe; Desirae M. McKee; Greg Merrell; Charles Metzger; Michael Nancollas; David L. Nelson; Ralf Nyszkiewicz; Jose A. Ortiz; Patrick W. Owens; Jason M. Palmer; Lior Paz; Gary M. Pess; Daniel Polatsch; J. Frank Raia; Marc J. Richard; Marco Rizzo; Rozental; David Ruchelsman; Oleg M. Semenkin; Javier Francisco Sierra Aguilar; Todd Siff; Samir Sodha; Catherine Spath; Sander Spruijt; Thomas G. Stackhouse; Carrie Swigart; Robert M. Szabo; John Taras; Jason D. Tavakolian; Andrew L. Terrono; Thomas F. Varecka; Abhijeet L. Wahegaonkar; Christopher J. Walsh; Frank L. Walter; Lawrence Weiss; Brian P.D. Wills; Chris Wilson; Christopher J. Wilson; Jennifer Wolf Moriatis; Megan M. Wood; Colby Young

Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians

Michiel G.J.S. Hageman, Jeroen K. Bossen, Valentin Neuhaus, Chaitanya S. Mudgal, David Ring, Abzug M. Joshua, Julie Adams, Gallo Fabio Arbelaez, T. Aspard, George W. Balfour, Brent H. Bamberger, Jose Camilo Barreto Romero, Michael Baskies, Arnnold W. Batson, Taizoon Baxamusa, Ramón De Bedout, Steven Beldner, Prosper Benhaim, Leon Benson, Jorge G. BorettoMartin Boyer, Gregory Byrd Dee, Ryan P. Calfee, Cecilia Gladys Caro Zambrano, Charles Cassidy, Louis Catalano, Karel Chivers, Ralph M. Costanzo, Phani Dantuluri, Gregory DeSilva, Seth Dodds, John P. Evans, Luis Felipe Náquira Escobar, C. H. Fernandes, Thomas J. Fischer, Jochen Fischer, Renato M. Fricker, Gary K. Frykman, Aida E. Garcia, Glenn R. Gaston, Fernando José Giovanni Di, Charles A. Goldfarb, Michael W. Grafe, H. W. Grunwald, Warren C. Hammert, Randy Hauck, Ricardo German Hernandez, Eric Hofmeister, Richard L. Hutchison, Asif Ilyas, Jonathan Isaacs, Sidney M. Jacoby, Peter Jebson, Christopher M. Jones, Michael Jones, Sanjeev Kakar, David M. Kalainov, Kaplan D. Thomas, Saul Kaplan, Leonid Katolik, Stephen A. Kennedy, Michael W. Kessler, Hervey L. Kimball, G. A. Kraan, Paul A. Martineau, John McAuliffe, Steven J. McCabe, Desirae M. McKee, Greg Merrell, Charles Metzger, Michael Nancollas, David L. Nelson, Ralf Nyszkiewicz, Jose A. Ortiz, Patrick W. Owens, Jason M. Palmer, Lior Paz, Gary M. Pess, Daniel Polatsch, J. Frank Raia, Marc J. Richard, Marco Rizzo, Rozental, David Ruchelsman, Oleg M. Semenkin, Javier Francisco Sierra Aguilar, Todd Siff, Samir Sodha, Catherine Spath, Sander Spruijt, Thomas G. Stackhouse, Carrie Swigart, Robert M. Szabo, John Taras, Jason D. Tavakolian, Andrew L. Terrono, Thomas F. Varecka, Abhijeet L. Wahegaonkar, Christopher J. Walsh, Frank L. Walter, Lawrence Weiss, Brian P.D. Wills, Chris Wilson, Christopher J. Wilson, Jennifer Wolf Moriatis, Megan M. Wood, Colby Young

