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  • SAGE Publications  (13)
  • Teunis, Teun  (13)
  • 1
    Online Resource
    Online Resource
    Research methodology: the Bayesian statistical framework and the future of trial design
    SAGE Publications ; 2023
    In:  Journal of Hand Surgery (European Volume) Vol. 48, No. 6 ( 2023-06), p. 593-597
    Details
    In: Journal of Hand Surgery (European Volume), SAGE Publications, Vol. 48, No. 6 ( 2023-06), p. 593-597
    Type of Medium: Online Resource
    ISSN: 1753-1934 , 2043-6289
    URL: Article
    DOI: 10.1177/17531934231152558
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2376920-8
    detail.hit.zdb_id: 2272801-6
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  • 2
    Online Resource
    Online Resource
    Is there a difference in floor effects and reliability between intermixed and fixed-order items in a questionnaire?
    SAGE Publications ; 2024
    In:  Research Methods in Medicine & Health Sciences Vol. 5, No. 1 ( 2024-01), p. 20-26
    Details
    In: Research Methods in Medicine & Health Sciences, SAGE Publications, Vol. 5, No. 1 ( 2024-01), p. 20-26
    Abstract: We tested whether intermixing mental health items with items addressing comfort and capability could limit the floor effects noted when mental health is measured in musculoskeletal specialty care. Methods One hundred and 31 people seeking care for upper and lower extremity musculoskeletal conditions were randomized to complete randomly ordered, unlabeled mental health items intermixed with comfort and capability items, or intact and labelled questionnaires. For the two approaches, we compared: (1) flooring and ceiling effects; (2) mean and median questionnaire scores; (3) internal consistency (Cronbach alpha); and (4) exploratory factor analysis. We sought correlations between mental health and levels of pain intensity and capability. Results We found slightly more flooring in the intermixed group for symptoms of depression (66% [41 of 62] vs 46% [32 of 69] , p-value = .034), no differences in the mean and median scores for each questionnaire, lower internal consistency measured by Cronbach alpha, and lower factor loading coefficients in exploratory factor analysis for symptoms of depression and anxiety in the intermixed group. The mean level of symptoms of anxiety was significantly different between two groups (intermixed: 0.87 [95% CI 0.82 to 0.92], fixed: 0.96 [95% CI 0.93 to 0.98] ). There were no differences in the association of the mental health measures gathered via the two different strategies with measures of pain intensity and magnitude of capability. Conclusion The finding that intermixing mental health questions with questions about comfort and capability did not diminish floor effects suggests no advantage to intermixing mental health items in questionnaires used in musculoskeletal care and research.
    Type of Medium: Online Resource
    ISSN: 2632-0843 , 2632-0843
    URL: Article
    DOI: 10.1177/26320843231190318
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2024
    detail.hit.zdb_id: 3053282-6
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  • 3
    Online Resource
    Online Resource
    Correspondence of the Boston Carpal Tunnel Questionnaire with severity of median neuropathy
    SAGE Publications ; 2023
    In:  Journal of Hand Surgery (European Volume) Vol. 48, No. 10 ( 2023-11), p. 1006-1013
    Details
    In: Journal of Hand Surgery (European Volume), SAGE Publications, Vol. 48, No. 10 ( 2023-11), p. 1006-1013
    Abstract: The Boston Carpal Tunnel Questionnaire is one of the most popular patient-reported outcome measures designed specifically for people with idiopathic median neuropathy at the carpal tunnel. We used electrophysiological and ultrasound measures of median neuropathy from one hand in 185 people to create a single measure of median neuropathy severity as a continuum (through exploratory factor analysis). We assessed if our single measure of median neuropathy severity is independently associated with Boston Carpal Tunnel Questionnaire item groupings. Median neuropathy severity measured as a continuum had modest independent associations with Boston Carpal Tunnel Questionnaire magnitude of capability (adjusted R 2 0.063) and paraesthesia intensity (adjusted R 2 0.12) items but not with items related to pain intensity. Considering the lack of association of Boston Carpal Tunnel Questionnaire pain items with objective pathophysiology, combined with their notable association with mental health measures in previous studies, it is probably best to omit items related to pain. Level of evidence: III
    Type of Medium: Online Resource
    ISSN: 1753-1934 , 2043-6289
    URL: Article
    DOI: 10.1177/17531934231181077
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2376920-8
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  • 4
    Online Resource
    Online Resource
    Attitudes Toward Aging Among Patients With Upper Extremity Illness
    SAGE Publications ; 2021
    In:  HAND Vol. 16, No. 3 ( 2021-05), p. 354-361
    Details
    In: HAND, SAGE Publications, Vol. 16, No. 3 ( 2021-05), p. 354-361
    Abstract: Background: An adaptive attitude toward aging might limit symptom intensity and magnitude of limitations. This study sought factors associated with attitudes toward aging (measured with the Brief Aging Perceptions Questionnaire [B-APQ]) and studied the relationship of having an age-related disease to magnitude of limitations, pain intensity, patient satisfaction, and patient comfort with completing a questionnaire about attitudes toward aging. We also looked for a subset of questions from B-APQ that maintained the construct validity and internal consistency of B-APQ, without unacceptable flooring or ceiling effects. Methods: A total of 161 upper extremity patients completed the following questionnaires: B-APQ, Patient Health Questionnaire–Short Form, Pain Self-efficacy–Short Form, Pain Catastrophizing Scale–Short Form, Patient-Reported Outcomes Measurement Information System Physical Function–Upper Extremity, pain intensity, satisfaction with the surgeon, and comfort with completing the B-APQ. We created multivariable linear regression models to test for associations. Results: Factors independently associated with less positive perceptions about aging included white race, retired work status, having nonspecific comorbidities, and more catastrophic thinking. Variation in the magnitude of limitations and pain intensity was accounted for by effectiveness of coping strategies rather than attitudes toward aging in particular. A 4-question version of the B-APQ has acceptable performance. Conclusion: Adaptive attitudes toward aging are associated with psychological and social determinants of health. We present a 4-item short form of B-APQ that could be used as a brief measure to assess attitudes toward aging. Interventions to improve adaptiveness to nociception (eg, cognitive behavioral therapy to limit catastrophic thinking) might help with adaptation to age-related changes.
    Type of Medium: Online Resource
    ISSN: 1558-9447 , 1558-9455
    URL: Article
    DOI: 10.1177/1558944719866872
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2021
    detail.hit.zdb_id: 2277325-3
    detail.hit.zdb_id: 2316440-2
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  • 5
    Online Resource
    Online Resource
    Re: Pickering GT, Fine NF, Knapper TD, Giddins GEB. The reliability of clinical assessment of distal radioulnar joint instability. J Hand Surg Eur. 2021, 47: 375–8
    SAGE Publications ; 2022
    In:  Journal of Hand Surgery (European Volume) Vol. 47, No. 8 ( 2022-09), p. 874-876
    Details
    In: Journal of Hand Surgery (European Volume), SAGE Publications, Vol. 47, No. 8 ( 2022-09), p. 874-876
    Type of Medium: Online Resource
    ISSN: 1753-1934 , 2043-6289
    URL: Article
    DOI: 10.1177/17531934221106640
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2376920-8
    detail.hit.zdb_id: 2272801-6
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  • 6
    Online Resource
    Online Resource
    Surgeon Personality is Associated with Recommendation for Operative Treatment
    SAGE Publications ; 2015
    In:  HAND Vol. 10, No. 4 ( 2015-12), p. 779-784
    Details
    In: HAND, SAGE Publications, Vol. 10, No. 4 ( 2015-12), p. 779-784
    Abstract: When surgeons disagree about the role of surgery, patient values and preferences should drive decision-making, but there is evidence that surgeon preferences have substantial influence. Surgeon preferences may relate to surgeon personality. Our primary null hypothesis is that specific personality characteristics (work styles) are not associated with the recommendation for operative treatment accounting for surgeon demographics. Patients and Methods We invited members of the Science of Variation Group to assess images of 15 upper extremity injuries with debatable indications for surgery, recommended operative or non-operative treatment, and grade their confidence in this decision ( n=270); subsequently, participants completed the validated Octogram Work and Leadership Style Test ( n=223). We selected injuries that could be treated either operatively or non-operatively including fractures of the clavicle, scapula, humerus, and radius fractures, and proximal and distal bicep ruptures. Results A higher proportion of recommendations for surgery was independently associated with a higher Octogram test pioneer score (β regression coefficient [β] 0.0054, partial R 2 0.065, 95 % confidence interval [CI] 0.0027–0.0080, P 〈 .001) and practice location outside North America and Europe (β 0.13, partial R 2 0.079, 95 % CI 0.073–0.020, P 〈 .001) (adjusted R 2 0.12, P 〈 .001). No work styles were associated with more confidence in treatment. Conclusions A recommendation for discretionary surgery for musculoskeletal injury was related to surgeon personality. Surgeon self-awareness of how their work style can influence their recommendations might make them more receptive to techniques that ensure patient values have more influence than surgeon preferences on treatment decisions.
