Screening tool development for hand surgery referrals in systemic sclerosis

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datacite.alternateIdentifier.citationCLINICS,Vol.78,2023
datacite.alternateIdentifier.doi10.1016/j.clinsp.2023.100270
datacite.creatorde Abreu, Marcos Felipe Marcatto
datacite.creatorLandin, Sibila
datacite.creatorYuamoto, Fernanda Yuri
datacite.creatorLins, Carolina
datacite.creatorMagalhaes, Eduardo Paiva
datacite.creatorEtchebehere, Mauricio
datacite.date2023
datacite.subject.englishScleroderma systemic
datacite.subject.englishOrthopedic procedures
datacite.subject.englishCross-sectional studies
datacite.subject.englishSkin ulcer
datacite.subject.englishReferral and consultation
datacite.titleScreening tool development for hand surgery referrals in systemic sclerosis
dc.date.accessioned2024-05-27T18:26:05Z
dc.date.available2024-05-27T18:26:05Z
dc.description.abstractBackground: Systemic Sclerosis (SSc) patients may need hand surgery. Objective: To develop a screening tool for rheumatologists to identify potential candidates with systemic sclerosis for hand surgery, optimizing referrals.Methods: A pilot cross-sectional study from January 2015 to December 2016. Sample size: 51 participants. Inclusion criteria: = 18 years old, meeting the 2013 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria for SSc and hand impairment. Data collected: age, sex, race, disease duration, SSc subtypes, vasodilator use, skin thickness, finger stiffness, presence of Digital Ulcers (DU) and/ or calcinosis, presence of Raynaud's Phenomenon (RP) attacks, health status and disability, disease status, pain intensity and functional status of the hands. Data were analyzed by a multivariate logistic regression model.Results: Fulfillment of surgical criteria: 68.8%. The surgical group had higher scores on the HAQ-DI (1.39 vs. 0.96, p = 0.032) and CHFS (25.0 vs. 12.0, p = 0.005) questionnaires, and a higher frequency of DU (91.43% vs. 18.75%, p < 0.0010), calcinosis (60.0% vs. 0.0%, p < 0.001), use of vasodilators (100.0% vs. 75.0%, p = 0.007) and digital stiffness (28.57% vs. 0.0%, p = 0.017). The presence of DU increased the chance of surgical indication by 46.2 times (ORIC 95% = 8.23 to 259.49). The statistical model showed good accuracy (86.3%, p < 0.001), sensitivity (91.4%), and specificity (81.2%).Conclusion: The presence of DU in SSc could be used as a screening feature for early identification and referral of potential candidates for hand surgery.
dc.identifier.urihttps://repositoriodigital.uct.cl/handle/10925/5641
dc.language.isoen
dc.publisherELSEVIER ESPANA
dc.sourceCLINICS
oaire.resourceTypeArticle
uct.indizacionSCI
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