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Challenges in Measuring Outcomes in the Wrist
Ronit Wollstein1,2, Adi Wollstein3, Esther Voegelin4
1Department of Orthopaedic Surgery, New York University, School of Medicine, New York, New York.
Background:
Evaluating any new treatment for a wrist condition is difficult because the trueoutcome is difficult to assess. Outcomes are dependent on multiple factors, many of which we are unable to account for or to measure. As a result, there are multiple methods, each evaluating results differently. Furthermore, many of the tests/measures that do exist are tedious to apply and, in an increasingly demanding work environment, are not utilized unless they are used for research.
Aim And Purposes:
We review some existing outcome tools and the challenges to measuring outcomes in the wrist, as well as discuss a small series using a consensus tool.
Materials And Methods:
This is a review with a description and series of one method to evaluate outcomes in wrist surgery.
Conclusion:
Generalized agreement to a collection of patient and condition-specific tools will enable true outcome measurement, accurate comparison, and ultimately standardization and guidelines.
Level Of Evidence:
Level V.
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