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Patient preference for trigger finger treatment.

Christian Blough1, Jawad Najdawi2, Stuart Kuschner2

  • 1Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, United States. christian.blough@cshs.org.

World Journal of Orthopedics
|November 28, 2022
PubMed
Summary
This summary is machine-generated.

Patients diagnosed with trigger finger often prefer less invasive treatments like observation or splinting over surgery. Understanding these preferences is key for shared decision-making and improving patient satisfaction with trigger finger treatment.

Keywords:
Hand surgeryShared decision makingTrigger digitTrigger finger

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Patient-Reported Outcomes

Background:

  • Trigger finger is a common hand condition causing disabling symptoms.
  • Current treatment algorithms lack consensus, ranging from conservative measures to surgery.

Purpose of the Study:

  • To investigate patient preferences for trigger finger treatment options.
  • To inform shared decision-making in clinical practice.

Main Methods:

  • An online survey was distributed via Amazon Mechanical Turk.
  • Participants ranked treatment preferences: observation, splinting, corticosteroid injection, and surgery.
  • Survey data were analyzed using R software.

Main Results:

  • 316 participants' responses were analyzed.
  • Observation (37%) and splinting (27%) were the most preferred first-choice treatments.
  • All treatment rankings were statistically significant (P < 0.05), except between observation and splinting.

Conclusions:

  • Patient preference leans towards less invasive trigger finger treatments.
  • Incorporating patient preferences into shared decision-making can enhance satisfaction.
  • Findings can guide clinicians in discussing trigger finger treatment options.