Reporting Outcomes and Outcome Measures in Digital Replantation: A Systematic Review

Syena Moltaji; Matteo Gallo; Chloe Wong; Jessica Murphy; Lucas Gallo; Daniel Waltho; Andrea Copeland; Marta Karpinski; Sadek Mowakket; Eric Duku; Achilleas Thoma; On Behalf of the McMaster University Plastic Surgery Core Outcome Sets & Measures Adapted to Surgery Working Group

doi:10.1055/s-0040-1701324

Journal of Hand and Microsurgery, Table of Contents

J Hand Microsurg 2020; 12(02): 085-094
DOI: 10.1055/s-0040-1701324

Review Article

Reporting Outcomes and Outcome Measures in Digital Replantation: A Systematic Review

Authors

Syena Moltaji

¹Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada
Matteo Gallo

²Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
Chloe Wong

²Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
Jessica Murphy

³Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada
Lucas Gallo

³Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada
Daniel Waltho

³Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada
Andrea Copeland

³Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada
Marta Karpinski

²Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
Sadek Mowakket

²Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
Eric Duku

⁴Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada
Achilleas Thoma

³Division of Plastic Surgery, McMaster University, Hamilton, Ontario, Canada

⁵Department of Surgery, McMaster University, Hamilton, Ontario, Canada

⁶Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada

On Behalf of the McMaster University Plastic Surgery Core Outcome Sets & Measures Adapted to Surgery Working Group

Abstract

Introduction There is a lack of consensus on what the critical outcomes in replantation are and how best to measure them. This review aims to identify all reported outcomes and respective outcome measures used in digital replantation.

Materials and Methods Randomized controlled trials, cohort studies, and single-arm observational studies of adults undergoing replantation with at least one well-described outcome or outcome measure were identified. Primary outcomes were classified into six domains, and outcome measures were classified into eight domains. The clinimetric properties were identified and reported. A total of 56 observational studies met the inclusion criteria.

Results In total, 29 continuous and 29 categorical outcomes were identified, and 87 scales and instruments were identified. The most frequently used outcomes were survival of replanted digit, sensation, and time in hospital. Outcomes and measures were most variable in domains of viability, quality of life, and motor function. Only eight measures used across these domains were validated and proven reliable.

Conclusion Lack of consensus creates an obstacle to reporting, understanding, and comparing the effectiveness of various replantation strategies.

Keywords

digital replantation - outcome measures - outcomes

Full Text

References

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