Orthopedic Surgery

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of 'decisional conflict' of hand surgeons and patients with CTS. This study addresses the null hypothesis that there is no difference between surgeon and patient decisional conflict with respect to test and treatment options for CTS. Secondary analyses assess the impact of patient and physician demographics and the strength of the patient-physician relationship on decisional conflict. Methods: One-hundred-twenty-three observers of the Science of Variation Group (SOVG) and 84 patients with carpal tunnel syndrome completed a survey regarding the Decisional Conflict Scale. Patients also filled out the Pain Self-efficacy Questionnaire (PSEQ) and the Patient Doctor Relationship Questionnaire (PDRQ-9). Results: On average, patients had significantly greater decision conflict and scored higher on most subscales of the decisional conflict scale than hand surgeons.Factors associated with greater decision conflict were specific hand surgeon, less self-efficacy (confidence that one can achieve one's goals in spite of pain), and higher PDRQ (relationship between patient and doctor). Surgeons from Europe have--on average--significantly more decision conflict than surgeons in the United States of America. Conclusions: Patients with CTS have more decision conflict than hand surgeons. Decision aids might help narrow this gap in decisional conflict.

Original language	English (US)
Pages (from-to)	150-155
Number of pages	6
Journal	Archives of Bone and Joint Surgery
Volume	4
Issue number	2
State	Published - 2016

Keywords

Carpal Tunnel Syndrome
Decision aids
Hand surgery
Shared decision makin

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

Cite this

Hageman, M. G. J. S., Bossen, J. K., Neuhaus, V., Mudgal, C. S., Ring, D., Joshua, A. M., Adams, J., Arbelaez, G. F., Aspard, T., Balfour, G. W., Bamberger, B. H., Romero, J. C. B., Baskies, M., Batson, A. W., Baxamusa, T., De Bedout, R., Beldner, S., Benhaim, P., Benson, L., ... Young, C. (2016). Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians. Archives of Bone and Joint Surgery, 4(2), 150-155.

Hageman, MGJS, Bossen, JK, Neuhaus, V, Mudgal, CS, Ring, D, Joshua, AM, Adams, J, Arbelaez, GF, Aspard, T, Balfour, GW, Bamberger, BH, Romero, JCB, Baskies, M, Batson, AW, Baxamusa, T, De Bedout, R, Beldner, S, Benhaim, P, Benson, L, Boretto, JG, Boyer, M, Dee, GB, Calfee, RP, Zambrano, CGC, Cassidy, C, Catalano, L, Chivers, K, Costanzo, RM, Dantuluri, P, DeSilva, G, Dodds, S, Evans, JP, Escobar, LFN, Fernandes, CH, Fischer, TJ, Fischer, J, Fricker, RM, Frykman, GK, Garcia, AE, Gaston, GR, Giovanni Di, FJ, Goldfarb, CA, Grafe, MW, Grunwald, HW, Hammert, WC, Hauck, R, Hernandez, RG, Hofmeister, E, Hutchison, RL, Ilyas, A, Isaacs, J, Jacoby, SM, Jebson, P, Jones, CM, Jones, M, Kakar, S, Kalainov, DM, Thomas, KD, Kaplan, S, Katolik, L, Kennedy, SA, Kessler, MW, Kimball, HL, Kraan, GA, Martineau, PA, McAuliffe, J, McCabe, SJ, McKee, DM, Merrell, G, Metzger, C, Nancollas, M, Nelson, DL, Nyszkiewicz, R, Ortiz, JA, Owens, PW, Palmer, JM, Paz, L, Pess, GM, Polatsch, D, Frank Raia, J, Richard, MJ, Rizzo, M, Rozental, Ruchelsman, D, Semenkin, OM, Aguilar, JFS, Siff, T, Sodha, S, Spath, C, Spruijt, S, Stackhouse, TG, Swigart, C, Szabo, RM, Taras, J, Tavakolian, JD, Terrono, AL, Varecka, TF, Wahegaonkar, AL, Walsh, CJ, Walter, FL, Weiss, L, Wills, BPD, Wilson, C, Wilson, CJ, Moriatis, JW, Wood, MM & Young, C 2016, 'Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians', Archives of Bone and Joint Surgery, vol. 4, no. 2, pp. 150-155.

