2021 Volume 33 Issue 4 Pages 310-319
In patients with rheumatoid arthritis（RA）who underwent small joint surgery such as on finger and wrist joints, we sometimes recognize cases with dissatisfaction even if their clinical outcomes are good. This study evaluated patient reported outcome of the finger and wrist surgery for RA patients using Japanese version of the decision regret scale（DRS）which is used to measure patient’s regret for the health care decisions. Thirty-two surgeries were involved in this study. In approximately 60% of the surgeries, patients expressed complete satisfaction, on the other hand, there were 3 cases who were judged as regret for the surgery by DRS. In cases with MCP finger joint arthroplasty, significant negative correlation was observed between DRS and general satisfaction, function, and appearance, however, no correlation was observed with appearance in the other cases. From the results of this study, many of the patients who underwent MCP finger joint arthroplasty regard both function and appearance as important, on the other hand, patients with other surgery value function above appearance.
