Thierry G. Guitton
Yawkey Center, Massachusetts General Hospital, Boston, USA
[ 1 ] - Assessment of Decisional Conflict about the Treatment of Trigger Finger, Comparing Patients and Physicians
Background: As an early step in the development of a decision aid for idiopathic trigger finger (TF) we were interested in the level of decisional conflict experienced by patients and hand surgeons. This study tested the null hypothesis that there is no difference in decisional conflict between patients with one or more idiopathic trigger fingers and hand surgeons. Secondary analyses address ...
[ 2 ] - Assessing Practitioners’ and Patients’ Needs Regarding Shared Decision-Making and Decision Aids
Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of ‘decisional conflict’ of hand surgeons and patients with CTS. This study addresses the null hypothesis that there is no difference between surgeon and patient decisional conflict with respect to test and tr...
[ 3 ] - Predictors of Missed Research Appointments in a Randomized Placebo-Controlled Trial
Background: The primary aim of this study was to determine predictors of missed research appointments in a prospective andomized placebo injection-controlled trial with evaluations 1 to 3 and 5 to 8 months after enrollment. Methods: This study represents a secondary use of data from 104 patients that were enrolled in a prospective randomized ontrolled trial of dexamethasone versus lidocai...
[ 4 ] - Do Patient Preferences Influence Surgeon Recommendations for Treatment?
Background: When the best treatment option is uncertain, a patient’s preference based on personal values should bethe source of most variation in diagnostic and therapeutic interventions. Unexplained surgeon-to-surgeon variation intreatment for hand and upper extremity conditions suggests that surgeon preferences have more influence than patientpreferences.Methods: A total of 184 surgeons revie...