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title = "Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians",

abstract = "Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of 'decisional conflict' of hand surgeons and patients with CTS. This study addresses the null hypothesis that there is no difference between surgeon and patient decisional conflict with respect to test and treatment options for CTS. Secondary analyses assess the impact of patient and physician demographics and the strength of the patient-physician relationship on decisional conflict. Methods: One-hundred-twenty-three observers of the Science of Variation Group (SOVG) and 84 patients with carpal tunnel syndrome completed a survey regarding the Decisional Conflict Scale. Patients also filled out the Pain Self-efficacy Questionnaire (PSEQ) and the Patient Doctor Relationship Questionnaire (PDRQ-9). Results: On average, patients had significantly greater decision conflict and scored higher on most subscales of the decisional conflict scale than hand surgeons.Factors associated with greater decision conflict were specific hand surgeon, less self-efficacy (confidence that one can achieve one's goals in spite of pain), and higher PDRQ (relationship between patient and doctor). Surgeons from Europe have--on average--significantly more decision conflict than surgeons in the United States of America. Conclusions: Patients with CTS have more decision conflict than hand surgeons. Decision aids might help narrow this gap in decisional conflict.",

keywords = "Carpal Tunnel Syndrome, Decision aids, Hand surgery, Shared decision makin",

author = "Hageman, {Michiel G.J.S.} and Bossen, {Jeroen K.} and Valentin Neuhaus and Mudgal, {Chaitanya S.} and David Ring and Joshua, {Abzug M.} and Julie Adams and Arbelaez, {Gallo Fabio} and T. Aspard and Balfour, {George W.} and Bamberger, {Brent H.} and Romero, {Jose Camilo Barreto} and Michael Baskies and Batson, {Arnnold W.} and Taizoon Baxamusa and {De Bedout}, Ram{\'o}n and Steven Beldner and Prosper Benhaim and Leon Benson and Boretto, {Jorge G.} and Martin Boyer and Dee, {Gregory Byrd} and Calfee, {Ryan P.} and Zambrano, {Cecilia Gladys Caro} and Charles Cassidy and Louis Catalano and Karel Chivers and Costanzo, {Ralph M.} and Phani Dantuluri and Gregory DeSilva and Seth Dodds and Evans, {John P.} and Escobar, {Luis Felipe N{\'a}quira} and Fernandes, {C. H.} and Fischer, {Thomas J.} and Jochen Fischer and Fricker, {Renato M.} and Frykman, {Gary K.} and Garcia, {Aida E.} and Gaston, {Glenn R.} and {Giovanni Di}, {Fernando Jos{\'e}} and Goldfarb, {Charles A.} and Grafe, {Michael W.} and Grunwald, {H. W.} and Hammert, {Warren C.} and Randy Hauck and Hernandez, {Ricardo German} and Eric Hofmeister and Hutchison, {Richard L.} and Asif Ilyas and Jonathan Isaacs and Jacoby, {Sidney M.} and Peter Jebson and Jones, {Christopher M.} and Michael Jones and Sanjeev Kakar and Kalainov, {David M.} and Thomas, {Kaplan D.} and Saul Kaplan and Leonid Katolik and Kennedy, {Stephen A.} and Kessler, {Michael W.} and Kimball, {Hervey L.} and Kraan, {G. A.} and Martineau, {Paul A.} and John McAuliffe and McCabe, {Steven J.} and McKee, {Desirae M.} and Greg Merrell and Charles Metzger and Michael Nancollas and Nelson, {David L.} and Ralf Nyszkiewicz and Ortiz, {Jose A.} and Owens, {Patrick W.} and Palmer, {Jason M.} and Lior Paz and Pess, {Gary M.} and Daniel Polatsch and {Frank Raia}, J. and Richard, {Marc J.} and Marco Rizzo and Rozental and David Ruchelsman and Semenkin, {Oleg M.} and Aguilar, {Javier Francisco Sierra} and Todd Siff and Samir Sodha and Catherine Spath and Sander Spruijt and Stackhouse, {Thomas G.} and Carrie Swigart and Szabo, {Robert M.} and John Taras and Tavakolian, {Jason D.} and Terrono, {Andrew L.} and Varecka, {Thomas F.} and Wahegaonkar, {Abhijeet L.} and Walsh, {Christopher J.} and Walter, {Frank L.} and Lawrence Weiss and Wills, {Brian P.D.} and Chris Wilson and Wilson, {Christopher J.} and Moriatis, {Jennifer Wolf} and Wood, {Megan M.} and Colby Young",

