Factors Associated with Patient Delay in Scaphoid Nonunions

详细信息    查看全文

• 作者：David S. P. Heidsieck ; Paul W. L. ten Berg…
• 关键词：Scaphoid ; Nonunion ; Delay ; Medical attention
• 刊名：Journal of Hand and Microsurgery
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：7
• 期：2
• 页码：300-305
• 全文大小：455 KB
• 参考文献：1.Duckworth AD, Buijze GA, Moran M, Gray A, Court-Brown CM, Ring D, McQueen MM (2012) Predictors of fracture following suspected injury to the scaphoid. J Bone Joint Surg Br 94(7):961-68. doi:10.-302/-301-620x.-4b7.-8704 CrossRef PubMed
  2.Dias JJ, Brenkel IJ, Finlay DB (1989) Patterns of union in fractures of the waist of the scaphoid. J Bone Joint Surg Br 71(2):307-10PubMed
  3.Buijze GA, Ochtman L, Ring D (2012) Management of scaphoid nonunion. J Hand Surg Am 37(5):1095-100. doi:10.-016/?j.?jhsa.-012.-3.-02 CrossRef PubMed
  4.Geissler WB, Adams JE, Bindra RR, Lanzinger WD, Slutsky DJ (2012) Scaphoid fractures: what's hot, what's not. J Bone Joint Surg Am 94(2):169-81. doi:10.-106/?JBJS.-42icl CrossRef PubMed
  5.Ramamurthy C, Cutler L, Nuttall D, Simison AJ, Trail IA, Stanley JK (2007) The factors affecting outcome after non-vascular bone grafting and internal fixation for nonunion of the scaphoid. J Bone Joint Surg Br 89(5):627-32. doi:10.-302/-301-620x.-9b5.-8183 CrossRef PubMed
  6.Langhoff O, Andersen JL (1988) Consequences of late immobilization of scaphoid fractures. J Hand Surg (Br) 13(1):77-9CrossRef
  7.Reigstad O, Grimsgaard C, Thorkildsen R, Reigstad A, Rokkum M (2012) Scaphoid non-unions, where do they come from? The epidemiology and initial presentation of 270 scaphoid non-unions. Hand Surg 17(3):331-35. doi:10.-142/?s021881041250026- CrossRef PubMed
  8.ten Berg PW, Ring D (2012) Patients lost to follow-up after metacarpal fractures. J Hand Surg [Am] 37(1):42-6. doi:10.-016/?j.?jhsa.-011.-8.-03 CrossRef
  9.Ootes D, Buijze GA, Ring D (2012) Predictors of missed appointments in prospective hand surgery research. Hand (N Y) 7(2):177-80. doi:10.-007/?s11552-012-9411-7 CrossRef
  10.Becker SJ, Guitton TG, Ring D (2014) Predictors of missed research appointments in a randomized placebo-controlled trial. Arch Bone Jt Surg 2(3):192-98PubMedCentral PubMed
  11.Wong K, von Schroeder HP (2011) Delays and poor management of scaphoid fractures: factors contributing to nonunion. J Hand Surg Am 36(9):1471-474. doi:10.-016/?j.?jhsa.-011.-6.-16 CrossRef PubMed
  12.Tiel-van Buul MM, Roolker W, Broekhuizen AH, Van Beek EJ (1997) The diagnostic management of suspected scaphoid fracture. Injury 28(1):1-. doi:10.-016/?s0020-1383(96)00127-1 CrossRef PubMed
  13.Sullivan AL, Beshansky JR, Ruthazer R, Murman DH, Mader TJ, Selker HP (2014) Factors associated with longer time to treatment for patients with suspected acute coronary syndromes: a cohort study. Circ Cardiovasc Qual Outcomes 7(1):86-4. doi:10.-161/?circoutcomes.-13.-00396 PubMedCentral CrossRef PubMed
  14.Finnegan Jr JR, Meischke H, Zapka JG, Leviton L, Meshack A, Benjamin-Garner R, Estabrook B, Hall NJ, Schaeffer S, Smith C, Weitzman ER, Raczynski J, Stone E (2000) Patient delay in seeking care for heart attack symptoms: findings from focus groups conducted in five U.S. regions. Prev Med 31(3):205-13. doi:10.-006/?pmed.-000.-702
  15.Rizk DE, Shaheen H, Thomas L, Dunn E, Hassan MY (1999) The prevalence and determinants of health care-seeking behavior for urinary incontinence in United Arab Emirates women. Int Urogynecol J Pelvic Floor Dysfunct 10(3):160-65CrossRef PubMed
  16.Rasmussen CH, Munck A, Kragstrup J, Haghfelt T (2003) Patient delay from onset of chest pain suggesting acute coronary syndrome to hospital admission. Scand Cardiovasc J 37(4):183-86CrossRef PubMed
  17.Belkina T, Khojiev D, Tillyashaykhov M, Tigay Z, Kudenov M, Tebbens J, Vlcek J (2014) Delay in the diagnosis and treatment of pulmonary tuberculosis in Uzbekistan: a cross-sectional study. BMC Infect Dis 14(1):624. doi:10.-186/?s12879-014-0624-y PubMedCentral CrossRef PubMed
  18.Janson S, Becker G (1998) Reasons for delay in seeking treatment for acute asthma: the patient's perspective. J Asthma 35(5):427-35CrossRef PubMed
  19.Molleman J, Janssen SJ, Overbeek CL, Ring D (2015) A threshold disability score corresponds with an estimated diagnosis of clinical depression in patients with upper extremity disease. Hand (N Y) 10(2):168-72. doi:10.-007/?s11552-014-9686-y CrossRef
  20.Asch DA, Jedrziewski MK, Christakis NA (1997) Response rates to mail surveys published in medical journals. J Clin Epidemiol 50(10):1129-136CrossRef PubMed
  21.Safer MA, Tharps QJ, Jackson TC, Leventhal H (1979) Determinants of three stages of delay in seeking care at a medical clinic. Med Care 17(1):11-9CrossRef PubMed
  
