P18: CONVENTIONAL DUPUYTREN'S DIATHESIS FACTORS ARE NOT ASSOCIATED WITH POOR OUTCOME FOLLOWING SURGERY: A SYSTEMATIC REVIEW

Abstract Introduction Dupuytren's diathesis describes an aggressive disease course with tendency for recurrence or extension following intervention. Conventional factors associated are ethnicity, family history, bilateral and ectopic disease. Disease is not the only cause of poor outcome This systematic review aimed to identify all that have been investigated a potential association development, progression, treatment in diathesis. Method A MEDLINE, EMBASE CINAHL using PRISMA-compliant methodology up February 2019 was conducted. screening data extraction were performed duplicate. Included prognostic cohort studies quality assessed Quality Prognosis Study tool. Result The search revealed 2,661 records from which 11 full text articles reported both conventional outcomes (in addition recurrence) intervention 938 patients. Collectively 67% underwent fasciectomy seven reported: three patient measures (DASH, quick-DASH EQ-5D), functional (grip strength, joint angle correction range motion) complications. Two used multiple univariate statistical techniques found no significant between outcome. Conclusion challenges notions Diathesis provides comprehensive appraisal Take-home message