این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
The Archives of Bone and Joint Surgery، جلد ۳، شماره ۳، صفحات ۱۹۸-۲۰۳
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Factors Associated with Operative Treatment of De Quervain Tendinopathy
چکیده انگلیسی مقاله Background: Geographic and doctor-to-doctor variations in care are a focus of quality and safety efforts in medicine. This study addresses factors associated with variation in the rate of operative treatment of de Quervain tendinopathy. Methods: We used a database including all patient encounters at 2 large medical centers, to study the experience of 10 hand surgeons and 1 physiatrist working in a hand surgery office in the treatment of 2,513 patients with de Quervain tendinopathy over a 12-year period. Survival analysis using the Kaplan-Meier method was used to compare surgery rates and time to surgery. Cox multivariable regression analysis was applied to identify factors associated with operative treatment. Results: One hundred ninety nine (7.9%) patients had surgery. The odds of operative treatment were 1.7 times greater after corticosteroid injection and varied more than 10-fold among providers. There was substantial variation in the overall rate of surgery by provider. Corticosteroid injection delayed surgery slightly, but was associated with a higher rate of surgery. Conclusion: Providers have substantial influence on treatment of de Quervain tendinopathy. The use of decision aids and other methods that help involve the patient in decision-making merit investigation as interventions to help reduce doctor-to-doctor variation.
کلیدواژه‌های انگلیسی مقاله
نویسندگان مقاله امیررضا کچویی | amir reza kachooei
orthopaedic hand and upper extremity service, massachusetts general hospital, yawkey center, boston, usa orthopedic research center, mashhad university of medical sciences, mashhad, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

sjoerd p f t nota | sjoerd p f t nota
orthopaedic hand and upper extremity service, massachusetts general hospital, yawkey center, boston, usa


ماریانو esteban menendez | mariano esteban menendez
orthopaedic hand and upper extremity service, massachusetts general hospital, yawkey center, boston, usa


ژورژ s m dyer | george s m dyer
orthopedic hand and upper extremity service, brigham and women’s hospital, boston, usa


دیوید رینگ | david ring
orthopaedic hand and upper extremity service, massachusetts general hospital, yawkey center, boston, usa
نشانی اینترنتی http://abjs.mums.ac.ir/article_4272.html
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده RESEARCH PAPER
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات