Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians

Michiel G.J.S. Hageman, Jeroen K. Bossen, Valentin Neuhaus, Chaitanya S. Mudgal, David Ring, Abzug M. Joshua, Julie Adams, Gallo Fabio Arbelaez, T. Aspard, George W. Balfour, Brent H. Bamberger, Jose Camilo Barreto Romero, Michael Baskies, Arnnold W. Batson, Taizoon Baxamusa, Ramón De Bedout, Steven Beldner, Prosper Benhaim, Leon Benson, Jorge G. BorettoMartin Boyer, Gregory Byrd Dee, Ryan P. Calfee, Cecilia Gladys Caro Zambrano, Charles Cassidy, Louis Catalano, Karel Chivers, Ralph M. Costanzo, Phani Dantuluri, Gregory DeSilva, Seth Dodds, John P. Evans, Luis Felipe Náquira Escobar, C. H. Fernandes, Thomas J. Fischer, Jochen Fischer, Renato M. Fricker, Gary K. Frykman, Aida E. Garcia, Glenn R. Gaston, Fernando José Giovanni Di, Charles A. Goldfarb, Michael W. Grafe, H. W. Grunwald, Warren C. Hammert, Randy Hauck, Ricardo German Hernandez, Eric Hofmeister, Richard L. Hutchison, Asif Ilyas, Jonathan Isaacs, Sidney M. Jacoby, Peter Jebson, Christopher M. Jones, Michael Jones, Sanjeev Kakar, David M. Kalainov, Kaplan D. Thomas, Saul Kaplan, Leonid Katolik, Stephen A. Kennedy, Michael W. Kessler, Hervey L. Kimball, G. A. Kraan, Paul A. Martineau, John McAuliffe, Steven J. McCabe, Desirae M. McKee, Greg Merrell, Charles Metzger, Michael Nancollas, David L. Nelson, Ralf Nyszkiewicz, Jose A. Ortiz, Patrick W. Owens, Jason M. Palmer, Lior Paz, Gary M. Pess, Daniel Polatsch, J. Frank Raia, Marc J. Richard, Marco Rizzo, Rozental, David Ruchelsman, Oleg M. Semenkin, Javier Francisco Sierra Aguilar, Todd Siff, Samir Sodha, Catherine Spath, Sander Spruijt, Thomas G. Stackhouse, Carrie Swigart, Robert M. Szabo, John Taras, Jason D. Tavakolian, Andrew L. Terrono, Thomas F. Varecka, Abhijeet L. Wahegaonkar, Christopher J. Walsh, Frank L. Walter, Lawrence Weiss, Brian P.D. Wills, Chris Wilson, Christopher J. Wilson, Jennifer Wolf Moriatis, Megan M. Wood, Colby Young

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of 'decisional conflict' of hand surgeons and patients with CTS. This study addresses the null hypothesis that there is no difference between surgeon and patient decisional conflict with respect to test and treatment options for CTS. Secondary analyses assess the impact of patient and physician demographics and the strength of the patient-physician relationship on decisional conflict. Methods: One-hundred-twenty-three observers of the Science of Variation Group (SOVG) and 84 patients with carpal tunnel syndrome completed a survey regarding the Decisional Conflict Scale. Patients also filled out the Pain Self-efficacy Questionnaire (PSEQ) and the Patient Doctor Relationship Questionnaire (PDRQ-9). Results: On average, patients had significantly greater decision conflict and scored higher on most subscales of the decisional conflict scale than hand surgeons.Factors associated with greater decision conflict were specific hand surgeon, less self-efficacy (confidence that one can achieve one's goals in spite of pain), and higher PDRQ (relationship between patient and doctor). Surgeons from Europe have--on average--significantly more decision conflict than surgeons in the United States of America. Conclusions: Patients with CTS have more decision conflict than hand surgeons. Decision aids might help narrow this gap in decisional conflict.

