The Southampton Dupuytren's Clinic: audit of an effective multidisciplinary model.
Introduction. The Southampton Dupuytren's Clinic (SDC) was preceded by a four-month period when the therapist accompanied the surgeon in Clinic to learn about Dupuytren's Disease (DD) and to develop a specific proforma to collect details of the patient, the condition and the planned treatment. Metho...
| Publicado en: | Hand Therapy Vol. 15; no. 4; pp. 100 - 105 |
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| Autores principales: | , , , |
| Formato: | forms research tables/charts Journal Article |
| Publicado: |
Sage Publications, Ltd.
Dec2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104653568&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104653568 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17589983 8B56 jtl: Hand Therapy issn: 17589983 maglogo: N pubinfo: dt: Dec2010 vid: 15 iid: 4 pid: 32457 pub: Sage Publications, Ltd. artinfo: ui: 104653568 61934487 10.1258/ht.2010.010015 104653568 ppf: 100 ppct: 5 formats: fmt: @attributes: type: P tig: atl: The Southampton Dupuytren's Clinic: audit of an effective multidisciplinary model. aug: au: Warwick, David Belward, Pete Vadher, Jane Setty, Kemp affil: Hand, Wrist and Elbow Unit, Southampton University Hospitals, Southampton SO16 6UY sug: subj: Dupuytren's Contracture Ambulatory Care Facilities Triage Audit Human Referral and Consultation Physical Examination Patient History Taking Dupuytren's Contracture Surgery Multidisciplinary Care Team Health Resource Utilization ab: Introduction. The Southampton Dupuytren's Clinic (SDC) was preceded by a four-month period when the therapist accompanied the surgeon in Clinic to learn about Dupuytren's Disease (DD) and to develop a specific proforma to collect details of the patient, the condition and the planned treatment. Methods. A special clinic was set up for general practitioner referrals for patients with DD. Each patient was seen by the therapist. A detailed history and examination were recorded on the proforma. Treatment options to include the outcome, risks and benefits of surgery were clearly explained, supported by a handout. The patient was then seen by the surgeon to arrange management. Results. One hundred and ninety-four patients were allocated to the SDC. In all, 5% failed to attend; 8% had an alternative diagnosis made; and 16% with DD were discharged as the disease was not advanced enough for intervention or the patient decided not to have surgery. The therapist then allocated 71% for surgical assessment. The surgeon, to efficiently allocate personnel and theatre resources, listed 22% for skin graft, 8% for fasciotomy, 70% for fasciectomy, 35% for consultant to perform, 35% for fellow/registrar to perform, and 30% for the consultant to train the registrar. Conclusions. We consider that triage and assessment of patients with DD is improved by a multidisciplinary approach: a hand therapist, to quantify deformity and functional deficit, and explain the purpose, risks and outcome of surgery; and a hand surgeon, to decide the type and duration of surgery and the appropriate grade of surgeon. pubtype: Academic Journal doctype: forms research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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