Parental Assessment of Status of Congenital Upper Limb Differences: Analysis of the Pediatric Outcomes Data Collection Instrument

The Journal of Hand Surgery
Lindley B WallC A Goldfarb

Abstract

To determine the range of the Pediatric Outcomes Collection Instrument (PODCI) scores for children with a wide variety of congenital upper limb differences and to examine the scoring effect of the patient's surgical history, family history, severity of involvement, and syndromic associations. We reviewed the PODCI scores for 109 patients, aged 2-18 years, treated for nontraumatic upper extremity conditions. Charts were reviewed for sex, age, extent of limb involvement, laterality, family history, surgical history, and syndrome association. All patients were classified based on the Oberg, Manske, Tonkin classification with general categories of malformation, deformation, or dysplasia. Of 109 patients, 80 (73%) had a malformation, 12 (11%) had a deformation, and 17 (16%) had a dysplasia. The cohort as a whole had a happiness PODCI score that was similar to the normal population, yet a lower (worse) PODCI score for upper extremity and global function. Patients with a dysplasia had a higher upper extremity function scores than those with malformations or deformations, but they had similar happiness and global function scores. Complete upper limb involvement and lower extremity involvement statistically lowered the PODCI score withi...Continue Reading

References

Jul 1, 1976·The Journal of Hand Surgery·A B Swanson
Dec 1, 1994·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·E T BradburyJ Hewison
Dec 8, 2010·The Journal of Hand Surgery·Kerby C ObergMichael A Tonkin
Mar 19, 2011·Journal of Pediatric Orthopedics·Courtney J AmorGloria R Gogola
May 24, 2011·The Journal of Hand Surgery·Eeva KoskimiesYrjänä Nietosvaara
Jun 30, 2011·The Journal of Hand Surgery, European Volume·G-B AnderssonA Nachemson
Jun 23, 2015·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Kousuke IbaUNKNOWN Congenital Hand Committee of Japanese Society for Surgery of the Hand

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Citations

Apr 26, 2020·Plastic and Reconstructive Surgery·Eugene ParkJoshua M Adkinson
Jul 14, 2020·Journal of Pediatric Orthopedics·Paula A PinoScott H Kozin
Aug 24, 2019·The Journal of Hand Surgery Asian-Pacific Volume·Ching Man YeungYuk Yin Chow

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