Original languageEnglish (US)
Pages (from-to)150-155
Number of pages6
JournalArchives of Bone and Joint Surgery
Volume4
Issue number2
StatePublished - 2016

Fingerprint

Carpal Tunnel Syndrome
Physicians
Hand
Therapeutics
Decision Support Techniques
Self Efficacy
Conflict (Psychology)
Physician-Patient Relations
Pain
Observer Variation
Surgeons
Demography

Keywords

  • Carpal Tunnel Syndrome
  • Decision aids
  • Hand surgery
  • Shared decision makin

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Hageman, M. G. J. S., Bossen, J. K., Neuhaus, V., Mudgal, C. S., Ring, D., Joshua, A. M., ... Young, C. (2016). Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians. Archives of Bone and Joint Surgery, 4(2), 150-155.

Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians. / Hageman, Michiel G.J.S.; Bossen, Jeroen K.; Neuhaus, Valentin; Mudgal, Chaitanya S.; Ring, David; Joshua, Abzug M.; Adams, Julie; Arbelaez, Gallo Fabio; Aspard, T.; Balfour, George W.; Bamberger, Brent H.; Romero, Jose Camilo Barreto; Baskies, Michael; Batson, Arnnold W.; Baxamusa, Taizoon; De Bedout, Ramón; Beldner, Steven; Benhaim, Prosper; Benson, Leon; Boretto, Jorge G.; Boyer, Martin; Dee, Gregory Byrd; Calfee, Ryan P.; Zambrano, Cecilia Gladys Caro; Cassidy, Charles; Catalano, Louis; Chivers, Karel; Costanzo, Ralph M.; Dantuluri, Phani; DeSilva, Gregory; Dodds, Seth; Evans, John P.; Escobar, Luis Felipe Náquira; Fernandes, C. H.; Fischer, Thomas J.; Fischer, Jochen; Fricker, Renato M.; Frykman, Gary K.; Garcia, Aida E.; Gaston, Glenn R.; Giovanni Di, Fernando José; Goldfarb, Charles A.; Grafe, Michael W.; Grunwald, H. W.; Hammert, Warren C.; Hauck, Randy; Hernandez, Ricardo German; Hofmeister, Eric; Hutchison, Richard L.; Ilyas, Asif; Isaacs, Jonathan; Jacoby, Sidney M.; Jebson, Peter; Jones, Christopher M.; Jones, Michael; Kakar, Sanjeev; Kalainov, David M.; Thomas, Kaplan D.; Kaplan, Saul; Katolik, Leonid; Kennedy, Stephen A.; Kessler, Michael W.; Kimball, Hervey L.; Kraan, G. A.; Martineau, Paul A.; McAuliffe, John; McCabe, Steven J.; McKee, Desirae M.; Merrell, Greg; Metzger, Charles; Nancollas, Michael; Nelson, David L.; Nyszkiewicz, Ralf; Ortiz, Jose A.; Owens, Patrick W.; Palmer, Jason M.; Paz, Lior; Pess, Gary M.; Polatsch, Daniel; Frank Raia, J.; Richard, Marc J.; Rizzo, Marco; Rozental; Ruchelsman, David; Semenkin, Oleg M.; Aguilar, Javier Francisco Sierra; Siff, Todd; Sodha, Samir; Spath, Catherine; Spruijt, Sander; Stackhouse, Thomas G.; Swigart, Carrie; Szabo, Robert M.; Taras, John; Tavakolian, Jason D.; Terrono, Andrew L.; Varecka, Thomas F.; Wahegaonkar, Abhijeet L.; Walsh, Christopher J.; Walter, Frank L.; Weiss, Lawrence; Wills, Brian P.D.; Wilson, Chris; Wilson, Christopher J.; Moriatis, Jennifer Wolf; Wood, Megan M.; Young, Colby.

In: Archives of Bone and Joint Surgery, Vol. 4, No. 2, 2016, p. 150-155.

