The Role of Hand Surgery on Quality of Life and Patient Satisfaction in Rheumatologic Patients
Objectives: Rheumatologic diseases, particularly rheumatoid arthritis (RA), often lead to hand and wrist dysfunction, significantly impairing patients’ quality of life. Despite advancements in pharmacotherapy, deformities, pain, and functional losses persist, necessitating surgical interventions. Th...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2025-03-01
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| Series: | Ankara Üniversitesi Tıp Fakültesi Mecmuas |
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| Online Access: | https://www.ankaratipfakultesimecmuasi.net/articles/the-role-of-hand-surgery-on-quality-of-life-and-patient-satisfaction-in-rheumatologic-patients/doi/atfm.galenos.2025.02170 |
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| _version_ | 1839626396993847296 |
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| author | Uğur Bezirgan Mehmet Yalçın |
| author_facet | Uğur Bezirgan Mehmet Yalçın |
| author_sort | Uğur Bezirgan |
| collection | DOAJ |
| description | Objectives: Rheumatologic diseases, particularly rheumatoid arthritis (RA), often lead to hand and wrist dysfunction, significantly impairing patients’ quality of life. Despite advancements in pharmacotherapy, deformities, pain, and functional losses persist, necessitating surgical interventions. This study evaluates the outcomes of hand surgeries in rheumatologic diseases, focusing on functional improvements, pain relief, and patient satisfaction.
Materials and Methods: A retrospective analysis was conducted on 17 patients with confirmed rheumatologic diagnoses, including RA, systemic lupus erythematosus, scleroderma, and ankylosing spondylitis, who underwent hand surgeries between 2021 and 2024. Functional outcomes were assessed using the sequential occupational dexterity assessment (SODA) and Duruoz Scale, along with grip strength and pain levels measured using a visual analog scale (VAS). Complications, postoperative erythrocyte sedimentation rate (ESR), and patient satisfaction were also evaluated.
Results: Soft tissue surgeries (79.2%) were more prevalent than bone surgeries (20.8%). Significant improvements were observed in functional outcomes (SODA and Duruoz Scores), grip strength, and VAS scores for general and hand-specific pain. However, ESR values remained unchanged, indicating persistent systemic inflammation. Complications occurred in 23.5% of patients, including infections, tendon adhesions, and recurrence of deformities. Patient satisfaction scores were moderate, highlighting unmet expectations.
Conclusion: Hand surgeries provide substantial functional and pain-related benefits for patients with rheumatologic diseases, but moderate satisfaction levels and high complication rates underscore the need for better preoperative counseling, implant accessibility, and multidisciplinary management. Future studies with larger cohorts are warranted to refine surgical approaches and improve outcomes. |
| format | Article |
| id | doaj-art-a1e8f67205cb4b7d93db1e7e3101c68a |
| institution | Matheson Library |
| issn | 1307-5608 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Ankara Üniversitesi Tıp Fakültesi Mecmuas |
| spelling | doaj-art-a1e8f67205cb4b7d93db1e7e3101c68a2025-07-17T13:09:30ZengGalenos Publishing HouseAnkara Üniversitesi Tıp Fakültesi Mecmuas1307-56082025-03-01781768310.4274/atfm.galenos.2025.02170The Role of Hand Surgery on Quality of Life and Patient Satisfaction in Rheumatologic PatientsUğur Bezirgan0https://orcid.org/0000-0001-9053-8637Mehmet Yalçın1https://orcid.org/0000-0003-0009-9381Ankara University, Ibni Sina Training and Research Hospital, Department of Orthopedics and Traumatology, Ankara, TürkiyeAnkara University Faculty of Medicine, Department of Hand Surgery, Ankara, TürkiyeObjectives: Rheumatologic diseases, particularly rheumatoid arthritis (RA), often lead to hand and wrist dysfunction, significantly impairing patients’ quality of life. Despite advancements in pharmacotherapy, deformities, pain, and functional losses persist, necessitating surgical interventions. This study evaluates the outcomes of hand surgeries in rheumatologic diseases, focusing on functional improvements, pain relief, and patient satisfaction. Materials and Methods: A retrospective analysis was conducted on 17 patients with confirmed rheumatologic diagnoses, including RA, systemic lupus erythematosus, scleroderma, and ankylosing spondylitis, who underwent hand surgeries between 2021 and 2024. Functional outcomes were assessed using the sequential occupational dexterity assessment (SODA) and Duruoz Scale, along with grip strength and pain levels measured using a visual analog scale (VAS). Complications, postoperative erythrocyte sedimentation rate (ESR), and patient satisfaction were also evaluated. Results: Soft tissue surgeries (79.2%) were more prevalent than bone surgeries (20.8%). Significant improvements were observed in functional outcomes (SODA and Duruoz Scores), grip strength, and VAS scores for general and hand-specific pain. However, ESR values remained unchanged, indicating persistent systemic inflammation. Complications occurred in 23.5% of patients, including infections, tendon adhesions, and recurrence of deformities. Patient satisfaction scores were moderate, highlighting unmet expectations. Conclusion: Hand surgeries provide substantial functional and pain-related benefits for patients with rheumatologic diseases, but moderate satisfaction levels and high complication rates underscore the need for better preoperative counseling, implant accessibility, and multidisciplinary management. Future studies with larger cohorts are warranted to refine surgical approaches and improve outcomes.https://www.ankaratipfakultesimecmuasi.net/articles/the-role-of-hand-surgery-on-quality-of-life-and-patient-satisfaction-in-rheumatologic-patients/doi/atfm.galenos.2025.02170rheumatologic diseaseshand surgeryrheumatoid arthritispatient satisfactionfunctional outcomes |
| spellingShingle | Uğur Bezirgan Mehmet Yalçın The Role of Hand Surgery on Quality of Life and Patient Satisfaction in Rheumatologic Patients Ankara Üniversitesi Tıp Fakültesi Mecmuas rheumatologic diseases hand surgery rheumatoid arthritis patient satisfaction functional outcomes |
| title | The Role of Hand Surgery on Quality of Life and Patient Satisfaction in Rheumatologic Patients |
| title_full | The Role of Hand Surgery on Quality of Life and Patient Satisfaction in Rheumatologic Patients |
| title_fullStr | The Role of Hand Surgery on Quality of Life and Patient Satisfaction in Rheumatologic Patients |
| title_full_unstemmed | The Role of Hand Surgery on Quality of Life and Patient Satisfaction in Rheumatologic Patients |
| title_short | The Role of Hand Surgery on Quality of Life and Patient Satisfaction in Rheumatologic Patients |
| title_sort | role of hand surgery on quality of life and patient satisfaction in rheumatologic patients |
| topic | rheumatologic diseases hand surgery rheumatoid arthritis patient satisfaction functional outcomes |
| url | https://www.ankaratipfakultesimecmuasi.net/articles/the-role-of-hand-surgery-on-quality-of-life-and-patient-satisfaction-in-rheumatologic-patients/doi/atfm.galenos.2025.02170 |
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