Defining Quality in Hand Surgery From the Patient’s Perspective: A Qualitative Analysis

Systematic Review of Preoperative Patient Readiness

“…Addressing information needs or providing information was the common theme across 24 (89%) of the 28 studies 8,11,20,21,23‐38,40‐42 . We identified that two topics tied as the second‐leading issues; 8 (29%) of the 28 studies included a common focus of addressing pain concerns when providing preoperative care, 17,22,25,27,28,35,36,41 and 8 (29%) of the 28 studies addressed preoperative fear and anxiety 17,19,25,28,35,37‐39 . The next most frequent issues addressed were the need for support (8 [29%] of the 28 studies), 8,17,22,26,28,32,38,39 patient satisfaction with the surgical experience (8 [29%] of the 28 studies), 20,23,29,31,34,35,37,38 and the need to make a decision (4 [14%] of the 28 studies) 19,26,30,34 …”

“…In the context of perioperative practice, physiologic responses are “[t]he physical, biochemical, and functional responses to the intended therapeutic effects of an operative or other invasive procedure.” 48 (p56) We determined that health care professionals address readiness related to the patient’s physiological responses when they discuss the patient’s pain and pain management plan 17,22,25,27,28,35,36,41 and possible physiologic changes in terms of appearance or wound healing as part of procedural concerns 18…”

“…We identified that psychological support , capacity building , and fostering social support are the three analytical themes that corroborate the need to respond to the behavioral concerns of the patient preparing for surgery and his or her support person(s). Psychological support encompasses the need of the health care professionals to manage the fears, anxiety, and uncertainties that the surgical procedure can bring, 17,19,25,28,35,37,38,39 and more importantly, to recognize negative behaviors such as anger 25 …”

“…Engaging a patient to take an active role in his or her care may differentiate the “patient” perspective from the “patient‐centered” approach. Activities that nurture the patient’s capacity to understand information (eg, focused conversations with an opportunity to ask questions, presence of a support person) are crucial during information acquisition and decision making; 19,21,32,36 the activities help actualize the patient’s active role in information seeking 8,22,25,27,29,32,34,36,40 and help the patient develop an understanding of the surgical recovery process 20,21,32,36 …”

Current Trends in the Treatment of Dupuytren Disease in Spain

“…Actualmente la valoración de la necesidad de tratamiento se basa en muchas ocasiones, en la decisión de necesidad o no de los pacientes, 19 dejando un tanto de lado la valoración clásica [20][21][22][23] aunque como todo con la ED hay inconsistencia en cuanto a resultados y consenso. 24 En el apartado de las recurrencias, la técnica preferida en todos los supuestos es la FSC con mucha diferencia.…”