Background: Collagenase injection is a relatively new, minimally invasive treatment option for Dupuytren disease. Most literature focusses on quantitative outcome measures, such as degree of residual contracture and recurrence. The patient experience of the treatment has rarely been explored. This study sought to explore patients’ experiences of the treatment process, including their reasons for seeking and choosing the treatment. Methods: A qualitative descriptive design was used to explore patients’ experiences. Seven patients (aged 57 to 81 years) who had received collagenase treatment for Dupuytren disease engaged in individual, semistructured interviews. Interviews were audio recorded, transcribed verbatim, and analyzed thematically. Results: Thematic analysis revealed that Dupuytren disease was an obstacle to doing things, but not a barrier. Patients “went with the flow” of treatment, often taking a passive approach to their health care decisions. Patients found the collagenase injections to be extremely painful, but worth it. They had a varied knowledge of the disease and treatment. Conclusions: Patients were pleased with the results of the collagenase treatment, even if the finger was not completely straight or there was recurrence. The quick recovery and minimal complications were positive factors; however, the injections were extremely painful and could deter patients from future treatment. This research highlighted that a number of patients had low health literacy regarding their condition, and this affected their expectations of treatment outcomes and future treatment seeking. There are opportunities for health professionals to improve health literacy for people with Dupuytren disease, possibly in a group setting.

Background/Aims Understanding an individual's experience of living with Dupuytren's disease is important to support rehabilitation. The aim of this review was to explore the extent to which the literature provides an understanding of the lived experience of individuals with Dupuytren's disease, including the occupational impact. Methods A scoping review was completed. Three electronic databases were searched, using the terms Dupuytren* and experience. The search yielded 257 articles, and 60 were included in the final review. Results Most articles (43; 79.62%) made non-specific statements regarding occupational impacts. All articles (100%) included physical factors; 13 (24.07%) affective; five (9.45%) cognitive; and none discussed spirituality. Thematic analysis yielded an overarching theme of the prioritisation of professionals' perspectives. Sub-themes highlighted that most literature focused on a narrow biomedical aspects of the disease and included: a physical or reductionist approach to viewing the condition; glimpses of life with Dupuytren's disease; and a limited focus on the journey. Consultation with occupational therapists confirmed these themes and added discussion points. Conclusions There is a need for research regarding patient perspectives, including psychosocial factors, so that these are elucidated and prioritised. Further research should also explore how the impact of the condition changes over time, and how individuals cope and adapt.