Research output: Contribution to journalArticle

Hageman, MGJS, Bossen, JK, Neuhaus, V, Mudgal, CS, Ring, D, Joshua, AM, Adams, J, Arbelaez, GF, Aspard, T, Balfour, GW, Bamberger, BH, Romero, JCB, Baskies, M, Batson, AW, Baxamusa, T, De Bedout, R, Beldner, S, Benhaim, P, Benson, L, Boretto, JG, Boyer, M, Dee, GB, Calfee, RP, Zambrano, CGC, Cassidy, C, Catalano, L, Chivers, K, Costanzo, RM, Dantuluri, P, DeSilva, G, Dodds, S, Evans, JP, Escobar, LFN, Fernandes, CH, Fischer, TJ, Fischer, J, Fricker, RM, Frykman, GK, Garcia, AE, Gaston, GR, Giovanni Di, FJ, Goldfarb, CA, Grafe, MW, Grunwald, HW, Hammert, WC, Hauck, R, Hernandez, RG, Hofmeister, E, Hutchison, RL, Ilyas, A, Isaacs, J, Jacoby, SM, Jebson, P, Jones, CM, Jones, M, Kakar, S, Kalainov, DM, Thomas, KD, Kaplan, S, Katolik, L, Kennedy, SA, Kessler, MW, Kimball, HL, Kraan, GA, Martineau, PA, McAuliffe, J, McCabe, SJ, McKee, DM, Merrell, G, Metzger, C, Nancollas, M, Nelson, DL, Nyszkiewicz, R, Ortiz, JA, Owens, PW, Palmer, JM, Paz, L, Pess, GM, Polatsch, D, Frank Raia, J, Richard, MJ, Rizzo, M, Rozental, Ruchelsman, D, Semenkin, OM, Aguilar, JFS, Siff, T, Sodha, S, Spath, C, Spruijt, S, Stackhouse, TG, Swigart, C, Szabo, RM, Taras, J, Tavakolian, JD, Terrono, AL, Varecka, TF, Wahegaonkar, AL, Walsh, CJ, Walter, FL, Weiss, L, Wills, BPD, Wilson, C, Wilson, CJ, Moriatis, JW, Wood, MM & Young, C 2016, 'Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians', Archives of Bone and Joint Surgery, vol. 4, no. 2, pp. 150-155.
Hageman, Michiel G.J.S. ; Bossen, Jeroen K. ; Neuhaus, Valentin ; Mudgal, Chaitanya S. ; Ring, David ; Joshua, Abzug M. ; Adams, Julie ; Arbelaez, Gallo Fabio ; Aspard, T. ; Balfour, George W. ; Bamberger, Brent H. ; Romero, Jose Camilo Barreto ; Baskies, Michael ; Batson, Arnnold W. ; Baxamusa, Taizoon ; De Bedout, Ramón ; Beldner, Steven ; Benhaim, Prosper ; Benson, Leon ; Boretto, Jorge G. ; Boyer, Martin ; Dee, Gregory Byrd ; Calfee, Ryan P. ; Zambrano, Cecilia Gladys Caro ; Cassidy, Charles ; Catalano, Louis ; Chivers, Karel ; Costanzo, Ralph M. ; Dantuluri, Phani ; DeSilva, Gregory ; Dodds, Seth ; Evans, John P. ; Escobar, Luis Felipe Náquira ; Fernandes, C. H. ; Fischer, Thomas J. ; Fischer, Jochen ; Fricker, Renato M. ; Frykman, Gary K. ; Garcia, Aida E. ; Gaston, Glenn R. ; Giovanni Di, Fernando José ; Goldfarb, Charles A. ; Grafe, Michael W. ; Grunwald, H. W. ; Hammert, Warren C. ; Hauck, Randy ; Hernandez, Ricardo German ; Hofmeister, Eric ; Hutchison, Richard L. ; Ilyas, Asif ; Isaacs, Jonathan ; Jacoby, Sidney M. ; Jebson, Peter ; Jones, Christopher M. ; Jones, Michael ; Kakar, Sanjeev ; Kalainov, David M. ; Thomas, Kaplan D. ; Kaplan, Saul ; Katolik, Leonid ; Kennedy, Stephen A. ; Kessler, Michael W. ; Kimball, Hervey L. ; Kraan, G. A. ; Martineau, Paul A. ; McAuliffe, John ; McCabe, Steven J. ; McKee, Desirae M. ; Merrell, Greg ; Metzger, Charles ; Nancollas, Michael ; Nelson, David L. ; Nyszkiewicz, Ralf ; Ortiz, Jose A. ; Owens, Patrick W. ; Palmer, Jason M. ; Paz, Lior ; Pess, Gary M. ; Polatsch, Daniel ; Frank Raia, J. ; Richard, Marc J. ; Rizzo, Marco ; Rozental ; Ruchelsman, David ; Semenkin, Oleg M. ; Aguilar, Javier Francisco Sierra ; Siff, Todd ; Sodha, Samir ; Spath, Catherine ; Spruijt, Sander ; Stackhouse, Thomas G. ; Swigart, Carrie ; Szabo, Robert M. ; Taras, John ; Tavakolian, Jason D. ; Terrono, Andrew L. ; Varecka, Thomas F. ; Wahegaonkar, Abhijeet L. ; Walsh, Christopher J. ; Walter, Frank L. ; Weiss, Lawrence ; Wills, Brian P.D. ; Wilson, Chris ; Wilson, Christopher J. ; Moriatis, Jennifer Wolf ; Wood, Megan M. ; Young, Colby. / Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians. In: Archives of Bone and Joint Surgery. 2016 ; Vol. 4, No. 2. pp. 150-155.
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TY - JOUR