note = "Publisher Copyright: {\textcopyright}BY THE ARCHIVES OF BONE AND JOINT SURGERY.",

year = "2016",

language = "English (US)",

volume = "4",

pages = "150--155",

journal = "Archives of Bone and Joint Surgery",

issn = "2345-4644",

publisher = "Mashhad University of Medical Sciences",

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TY - JOUR

T1 - Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians

AU - Hageman, Michiel G.J.S.

AU - Bossen, Jeroen K.

AU - Neuhaus, Valentin

AU - Mudgal, Chaitanya S.

AU - Ring, David

AU - Joshua, Abzug M.

AU - Adams, Julie

AU - Arbelaez, Gallo Fabio

AU - Aspard, T.

AU - Balfour, George W.

AU - Bamberger, Brent H.

AU - Romero, Jose Camilo Barreto

AU - Baskies, Michael

AU - Batson, Arnnold W.

AU - Baxamusa, Taizoon

AU - De Bedout, Ramón

AU - Beldner, Steven

AU - Benhaim, Prosper

AU - Benson, Leon

AU - Boretto, Jorge G.

AU - Boyer, Martin

AU - Dee, Gregory Byrd

AU - Calfee, Ryan P.

AU - Zambrano, Cecilia Gladys Caro

AU - Cassidy, Charles

AU - Catalano, Louis

AU - Chivers, Karel

AU - Costanzo, Ralph M.

AU - Dantuluri, Phani

AU - DeSilva, Gregory

AU - Dodds, Seth

AU - Evans, John P.

AU - Escobar, Luis Felipe Náquira

AU - Fernandes, C. H.

AU - Fischer, Thomas J.

AU - Fischer, Jochen

AU - Fricker, Renato M.

AU - Frykman, Gary K.

AU - Garcia, Aida E.

AU - Gaston, Glenn R.

AU - Giovanni Di, Fernando José

AU - Goldfarb, Charles A.

AU - Grafe, Michael W.

AU - Grunwald, H. W.

AU - Hammert, Warren C.

AU - Hauck, Randy

AU - Hernandez, Ricardo German

AU - Hofmeister, Eric

AU - Hutchison, Richard L.

AU - Ilyas, Asif

AU - Isaacs, Jonathan

AU - Jacoby, Sidney M.

AU - Jebson, Peter

AU - Jones, Christopher M.

AU - Jones, Michael

AU - Kakar, Sanjeev

AU - Kalainov, David M.

AU - Thomas, Kaplan D.

AU - Kaplan, Saul

AU - Katolik, Leonid

AU - Kennedy, Stephen A.

AU - Kessler, Michael W.

AU - Kimball, Hervey L.

AU - Kraan, G. A.

AU - Martineau, Paul A.

AU - McAuliffe, John

AU - McCabe, Steven J.

AU - McKee, Desirae M.

AU - Merrell, Greg

AU - Metzger, Charles

AU - Nancollas, Michael

AU - Nelson, David L.

AU - Nyszkiewicz, Ralf

AU - Ortiz, Jose A.

AU - Owens, Patrick W.