• 作者单位：David S. P. Heidsieck (1)
  Paul W. L. ten Berg (1)
  Niels W. L. Schep (2)
  Simon D. Strackee (1)
  
  1. Department of Plastic-, Reconstructive- and Hand surgery, Academic Medical Center, University of Amsterdam, Suite G4-226, PO box 22660, 1100 DD, Amsterdam, The Netherlands
  2. Department of Trauma Surgery, Maasstad Hospital, Rotterdam, The Netherlands
  
• 刊物主题：Surgery; Traumatic Surgery; Orthopedics;
• 出版者：Springer India
• ISSN：0974-6897

文摘

Delay in seeking medical attention by patients, ─so-called patient delay, contributes to the relative high rate of delayed diagnosis and treatment in scaphoid nonunion cases. In this retrospective study we investigated the incidence of patients with a patient delay exceeding 6 months, thus by definition having an established nonunion. In addition to this, we investigated demographic, injury and patient related factors associated with this patient delay in scaphoid nonunion patients. We included 101 patients with established scaphoid nonunions treated surgically at our specialized hand surgery unit. Information regarding demographic and injury characteristics, and subjective patient related factors was obtained from medical records and a questionnaire-based survey. Sixty-four patients (63 %) responded to our survey. A quarter (25 %) of the patients showed a delay of more than 6 months. Demographic and injury characteristics were not related to this delay. In contrast to this, not attributing post-injury symptoms to a fracture but to e.g. a sprain instead, showed to be an independent predictor of patient delay. We report a high incidence of patients with an established scaphoid nonunion who delayed seeking medical attention. As there appears to be no demographic or injury characteristics associated with this patient delay, future developments of strategies to reduce patient delay should be targeted on all patients with a suspected scaphoid injury. Keywords Scaphoid Nonunion Delay Medical attention