T1 - Assessment of decisional conflict about the treatment of carpal tunnel syndrome, comparing patients and physicians

AU - Hageman, Michiel G.J.S.

AU - Bossen, Jeroen K.

AU - Neuhaus, Valentin

AU - Mudgal, Chaitanya S.

AU - Ring, David

AU - Joshua, Abzug M.

AU - Adams, Julie

AU - Arbelaez, Gallo Fabio

AU - Aspard, T.

AU - Balfour, George W.

AU - Bamberger, Brent H.

AU - Romero, Jose Camilo Barreto

AU - Baskies, Michael

AU - Batson, Arnnold W.

AU - Baxamusa, Taizoon

AU - De Bedout, Ramón

AU - Beldner, Steven

AU - Benhaim, Prosper

AU - Benson, Leon

AU - Boretto, Jorge G.

AU - Boyer, Martin

AU - Dee, Gregory Byrd

AU - Calfee, Ryan P.

AU - Zambrano, Cecilia Gladys Caro

AU - Cassidy, Charles

AU - Catalano, Louis

AU - Chivers, Karel

AU - Costanzo, Ralph M.

AU - Dantuluri, Phani

AU - DeSilva, Gregory

AU - Dodds, Seth

AU - Evans, John P.

AU - Escobar, Luis Felipe Náquira

AU - Fernandes, C. H.

AU - Fischer, Thomas J.

AU - Fischer, Jochen

AU - Fricker, Renato M.

AU - Frykman, Gary K.

AU - Garcia, Aida E.

AU - Gaston, Glenn R.

AU - Giovanni Di, Fernando José

AU - Goldfarb, Charles A.

AU - Grafe, Michael W.

AU - Grunwald, H. W.

AU - Hammert, Warren C.

AU - Hauck, Randy

AU - Hernandez, Ricardo German

AU - Hofmeister, Eric

AU - Hutchison, Richard L.

AU - Ilyas, Asif

AU - Isaacs, Jonathan

AU - Jacoby, Sidney M.

AU - Jebson, Peter

AU - Jones, Christopher M.

AU - Jones, Michael

AU - Kakar, Sanjeev

AU - Kalainov, David M.

AU - Thomas, Kaplan D.

AU - Kaplan, Saul

AU - Katolik, Leonid

AU - Kennedy, Stephen A.

AU - Kessler, Michael W.

AU - Kimball, Hervey L.

AU - Kraan, G. A.

AU - Martineau, Paul A.

AU - McAuliffe, John

AU - McCabe, Steven J.

AU - McKee, Desirae M.

