Patients With Thumb-base Osteoarthritis Scheduled for Surgery Have More Symptoms, Worse Psychological Profile, and Higher Expectations Than Nonsurgical Counterparts: A Large Cohort Analysis.

CONCLUSIONS: Patients scheduled to undergo surgery for CMC-1 OA have a worse psychological profile than those scheduled for nonsurgical treatment. Our findings suggest that psychological characteristics should be considered during shared decision-making, and they might indicate if psychological interventions, training in coping strategies, and patient education are needed. Future studies should prospectively investigate the influence of psychological characteristics on the outcomes of patients with CMC-1 OA.
LEVEL OF EVIDENCE: Level III, therapeutic study.
PMID: 31764344 [PubMed - in process]

Source: Clinical Orthopaedics and Related Research - November 27, 2019 Category: Orthopaedics Authors: Wouters RM, Vranceanu AM, Slijper HP, Vermeulen GM, van der Oest MJW, Selles RW, Porsius JT, Hand-Wrist Study Group Tags: Clin Orthop Relat Res Source Type: research