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J Hand Microsurg 2020; 12(02): 085-094
DOI: 10.1055/s-0040-1701324
Review Article

Reporting Outcomes and Outcome Measures in Digital Replantation: A Systematic Review

Syena Moltaji
1   Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada
,
Matteo Gallo
2   Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
,
Chloe Wong
2   Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
,
Jessica Murphy
3   Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada
,
Lucas Gallo
3   Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada
,
Daniel Waltho
3   Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada
,
Andrea Copeland
3   Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada
,
Marta Karpinski
2   Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
,
Sadek Mowakket
2   Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
,
Eric Duku
4   Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada
,
Achilleas Thoma
3   Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada
5   Department of Surgery, McMaster University, Hamilton, Ontario, Canada
6   Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
,
On Behalf of the McMaster University Plastic Surgery Core Outcome Sets & Measures Adapted to Surgery Working Group › Institutsangaben
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Abstract

Introduction There is a lack of consensus on what the critical outcomes in replantation are and how best to measure them. This review aims to identify all reported outcomes and respective outcome measures used in digital replantation.

Materials and Methods Randomized controlled trials, cohort studies, and single-arm observational studies of adults undergoing replantation with at least one well-described outcome or outcome measure were identified. Primary outcomes were classified into six domains, and outcome measures were classified into eight domains. The clinimetric properties were identified and reported. A total of 56 observational studies met the inclusion criteria.

Results In total, 29 continuous and 29 categorical outcomes were identified, and 87 scales and instruments were identified. The most frequently used outcomes were survival of replanted digit, sensation, and time in hospital. Outcomes and measures were most variable in domains of viability, quality of life, and motor function. Only eight measures used across these domains were validated and proven reliable.

Conclusion Lack of consensus creates an obstacle to reporting, understanding, and comparing the effectiveness of various replantation strategies.

Keywords

digital replantation - outcome measures - outcomes

Supplementary Appendix



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Artikel online veröffentlicht:
09. April 2020

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