AU - Merrell, Greg

AU - Metzger, Charles

AU - Nancollas, Michael

AU - Nelson, David L.

AU - Nyszkiewicz, Ralf

AU - Ortiz, Jose A.

AU - Owens, Patrick W.

AU - Palmer, Jason M.

AU - Paz, Lior

AU - Pess, Gary M.

AU - Polatsch, Daniel

AU - Frank Raia, J.

AU - Richard, Marc J.

AU - Rizzo, Marco

AU - Rozental,

AU - Ruchelsman, David

AU - Semenkin, Oleg M.

AU - Aguilar, Javier Francisco Sierra

AU - Siff, Todd

AU - Sodha, Samir

AU - Spath, Catherine

AU - Spruijt, Sander

AU - Stackhouse, Thomas G.

AU - Swigart, Carrie

AU - Szabo, Robert M.

AU - Taras, John

AU - Tavakolian, Jason D.

AU - Terrono, Andrew L.

AU - Varecka, Thomas F.

AU - Wahegaonkar, Abhijeet L.

AU - Walsh, Christopher J.

AU - Walter, Frank L.

AU - Weiss, Lawrence

AU - Wills, Brian P.D.

AU - Wilson, Chris

AU - Wilson, Christopher J.

AU - Moriatis, Jennifer Wolf

AU - Wood, Megan M.

AU - Young, Colby

PY - 2016

Y1 - 2016

N2 - Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of 'decisional conflict' of hand surgeons and patients with CTS. This study addresses the null hypothesis that there is no difference between surgeon and patient decisional conflict with respect to test and treatment options for CTS. Secondary analyses assess the impact of patient and physician demographics and the strength of the patient-physician relationship on decisional conflict. Methods: One-hundred-twenty-three observers of the Science of Variation Group (SOVG) and 84 patients with carpal tunnel syndrome completed a survey regarding the Decisional Conflict Scale. Patients also filled out the Pain Self-efficacy Questionnaire (PSEQ) and the Patient Doctor Relationship Questionnaire (PDRQ-9). Results: On average, patients had significantly greater decision conflict and scored higher on most subscales of the decisional conflict scale than hand surgeons.Factors associated with greater decision conflict were specific hand surgeon, less self-efficacy (confidence that one can achieve one's goals in spite of pain), and higher PDRQ (relationship between patient and doctor). Surgeons from Europe have--on average--significantly more decision conflict than surgeons in the United States of America. Conclusions: Patients with CTS have more decision conflict than hand surgeons. Decision aids might help narrow this gap in decisional conflict.

AB - Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of 'decisional conflict' of hand surgeons and patients with CTS. This study addresses the null hypothesis that there is no difference between surgeon and patient decisional conflict with respect to test and treatment options for CTS. Secondary analyses assess the impact of patient and physician demographics and the strength of the patient-physician relationship on decisional conflict. Methods: One-hundred-twenty-three observers of the Science of Variation Group (SOVG) and 84 patients with carpal tunnel syndrome completed a survey regarding the Decisional Conflict Scale. Patients also filled out the Pain Self-efficacy Questionnaire (PSEQ) and the Patient Doctor Relationship Questionnaire (PDRQ-9). Results: On average, patients had significantly greater decision conflict and scored higher on most subscales of the decisional conflict scale than hand surgeons.Factors associated with greater decision conflict were specific hand surgeon, less self-efficacy (confidence that one can achieve one's goals in spite of pain), and higher PDRQ (relationship between patient and doctor). Surgeons from Europe have--on average--significantly more decision conflict than surgeons in the United States of America. Conclusions: Patients with CTS have more decision conflict than hand surgeons. Decision aids might help narrow this gap in decisional conflict.

KW - Carpal Tunnel Syndrome

KW - Decision aids

KW - Hand surgery

KW - Shared decision makin

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UR - http://www.scopus.com/inward/citedby.url?scp=84966662463&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84966662463

VL - 4

SP - 150

EP - 155

JO - Archives of Bone and Joint Surgery

JF - Archives of Bone and Joint Surgery

SN - 2345-4644

IS - 2

ER -