    Type of Medium: Online Resource
    ISSN: 1558-9447 , 1558-9455
    URL: Article
    DOI: 10.1007/s11552-015-9755-x
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
    detail.hit.zdb_id: 2277325-3
    detail.hit.zdb_id: 2316440-2
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  • 7
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    Online Resource
    Variation in the Rate of Surgery for Ulnar Collateral Ligament Injury of the Metacarpophalangeal Joint of the Thumb
    SAGE Publications ; 2017
    In:  HAND Vol. 12, No. 5 ( 2017-09), p. 512-517
    Details
    In: HAND, SAGE Publications, Vol. 12, No. 5 ( 2017-09), p. 512-517
    Abstract: Background: The indications for repair of rupture of the ulnar collateral ligament (UCL) of the metacarpophalangeal (MP) joint of the thumb are debated. We studied factors predictive of operative treatment. Methods: In this retrospective study, we queried the research database from 3 affiliated urban hospitals in a single city in the United States and identified 383 patients with a thumb MP UCL injury. We recorded age, sex, treating surgeon, and whether or not a magnetic resonance imaging (MRI) was ordered. If radiographs showed a concomitant avulsion fracture, we measured fragment size and displacement. Multivariable logistic regression was used to identify factors independently associated with surgery. Results: Surgery was independently associated with older patient age, widely displaced fractures (≥2 mm), and obtaining an MRI. Two specific surgeons were less likely to operate. Compared with patients without a fracture, fractures without displacement were less likely to have surgery. Conclusions:The rate of surgery for acute thumb MP UCL injury varies based on patient characteristics and the individual treating surgeon. Variation might decrease with improved diagnostic techniques and consideration of practice guidelines. Future studies are needed to determine the patients and injuries that will benefit most from surgery.
    Type of Medium: Online Resource
    ISSN: 1558-9447 , 1558-9455
    URL: Article
    DOI: 10.1177/1558944716681974
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2017
    detail.hit.zdb_id: 2277325-3
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  • 8
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    Online Resource
    Do Items Addressing Thoughts and Emotions Regarding Symptoms Measure Distinct Aspects of Musculoskeletal Health?
    SAGE Publications ; 2023
    In:  Journal of Patient Experience Vol. 10 ( 2023-01)
    Details
    In: Journal of Patient Experience, SAGE Publications, Vol. 10 ( 2023-01)
    Abstract: A prior experiment identified separate thought and feeling item groupings among items in measures of unhelpful thinking (ie, catastrophic thinking, kinesiophobia). This study sought to confirm the utility of separating these factors using a subset of selected items. One hundred and thirty-six adult patients visiting a musculoskeletal specialist completed the surveys. Confirmatory factor analysis measured the association between variation in scores on a specific item with variation in scores in separate groupings for thoughts and feelings, and a combined item grouping. Cronbach alpha (internal consistency) and Spearman correlation with magnitude of capability were also measured for the three separate item groupings. The association of variation in specific items with variation in a group of items addressing thoughts, a group of items addressing feelings, and the combination of all items was comparable. The internal consistency and strength of association with magnitude of capability were also comparable. The finding of no advantage to separation of items addressing thoughts and feelings regarding symptoms suggests that just a few items may be able to represent unhealthy mindsets regarding musculoskeletal symptoms.
