Dutch Multidisciplinary Guideline on Dupuytren Disease

Purpose: To provide a comprehensive, evidence-based overview of the treatment for Dupuytren disease, specifically needle techniques, radiotherapy, primary conservative therapy, surgery, lipofilling, operative arthrolysis, salvage techniques, and the postoperative protocol and to make clinical recommendations for health care practitioners and patients. Methods: Comprehensive multidisciplinary guideline process funded by the Quality Foundation of the Dutch Federation of Medical Specialists. This process included a development, commentary, and authorization phase. Patients participated in every p... Mehr ...

Verfasser: Kemler, Marius A.
de Wijn, Robert S.
van Rijssen, Annet L.
van Kooij, Yara E.
Ottenhof, Monique P.M.
van Heijl, Mark
Steenbakkers, Roel J.H.M.
Geise, Joost B.J.
Dokumenttyp: Artikel
Erscheinungsdatum: 2023
Reihe/Periodikum: Kemler , M A , de Wijn , R S , van Rijssen , A L , van Kooij , Y E , Ottenhof , M P M , van Heijl , M , Steenbakkers , R J H M & Geise , J B J 2023 , ' Dutch Multidisciplinary Guideline on Dupuytren Disease ' , Journal of Hand Surgery Global Online , vol. 5 , no. 2 , pp. 178-183 . https://doi.org/10.1016/j.jhsg.2022.11.008
Schlagwörter: Dupuytren disease / Guideline
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26671502
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://hdl.handle.net/11370/a8b7d471-b282-41e8-ad4f-8f7967d53e9a

Purpose: To provide a comprehensive, evidence-based overview of the treatment for Dupuytren disease, specifically needle techniques, radiotherapy, primary conservative therapy, surgery, lipofilling, operative arthrolysis, salvage techniques, and the postoperative protocol and to make clinical recommendations for health care practitioners and patients. Methods: Comprehensive multidisciplinary guideline process funded by the Quality Foundation of the Dutch Federation of Medical Specialists. This process included a development, commentary, and authorization phase. Patients participated in every phase. Multiple databases and existing guidelines up to August 2020 were searched. Studies on Dupuytren disease were considered eligible. Specific eligibility criteria were described per module. To appraise the certainty of the evidence, reviewers extracted data, assessed the risk of bias, and used the Grading of Recommendations Assessment, Development and Evaluation method, where applicable. Important considerations were as follows: patient values and preferences, costs, acceptability of other stakeholders, and feasibility of implementation. Recommendations were made based on the evidence from the literature and the considerations. The primary and secondary outcome measures were defined per module based on the input of patients obtained in collaboration with the Netherlands Patient Federation and health care providers from different professions. Results: The following 8 specific modules were completed for Dupuytren disease: (1) needle techniques, (2) radiotherapy, (3) primary conservative therapy, (4) surgery, (5) lipofilling, (6) operative arthrolysis, (7) salvage techniques, and (8) the postoperative protocol. Conclusions: Our Dutch multidisciplinary guideline on Dupuytren disease provides 8 modules developed according to the standards of the Dutch Federation of Medical Specialists. Evidence-based recommendations for clinical practice are provided for needle techniques, radiotherapy, primary conservative therapy, surgery, ...