Outcome measures used in peripheral nerve surgery for symptomatic neuroma in upper extremity amputations: A scoping review

Novel surgical treatments for painful neuromas are increasingly used, but determining which provides the greatest benefit has been difficult due to the inconsistent use of outcome measures. We mapped the current literature of outcome measures used to evaluate peripheral nerve surgery for the managem...

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Published inMuscle & nerve Vol. 70; no. 5; pp. 903 - 915
Main Authors Yang, Borum, Suresh, Rachana, Nam, Jon, Mayo, Amanda L., Hitzig, Sander L., Wong, Alison
Format Journal Article
LanguageEnglish
Published Hoboken, USA John Wiley & Sons, Inc 01.11.2024
Wiley Subscription Services, Inc
Subjects
Amputation
Amputation, Surgical
Clinical trials
Heterogeneity
Humans
neuroma
Neuroma - surgery
Neurosurgical Procedures - methods
Outcome Assessment, Health Care
outcome measures
Patient Reported Outcome Measures
patient‐reported outcomes
peripheral nerve surgery
Peripheral nerves
Peripheral Nerves - surgery
Population studies
Quality of Life
Sensorimotor system
Surgery
Upper Extremity - physiopathology
Upper Extremity - surgery
upper extremity amputation
neuroma
upper extremity amputation
outcome measures
peripheral nerve surgery
patient‐reported outcomes
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Summary:Novel surgical treatments for painful neuromas are increasingly used, but determining which provides the greatest benefit has been difficult due to the inconsistent use of outcome measures. We mapped the current literature of outcome measures used to evaluate peripheral nerve surgery for the management of symptomatic neuromas in patients who underwent an adult‐acquired upper extremity amputation (UEA). Medline, Embase, Cochrane, and CINAHL were searched for primary research written in the English language from inception to February 2023. The search yielded 1137 articles, of which 35 were included for final analysis. Studies varied in their assessment of pain, health‐related quality of life (HRQOL), neurotrophic measures, psychological and sensorimotor function, highlighting a consensus on crucial domains but also revealing significant heterogeneity in the use and application of outcome measures among primary studies. Our findings highlight the need to establish common standards that reflect the best evidence and unique needs of the UEA population. This includes developing a core outcome set, utilizing multi‐center trials, and maintaining flexibility to adapt to ongoing advancements in patient‐reported outcome measures (PROMs) research.
Bibliography:editor, but did not undergo additional, external peer review.
https://education.aanem.org/URL/JR125
Muscle & Nerve
The AANEM is accredited by the American Council for Continuing Medical Education (ACCME) to providing continuing education for physicians. AANEM designates this Journal‐based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This paper underwent peer review by the AANEM Monograph Review and Development Committee and review by the
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The objectives of this activity are to: (1) Improve patient evaluations and care through understanding of the approaches used by surgeons for treatment of painful neuromas; (2) Understand and be able to incorporate into clinical care the major outcome assessments of pain and health‐related quality of life used for the evaluation of patients who have undergone surgery for painful neuromas; (3) Understand and be able to incorporate into clinical care the major neurotrophic, psychological, and sensorimotor outcome measures used for the evaluation of patients who have undergone surgery for painful neuromas.
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ISSN:0148-639X
1097-4598
1097-4598
DOI:10.1002/mus.28231