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The Impact of Demographic Factors and Comorbidities on Distal Radius Fracture Outcomes

Background Despite the prevalence and consequences of distal radius fracture (DRF), there is limited research that analyzes the effects of demographic factors and comorbidities as they relate to pain, perceived disability, and functional outcomes. Methods All data for this study were examined retros...

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Published in:Hand (New York, N.Y.) N.Y.), 2014-03, Vol.9 (1), p.80-86
Main Authors: Wilson, Kenneth, Heyde, Rebecca von der, Sparks, Megan, Hammerschmidt, Kathryn, Pleimann, Derek, Ranz, Erin, Rector, Jessica, Sniezak, Daniel
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container_title Hand (New York, N.Y.)
container_volume 9
creator Wilson, Kenneth
Heyde, Rebecca von der
Sparks, Megan
Hammerschmidt, Kathryn
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Ranz, Erin
Rector, Jessica
Sniezak, Daniel
description Background Despite the prevalence and consequences of distal radius fracture (DRF), there is limited research that analyzes the effects of demographic factors and comorbidities as they relate to pain, perceived disability, and functional outcomes. Methods All data for this study were examined retrospectively within an established clinical database. Patients with DRF were evaluated during their first and final visits with a criterion-based numeric pain scale (CR12), the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire, and a global rate of change scale to assess outcomes of pain, perceived disability, and function, respectively. Results The number of days between injury and initial therapy evaluation were inversely correlated with changes in perceived pain and perceived disability (r = −0.315, p =0.000; r =–0.348, p =0.000). In addition, moderate and statistically significant correlations were noted between work status and average CR12 and DASH scores at final re-evaluation (r =0.392, p =0.000, r =0.473, p =0.000). No significant relationships were noted between additional demographic factors or comorbidities and pain, perceived disability, or function during statistical analysis. Conclusions Patients without diabetes, hypertension, or depression and those who were not smokers had better outcomes in terms of pain, perceived disability, and function in this study. In addition, earlier timing of initial evaluation after injury and full duty work status were significantly related to improvement in pain and perceived disability. Timing of initiation of therapy and return to work are suggested as avenues for future research.
doi_str_mv 10.1007/s11552-013-9559-9
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Methods All data for this study were examined retrospectively within an established clinical database. Patients with DRF were evaluated during their first and final visits with a criterion-based numeric pain scale (CR12), the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire, and a global rate of change scale to assess outcomes of pain, perceived disability, and function, respectively. Results The number of days between injury and initial therapy evaluation were inversely correlated with changes in perceived pain and perceived disability (r = −0.315, p =0.000; r =–0.348, p =0.000). In addition, moderate and statistically significant correlations were noted between work status and average CR12 and DASH scores at final re-evaluation (r =0.392, p =0.000, r =0.473, p =0.000). No significant relationships were noted between additional demographic factors or comorbidities and pain, perceived disability, or function during statistical analysis. Conclusions Patients without diabetes, hypertension, or depression and those who were not smokers had better outcomes in terms of pain, perceived disability, and function in this study. In addition, earlier timing of initial evaluation after injury and full duty work status were significantly related to improvement in pain and perceived disability. Timing of initiation of therapy and return to work are suggested as avenues for future research.</description><identifier>ISSN: 1558-9447</identifier><identifier>EISSN: 1558-9455</identifier><identifier>DOI: 10.1007/s11552-013-9559-9</identifier><identifier>PMID: 24570642</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Medicine ; Medicine &amp; Public Health ; Orthopedics ; Plastic Surgery ; Surgery ; Surgical Orthopedics ; Therapy ; Therapy Articles</subject><ispartof>Hand (New York, N.Y.), 2014-03, Vol.9 (1), p.80-86</ispartof><rights>American Association for Hand Surgery 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3969-22bfe2126a20319a8a8acbb43da2005a90f8087da19433c2bd9e811cc1d110f73</citedby><cites>FETCH-LOGICAL-c3969-22bfe2126a20319a8a8acbb43da2005a90f8087da19433c2bd9e811cc1d110f73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3928389/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3928389/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793,79364</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24570642$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilson, Kenneth</creatorcontrib><creatorcontrib>Heyde, Rebecca von der</creatorcontrib><creatorcontrib>Sparks, Megan</creatorcontrib><creatorcontrib>Hammerschmidt, Kathryn</creatorcontrib><creatorcontrib>Pleimann, Derek</creatorcontrib><creatorcontrib>Ranz, Erin</creatorcontrib><creatorcontrib>Rector, Jessica</creatorcontrib><creatorcontrib>Sniezak, Daniel</creatorcontrib><title>The Impact of Demographic Factors and Comorbidities on Distal Radius Fracture Outcomes</title><title>Hand (New York, N.Y.)</title><addtitle>HAND</addtitle><addtitle>Hand (N Y)</addtitle><description>Background Despite the prevalence and consequences of distal radius fracture (DRF), there is limited research that analyzes the effects of demographic factors and comorbidities as they relate to pain, perceived disability, and functional outcomes. Methods All data for this study were examined retrospectively within an established clinical database. Patients with DRF were evaluated during their first and final visits with a criterion-based numeric pain scale (CR12), the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire, and a global rate of change scale to assess outcomes of pain, perceived disability, and function, respectively. Results The number of days between injury and initial therapy evaluation were inversely correlated with changes in perceived pain and perceived disability (r = −0.315, p =0.000; r =–0.348, p =0.000). In addition, moderate and statistically significant correlations were noted between work status and average CR12 and DASH scores at final re-evaluation (r =0.392, p =0.000, r =0.473, p =0.000). No significant relationships were noted between additional demographic factors or comorbidities and pain, perceived disability, or function during statistical analysis. Conclusions Patients without diabetes, hypertension, or depression and those who were not smokers had better outcomes in terms of pain, perceived disability, and function in this study. In addition, earlier timing of initial evaluation after injury and full duty work status were significantly related to improvement in pain and perceived disability. 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Conclusions Patients without diabetes, hypertension, or depression and those who were not smokers had better outcomes in terms of pain, perceived disability, and function in this study. In addition, earlier timing of initial evaluation after injury and full duty work status were significantly related to improvement in pain and perceived disability. Timing of initiation of therapy and return to work are suggested as avenues for future research.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>24570642</pmid><doi>10.1007/s11552-013-9559-9</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Medicine
Medicine & Public Health
Orthopedics
Plastic Surgery
Surgery
Surgical Orthopedics
Therapy
Therapy Articles
title The Impact of Demographic Factors and Comorbidities on Distal Radius Fracture Outcomes
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