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dc.contributor.authorHolen Gravås, Else Marit
dc.contributor.authorKjeken, Ingvild
dc.contributor.authorNossum, Randi
dc.contributor.authorEide, Ruth Else Meh
dc.contributor.authorKlokkeide, Åse
dc.contributor.authorMatre, Karin Hoegh
dc.contributor.authorOlsen, Monika
dc.contributor.authorAndreassen, Øyvor
dc.contributor.authorHaugen, Ida K.
dc.contributor.authorØsterås, Nina
dc.contributor.authorTveter, Anne Therese
dc.identifier.citationHand. 2020, (1-7).en_US
dc.description.abstractBackground: Knowledge is lacking on patient goals and motivation for carpometacarpal joint osteoarthritis (CMCJ OA) surgery. The objective of this study was to explore patient goals and motivation for surgery, whether patient goals were reflected in self-reports of pain and function, and factors characterizing patients highly motivated for surgery. Methods: This cross-sectional study included 180 patients referred from their general practitioner for CMCJ surgical consultation. Goals for surgery were collected with an open-ended question, categorized with the International Classification of Functioning, Disability and Health coding system, and compared to self-reports of pain and function. Motivation for surgery was rated with a Numeric Rating Scale (NRS, 0-10, 0 = not motivated). Factors characterizing patients highly motivated for surgery (NRS ≥ 8) were explored with multivariate regression analyses. Results: The mean age of the participants was 63 years (SD = 7.6), and 142 (79%) were women. The most common goals for surgery were to reduce pain and improve arm and hand use, but these were not reflected in self-reports of pain and function. Fifty-six (31%) of the patients were characterized as highly motivated for surgery. High motivation for surgery was strongly associated with reporting more activity limitations (odds ratio [OR] = 4.00, P = .008), living alone (OR = 3.18, P = .007), and a young age (OR = 0.94, P = .002). Conclusions: Decisions on CMCJ OA surgery should be based on assessment and discussion of patients’ life situation, hand pain, activity limitations for, and goals and motivation for surgery. According to the european league against rheumatism (EULAR) recommendations, previously received conservative and pharmacological treatment should also be evaluated.en_US
dc.publisherSAGE Publicationen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.subjectThumb carpometacarpal jointsen_US
dc.subjectOccupational therapyen_US
dc.titlePatient Goals and Motivation for Thumb Carpometacarpal Osteoarthritis Surgeryen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.rights.holderThe Author(s).en_US
dc.relation.projectNorwegian Interregional Health authorities: 243758.en_US

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal