Access to surgical upper extremity care for people with tetraplegia: an international perspective
Study design: Survey. Objectives: To determine whether upper extremity reconstruction in patients with tetraplegia is underutilized internationally and, if so, what are the barriers to care. Setting: International—attendees of a meeting in Paris, France. Methods: One hundred and seventy attendees at...
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| Veröffentlicht in: | Spinal cord 2015-04, Vol.53 (4), p.302-305 |
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| creator | Fox, P M Suarez, P Hentz, V R Curtin, C M |
| description | Study design:
Survey.
Objectives:
To determine whether upper extremity reconstruction in patients with tetraplegia is underutilized internationally and, if so, what are the barriers to care.
Setting:
International—attendees of a meeting in Paris, France.
Methods:
One hundred and seventy attendees at the Tetrahand meeting in Paris in 2010 were sent a 13-question survey to determine the access and utilization of upper limb reconstruction in tetraplegic patients in their practice.
Results:
Respondents ranged the globe including North America, South America, Europe, Asia and Australia. Fifty-nine percent of respondents had been practicing for more than 10 years. Sixty-four percent of respondents felt that at least 25% of people with tetraplegia would be candidates for surgery. Yet the majority of respondents found that |
| doi_str_mv | 10.1038/sc.2015.3 |
| format | Article |
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Survey.
Objectives:
To determine whether upper extremity reconstruction in patients with tetraplegia is underutilized internationally and, if so, what are the barriers to care.
Setting:
International—attendees of a meeting in Paris, France.
Methods:
One hundred and seventy attendees at the Tetrahand meeting in Paris in 2010 were sent a 13-question survey to determine the access and utilization of upper limb reconstruction in tetraplegic patients in their practice.
Results:
Respondents ranged the globe including North America, South America, Europe, Asia and Australia. Fifty-nine percent of respondents had been practicing for more than 10 years. Sixty-four percent of respondents felt that at least 25% of people with tetraplegia would be candidates for surgery. Yet the majority of respondents found that <15% of potential patients underwent upper extremity reconstruction. Throughout the world direct patient referral was the main avenue of surgeons meeting patients with peer networking a distant second. Designated as the top three barriers to this care were lack of knowledge of surgical options by patients, lack of desire for surgery and poor referral patterns to appropriate upper extremity surgeons.
Conclusion:
The results of this survey, of a worldwide audience, indicate that many of the same barriers to care exist regardless of the patient’s address. This was a preliminary opinion survey and thus the results are subjective. However, these results provide a roadmap to improving access to care by improving patient education and interdisciplinary physician communication.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sc.2015.3</identifier><identifier>PMID: 25687516</identifier><identifier>CODEN: SPCOFM</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/700/1719 ; 692/700/3934 ; 692/700/784 ; Anatomy ; Attitude of Health Personnel ; Biomedical and Life Sciences ; Biomedicine ; Congresses as Topic ; Health Services Accessibility ; Human Physiology ; Humans ; Internationality ; Neurochemistry ; Neuropsychology ; Neurosciences ; original-article ; Quadriplegia - surgery ; Reconstructive Surgical Procedures ; Referral and Consultation ; Upper Extremity - surgery</subject><ispartof>Spinal cord, 2015-04, Vol.53 (4), p.302-305</ispartof><rights>International Spinal Cord Society 2015</rights><rights>Copyright Nature Publishing Group Apr 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c486t-acdd4cd2b19fdeaab6011cdaf9f2dea0af27ee32c68f145646cc734b1f7ba8c13</citedby><cites>FETCH-LOGICAL-c486t-acdd4cd2b19fdeaab6011cdaf9f2dea0af27ee32c68f145646cc734b1f7ba8c13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25687516$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fox, P M</creatorcontrib><creatorcontrib>Suarez, P</creatorcontrib><creatorcontrib>Hentz, V R</creatorcontrib><creatorcontrib>Curtin, C M</creatorcontrib><title>Access to surgical upper extremity care for people with tetraplegia: an international perspective</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>Study design:
Survey.
Objectives:
To determine whether upper extremity reconstruction in patients with tetraplegia is underutilized internationally and, if so, what are the barriers to care.
Setting:
International—attendees of a meeting in Paris, France.
Methods:
One hundred and seventy attendees at the Tetrahand meeting in Paris in 2010 were sent a 13-question survey to determine the access and utilization of upper limb reconstruction in tetraplegic patients in their practice.
Results:
Respondents ranged the globe including North America, South America, Europe, Asia and Australia. Fifty-nine percent of respondents had been practicing for more than 10 years. Sixty-four percent of respondents felt that at least 25% of people with tetraplegia would be candidates for surgery. Yet the majority of respondents found that <15% of potential patients underwent upper extremity reconstruction. Throughout the world direct patient referral was the main avenue of surgeons meeting patients with peer networking a distant second. Designated as the top three barriers to this care were lack of knowledge of surgical options by patients, lack of desire for surgery and poor referral patterns to appropriate upper extremity surgeons.
