Physician perceptions of upper extremity reconstruction for the person with tetraplegia

Catherine M. Curtin, Rodney A. Hayward, H. Myra Kim, David Gater, Kevin C. Chung

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Upper extremity reconstruction for people with tetraplegia can improve upper-limb function substantially and enhance independence; however, these surgical procedures rarely are performed. This study attempted to identify barriers preventing appropriate candidates from receiving these procedures. A questionnaire was mailed to a national sample of 379 hand surgeons and 384 physiatrists with an interest in spinal cord medicine. The statistical model assessed 2 main outcomes of the physician survey: (1) whether the provider had been involved in at least one of these procedures in the past year and (2) whether the provider desired to be more involved. We hypothesized that these outcomes were associated with provider attitudes and beliefs and failures of the health care system referral networks. Most hand surgeons and physiatrists believed that these procedures were beneficial; however, few had either performed or referred even one case over the past year. Multivariable models suggested that a predominant factor in whether these procedures were being performed was the presence of a relationship between the surgeon and physiatrist. A lack of coordinated cross-specialty relationships appears to present the largest barrier to the appropriate use of upper extremity reconstruction for people with tetraplegia.

Original languageEnglish (US)
Pages (from-to)87-93
Number of pages7
JournalJournal of Hand Surgery
Volume30
Issue number1
DOIs
StatePublished - Jan 1 2005

Fingerprint

Quadriplegia
Upper Extremity
Physicians
Hand
Statistical Models
Spinal Cord
Referral and Consultation
Medicine
Delivery of Health Care
Physiatrists
Surgeons

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Curtin, Catherine M. ; Hayward, Rodney A. ; Kim, H. Myra ; Gater, David ; Chung, Kevin C. / Physician perceptions of upper extremity reconstruction for the person with tetraplegia. In: Journal of Hand Surgery. 2005 ; Vol. 30, No. 1. pp. 87-93.
@article{d48066fc43784983b103d43670943b65,
title = "Physician perceptions of upper extremity reconstruction for the person with tetraplegia",
abstract = "Upper extremity reconstruction for people with tetraplegia can improve upper-limb function substantially and enhance independence; however, these surgical procedures rarely are performed. This study attempted to identify barriers preventing appropriate candidates from receiving these procedures. A questionnaire was mailed to a national sample of 379 hand surgeons and 384 physiatrists with an interest in spinal cord medicine. The statistical model assessed 2 main outcomes of the physician survey: (1) whether the provider had been involved in at least one of these procedures in the past year and (2) whether the provider desired to be more involved. We hypothesized that these outcomes were associated with provider attitudes and beliefs and failures of the health care system referral networks. Most hand surgeons and physiatrists believed that these procedures were beneficial; however, few had either performed or referred even one case over the past year. Multivariable models suggested that a predominant factor in whether these procedures were being performed was the presence of a relationship between the surgeon and physiatrist. A lack of coordinated cross-specialty relationships appears to present the largest barrier to the appropriate use of upper extremity reconstruction for people with tetraplegia.",
author = "Curtin, {Catherine M.} and Hayward, {Rodney A.} and Kim, {H. Myra} and David Gater and Chung, {Kevin C.}",
year = "2005",
month = "1",
day = "1",
doi = "10.1016/j.jhsa.2004.08.014",
language = "English (US)",
volume = "30",
pages = "87--93",
journal = "Journal of Hand Surgery",
issn = "0363-5023",
publisher = "W.B. Saunders Ltd",
number = "1",

}

Physician perceptions of upper extremity reconstruction for the person with tetraplegia. / Curtin, Catherine M.; Hayward, Rodney A.; Kim, H. Myra; Gater, David; Chung, Kevin C.

In: Journal of Hand Surgery, Vol. 30, No. 1, 01.01.2005, p. 87-93.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Physician perceptions of upper extremity reconstruction for the person with tetraplegia

AU - Curtin, Catherine M.

AU - Hayward, Rodney A.

AU - Kim, H. Myra

AU - Gater, David

AU - Chung, Kevin C.

PY - 2005/1/1

Y1 - 2005/1/1

N2 - Upper extremity reconstruction for people with tetraplegia can improve upper-limb function substantially and enhance independence; however, these surgical procedures rarely are performed. This study attempted to identify barriers preventing appropriate candidates from receiving these procedures. A questionnaire was mailed to a national sample of 379 hand surgeons and 384 physiatrists with an interest in spinal cord medicine. The statistical model assessed 2 main outcomes of the physician survey: (1) whether the provider had been involved in at least one of these procedures in the past year and (2) whether the provider desired to be more involved. We hypothesized that these outcomes were associated with provider attitudes and beliefs and failures of the health care system referral networks. Most hand surgeons and physiatrists believed that these procedures were beneficial; however, few had either performed or referred even one case over the past year. Multivariable models suggested that a predominant factor in whether these procedures were being performed was the presence of a relationship between the surgeon and physiatrist. A lack of coordinated cross-specialty relationships appears to present the largest barrier to the appropriate use of upper extremity reconstruction for people with tetraplegia.

AB - Upper extremity reconstruction for people with tetraplegia can improve upper-limb function substantially and enhance independence; however, these surgical procedures rarely are performed. This study attempted to identify barriers preventing appropriate candidates from receiving these procedures. A questionnaire was mailed to a national sample of 379 hand surgeons and 384 physiatrists with an interest in spinal cord medicine. The statistical model assessed 2 main outcomes of the physician survey: (1) whether the provider had been involved in at least one of these procedures in the past year and (2) whether the provider desired to be more involved. We hypothesized that these outcomes were associated with provider attitudes and beliefs and failures of the health care system referral networks. Most hand surgeons and physiatrists believed that these procedures were beneficial; however, few had either performed or referred even one case over the past year. Multivariable models suggested that a predominant factor in whether these procedures were being performed was the presence of a relationship between the surgeon and physiatrist. A lack of coordinated cross-specialty relationships appears to present the largest barrier to the appropriate use of upper extremity reconstruction for people with tetraplegia.

UR - http://www.scopus.com/inward/record.url?scp=13244265988&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=13244265988&partnerID=8YFLogxK

U2 - 10.1016/j.jhsa.2004.08.014

DO - 10.1016/j.jhsa.2004.08.014

M3 - Article

C2 - 15680561

AN - SCOPUS:13244265988

VL - 30

SP - 87

EP - 93

JO - Journal of Hand Surgery

JF - Journal of Hand Surgery

SN - 0363-5023

IS - 1

ER -