AU - Palmer, Jason M.

AU - Paz, Lior

AU - Pess, Gary M.

AU - Polatsch, Daniel

AU - Frank Raia, J.

AU - Richard, Marc J.

AU - Rizzo, Marco

AU - Rozental,

AU - Ruchelsman, David

AU - Semenkin, Oleg M.

AU - Aguilar, Javier Francisco Sierra

AU - Siff, Todd

AU - Sodha, Samir

AU - Spath, Catherine

AU - Spruijt, Sander

AU - Stackhouse, Thomas G.

AU - Swigart, Carrie

AU - Szabo, Robert M.

AU - Taras, John

AU - Tavakolian, Jason D.

AU - Terrono, Andrew L.

AU - Varecka, Thomas F.

AU - Wahegaonkar, Abhijeet L.

AU - Walsh, Christopher J.

AU - Walter, Frank L.

AU - Weiss, Lawrence

AU - Wills, Brian P.D.

AU - Wilson, Chris

AU - Wilson, Christopher J.

AU - Moriatis, Jennifer Wolf

AU - Wood, Megan M.

AU - Young, Colby

PY - 2016

Y1 - 2016

N2 - Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of 'decisional conflict' of hand surgeons and patients with CTS. This study addresses the null hypothesis that there is no difference between surgeon and patient decisional conflict with respect to test and treatment options for CTS. Secondary analyses assess the impact of patient and physician demographics and the strength of the patient-physician relationship on decisional conflict. Methods: One-hundred-twenty-three observers of the Science of Variation Group (SOVG) and 84 patients with carpal tunnel syndrome completed a survey regarding the Decisional Conflict Scale. Patients also filled out the Pain Self-efficacy Questionnaire (PSEQ) and the Patient Doctor Relationship Questionnaire (PDRQ-9). Results: On average, patients had significantly greater decision conflict and scored higher on most subscales of the decisional conflict scale than hand surgeons.Factors associated with greater decision conflict were specific hand surgeon, less self-efficacy (confidence that one can achieve one's goals in spite of pain), and higher PDRQ (relationship between patient and doctor). Surgeons from Europe have--on average--significantly more decision conflict than surgeons in the United States of America. Conclusions: Patients with CTS have more decision conflict than hand surgeons. Decision aids might help narrow this gap in decisional conflict.

AB - Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of 'decisional conflict' of hand surgeons and patients with CTS. This study addresses the null hypothesis that there is no difference between surgeon and patient decisional conflict with respect to test and treatment options for CTS. Secondary analyses assess the impact of patient and physician demographics and the strength of the patient-physician relationship on decisional conflict. Methods: One-hundred-twenty-three observers of the Science of Variation Group (SOVG) and 84 patients with carpal tunnel syndrome completed a survey regarding the Decisional Conflict Scale. Patients also filled out the Pain Self-efficacy Questionnaire (PSEQ) and the Patient Doctor Relationship Questionnaire (PDRQ-9). Results: On average, patients had significantly greater decision conflict and scored higher on most subscales of the decisional conflict scale than hand surgeons.Factors associated with greater decision conflict were specific hand surgeon, less self-efficacy (confidence that one can achieve one's goals in spite of pain), and higher PDRQ (relationship between patient and doctor). Surgeons from Europe have--on average--significantly more decision conflict than surgeons in the United States of America. Conclusions: Patients with CTS have more decision conflict than hand surgeons. Decision aids might help narrow this gap in decisional conflict.

KW - Carpal Tunnel Syndrome

KW - Decision aids

KW - Hand surgery

KW - Shared decision makin

UR - http://www.scopus.com/inward/record.url?scp=84966662463&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84966662463&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84966662463

SN - 2345-4644

VL - 4

SP - 150

EP - 155

JO - Archives of Bone and Joint Surgery

JF - Archives of Bone and Joint Surgery

IS - 2

ER -

Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians

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Keywords

ASJC Scopus subject areas

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