Purpose
Previous studies indicate that patients with a more negative perception of their illness
tend to respond less favorably to treatment, but little is known about whether illness
perceptions differ based on the type of hand or wrist conditions. Therefore, we compared
illness perceptions between patients scheduled to undergo surgery for 4 illnesses
in hand surgery: carpometacarpal osteoarthritis (CMC OA), Dupuytren disease, carpal
tunnel syndrome (CTS), and trigger finger syndrome (TFS). We hypothesized there would
be differences in illness perception between these patient groups.
Methods
Before surgery, patients were asked to complete the Brief Illness Perception Questionnaire
(Brief-IPQ) as part of routine outcome measurement in a specialized hand and wrist
surgery clinic. The Brief-IPQ is a validated questionnaire to rapidly assess the cognitive
and emotional representation of illness. Differences in illness perception between
the 4 diagnostic groups, corrected for age, sex, hand dominance, and work type, were
examined. Cohen D effect sizes were calculated for the between-group differences.
Results
We included 514 patients in the analyses: 87 with CMC OA, 146 with Dupuytren disease,
129 with CTS, and 152 with TFS. On a scale ranging from 0 (most positive perception)
to 80 (most negative perception) the Brief-IPQ sum scores for these subgroups were
42.0, 28.2, 38.8, and 33.3, respectively. Corrected for age, sex, hand dominance,
and work type, patients with Dupuytren disease had a more positive perception of their
illness than patients with CMC OA and CTS. Compared with CMC OA patients, the effect
sizes for Dupuytren, CTS, and TFS patients were, respectively, 1.28, 0.32, and 0.81.
Conclusions
In these patients with various hand/wrist disorders, differences were found in their
preoperative perceptions of illness. Interventions that directly target negative illness
perceptions might improve treatment outcomes for CMC OA and CTS.
Clinical relevance
These differences should be considered during preoperative medical consultations and/or
when investigating surgical outcomes.
Key words
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Article info
Publication history
Published online: December 04, 2019
Accepted:
October 15,
2019
Received:
November 28,
2018
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2020 by the American Society for Surgery of the Hand. All rights reserved.