Conclusion:
The results of this survey, of a worldwide audience, indicate that many of the same barriers to care exist regardless of the patient’s address. This was a preliminary opinion survey and thus the results are subjective. However, these results provide a roadmap to improving access to care by improving patient education and interdisciplinary physician communication.</description><subject>692/700/1719</subject><subject>692/700/3934</subject><subject>692/700/784</subject><subject>Anatomy</subject><subject>Attitude of Health Personnel</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Congresses as Topic</subject><subject>Health Services Accessibility</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Internationality</subject><subject>Neurochemistry</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>original-article</subject><subject>Quadriplegia - surgery</subject><subject>Reconstructive Surgical Procedures</subject><subject>Referral and Consultation</subject><subject>Upper Extremity - surgery</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqN0U1L7DAUBuAginrVhX9AAm68Qsd8NW3dDeIXCG50XdLTkzHSaWuS3qv_3sioiG5cJYc8vEl4CdnnbMaZLE8CzATj-UyukW2uCp3lWqj1tJdaZEpWcov8CeGRMVbxqtwkWyLXZZFzvU3MHABDoHGgYfILB6aj0ziip_gcPS5dfKFgPFI7eDriMHZI_7v4QCNGb9K0cOaUmp66PqLvTXRDnyJSQBgRovuHu2TDmi7g3vu6Q-4vzu_OrrKb28vrs_lNBqrUMTPQtgpa0fDKtmhMoxnn0BpbWZFmZqwoEKUAXVqucq00QCFVw23RmBK43CFHq9zRD08ThlgvXQDsOtPjMIWa61LKXLFK_4IWQrP0rDzRw2_0cZjSP7uV4kwXeZHU35UCP4Tg0dajd0vjX2rO6reK6gD1W0W1TPbgPXFqlth-yo9OEjhegZCO-gX6L1f-SHsFqRWbpw</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Fox, P M</creator><creator>Suarez, P</creator><creator>Hentz, V R</creator><creator>Curtin, C M</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150401</creationdate><title>Access to surgical upper extremity care for people with tetraplegia: an international perspective</title><author>Fox, P M ; Suarez, P ; Hentz, V R ; Curtin, C M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c486t-acdd4cd2b19fdeaab6011cdaf9f2dea0af27ee32c68f145646cc734b1f7ba8c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>692/700/1719</topic><topic>692/700/3934</topic><topic>692/700/784</topic><topic>Anatomy</topic><topic>Attitude of Health Personnel</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Congresses as Topic</topic><topic>Health Services Accessibility</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Internationality</topic><topic>Neurochemistry</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>original-article</topic><topic>Quadriplegia - surgery</topic><topic>Reconstructive Surgical Procedures</topic><topic>Referral and Consultation</topic><topic>Upper Extremity - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fox, P M</creatorcontrib><creatorcontrib>Suarez, P</creatorcontrib><creatorcontrib>Hentz, V R</creatorcontrib><creatorcontrib>Curtin, C M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fox, P M</au><au>Suarez, P</au><au>Hentz, V R</au><au>Curtin, C M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Access to surgical upper extremity care for people with tetraplegia: an international perspective</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>53</volume><issue>4</issue><spage>302</spage><epage>305</epage><pages>302-305</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><coden>SPCOFM</coden><abstract>Study design:
Survey.
Objectives:
To determine whether upper extremity reconstruction in patients with tetraplegia is underutilized internationally and, if so, what are the barriers to care.
Setting:
International—attendees of a meeting in Paris, France.
Methods:
One hundred and seventy attendees at the Tetrahand meeting in Paris in 2010 were sent a 13-question survey to determine the access and utilization of upper limb reconstruction in tetraplegic patients in their practice.
Results:
Respondents ranged the globe including North America, South America, Europe, Asia and Australia. Fifty-nine percent of respondents had been practicing for more than 10 years. Sixty-four percent of respondents felt that at least 25% of people with tetraplegia would be candidates for surgery. Yet the majority of respondents found that <15% of potential patients underwent upper extremity reconstruction. Throughout the world direct patient referral was the main avenue of surgeons meeting patients with peer networking a distant second. Designated as the top three barriers to this care were lack of knowledge of surgical options by patients, lack of desire for surgery and poor referral patterns to appropriate upper extremity surgeons.
Conclusion:
The results of this survey, of a worldwide audience, indicate that many of the same barriers to care exist regardless of the patient’s address. This was a preliminary opinion survey and thus the results are subjective. However, these results provide a roadmap to improving access to care by improving patient education and interdisciplinary physician communication.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>25687516</pmid><doi>10.1038/sc.2015.3</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Spinal cord, 2015-04, Vol.53 (4), p.302-305 |
| issn | 1362-4393 1476-5624 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | 692/700/1719 692/700/3934 692/700/784 Anatomy Attitude of Health Personnel Biomedical and Life Sciences Biomedicine Congresses as Topic Health Services Accessibility Human Physiology Humans Internationality Neurochemistry Neuropsychology Neurosciences original-article Quadriplegia - surgery Reconstructive Surgical Procedures Referral and Consultation Upper Extremity - surgery |
| title | Access to surgical upper extremity care for people with tetraplegia: an international perspective |
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