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Andrew Lawson
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1367-6443
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Objective Wrist deformity in older people is common following treatment for a wrist fracture, particularly after non-surgical treatment. A cohort of older wrist fracture patients were surveyed by telephone regarding perceived deformity, bother with deformity and patient-reported wrist function. The objectives were to: 1. determine whether older patients with wrist fractures perceived a deformity of their wrist and if they were bothered by it; 2. test if there were associations between deformity and treatment-type and between deformity and function; 3. test for associations between bother and treatment-type and between bother and function; 4. measure the test-retest reliability of the ‘bother’ question. Results Of 98 eligible patients who were invited to participate, 41 responded. Out of 41, 14 (34%) believed they had a deformity and 4 (10%) reported that they were bothered by the appearance of their wrist. Deformity was associated with non-surgical treatment (RR=3.85, p=0.006) but was not significantly associated with functional outcomes (p=0.15). All those who were bothered belonged to the non-surgical treatment group. Bother was significantly associated with poorer functional outcomes (p=0.006) and this association was clinically significant (MD=35 points). The deformity and bother questions were found to have excellent test-retest reliability; ᴋ=1.00 and ᴋ=0.92, respectively.
Keywords
Bother, Wrist, Conservative Treatment, Deformity, Fracture Fixation, Patient Reported Outcome, Distal Radius Fracture
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View the published article at BMC Research Notes.
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Editorial decision: Minor revision
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Received 12 Feb, 2020
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Reviewer #1 agreed
On 03 Feb, 2020
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General Surgery
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See the published version of this preprint at BMC Research Notes.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research note
Andrew Lawson
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1367-6443
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Research Notes.
Version 2
Posted 16 Mar, 2020
No community comments so far
Editor assigned
On 10 Mar, 2020
Editorial decision: Accept
On 10 Mar, 2020
Submission checks complete
On 09 Mar, 2020
Editor invited
On 09 Mar, 2020
No comments provided
Editorial decision: Minor revision
On 26 Feb, 2020
Review #1 received
Received 12 Feb, 2020
Editor assigned
On 03 Feb, 2020
Reviewers invited
Invitations sent on 03 Feb, 2020
Reviewer #1 agreed
On 03 Feb, 2020
First submitted
On 02 Feb, 2020
Submission checks complete
On 02 Feb, 2020
Editor invited
On 02 Feb, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Surgery
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Research Notes.
Objective Wrist deformity in older people is common following treatment for a wrist fracture, particularly after non-surgical treatment. A cohort of older wrist fracture patients were surveyed by telephone regarding perceived deformity, bother with deformity and patient-reported wrist function. The objectives were to: 1. determine whether older patients with wrist fractures perceived a deformity of their wrist and if they were bothered by it; 2. test if there were associations between deformity and treatment-type and between deformity and function; 3. test for associations between bother and treatment-type and between bother and function; 4. measure the test-retest reliability of the ‘bother’ question. Results Of 98 eligible patients who were invited to participate, 41 responded. Out of 41, 14 (34%) believed they had a deformity and 4 (10%) reported that they were bothered by the appearance of their wrist. Deformity was associated with non-surgical treatment (RR=3.85, p=0.006) but was not significantly associated with functional outcomes (p=0.15). All those who were bothered belonged to the non-surgical treatment group. Bother was significantly associated with poorer functional outcomes (p=0.006) and this association was clinically significant (MD=35 points). The deformity and bother questions were found to have excellent test-retest reliability; ᴋ=1.00 and ᴋ=0.92, respectively.
Figure 1
Figure 2
Figure 3
This is a list of supplementary files associated with this preprint. Click to download.
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