    Type of Medium: Online Resource
    ISSN: 2374-3735 , 2374-3743
    URL: Article
    DOI: 10.1177/23743735231211776
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2857285-3
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  • 9
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    Online Resource
    Measurement of Perceived Physician Empathy in Orthopedic Patients
    SAGE Publications ; 2020
    In:  Journal of Patient Experience Vol. 7, No. 4 ( 2020-08), p. 600-606
    Details
    In: Journal of Patient Experience, SAGE Publications, Vol. 7, No. 4 ( 2020-08), p. 600-606
    Abstract: Empathy is a key component of a therapeutic relationship. Perceived empathy and compassion are associated with patient satisfaction, reduced symptoms, and adherence to treatment. Objective: To assess the advantages and disadvantages of the validated Jefferson Scale of Patient’s Perception of Physician Empathy (JSPPPE) and the Consultation and Relational Empathy (CARE) tools. Methods: Eighty-four patients completed the JSPPPE and the CARE measure. With Pearson’s correlation and exploratory factor analysis, we measured the underlying construct. Flooring and ceiling effects were measured. Multivariable models were created to assess factors associated with both measures. Results: The high interquestionnaire correlation (rho = 0.70) and factor loading (0.77) confirm that the JSPPPE and CARE measure the same construct. The CARE (55%) had a higher ceiling effect than JSPPPE (18%). Both JSPPPE (partial R 2 = 0.53, 95% confidence interval [CI]: 0.38-0.64) and CARE (partial R 2 = 0.60, 95% CI: 0.46-0.69) accounted for similar amounts of variation in satisfaction with the orthopedic surgeon. Conclusion: Perceived empathy accounts for a substantial amount of the variation in satisfaction. The JSPPPE measures the same construct as CARE with a lower ceiling effect. Because both questionnaires have considerable ceiling effects, a new questionnaire might help to study factors associated with a more empathetic experience.
    Type of Medium: Online Resource
    ISSN: 2374-3735 , 2374-3743
    URL: Article
    DOI: 10.1177/2374373519875842
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
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  • 10
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    Online Resource
    What Factors are Associated with a Second Opioid Prescription after Treatment of Distal Radius Fractures with a Volar Locking Plate?
    SAGE Publications ; 2015
    In:  HAND Vol. 10, No. 4 ( 2015-12), p. 639-648
    Details
    In: HAND, SAGE Publications, Vol. 10, No. 4 ( 2015-12), p. 639-648
    Abstract: Knowledge of factors associated with patient's requests for a second opioid prescription after volar plate fixation of a fracture of the distal radius might inform better pain management protocols and encourage decreased and safer use of opioids. This study tested the primary null hypothesis that there is no difference in demographics, prior opioid prescriptions, injury characteristics, and psychological factors between patients that do and do not receive a second opioid prescription following treatment volar locking plate after distal radius fracture. Patients and Methods We used data on 206 patients enrolled in one of two prospective studies. Their mean age was 53 years±SD 15, and 60 (30 %) were men. Forty-seven (23 %) patients received a second opioid prescription. We recorded additional demographics, AO fracture type, American Society for Anesthesiologists (ASA) classification, radiographic parameters at the time of injury prior to reduction and after surgery, and catastrophic thinking. Results Male sex (odds ratio [OR] 2.2, 95 % confidence interval [CI] 1.0–4.6, partial pseudo R 2 =0.018, p=0.044) and greater dorsal angulation of the articular surface on the lateral post injury radiograph (OR 0.98, 95 % CI 0.96 to 1.0, partial pseudo R 2 =0.033, p=0.040) were associated with a second opioid prescription after surgery (pseudo R 2 0.12, p=0.0071). Conclusions One measure of fracture severity (dorsal displacement) was independently associated with a second opioid prescription, but alone it accounted for 3.3 % of the variation. Other factors such as the patient's expectation prior to surgery, in particular the realization that injury and surgery hurt, might be addressed in future research. Level of Evidence Prognostic II
    Type of Medium: Online Resource
    ISSN: 1558-9447 , 1558-9455
    URL: Article
    DOI: 10.1007/s11552-015-9767-6
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
    detail.hit.zdb_id: 2277325-3
    detail.hit.zdb_id: 2316440-2
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