title: [Evaluation of influence of Dupuytryen contracture's operative treatment on increase of quality of hand's function basing on research in use PEM (Patient Evaluation Measure) questionnaire].
abstract: BACKGROUND
  Dupuytren's contracture is a progressive fibrosis of facial structures of the palmar surface of the hand, gradually leading to a reduction of its functions by impaired range of motion of fingers.
  
  
  METHODS
  Clinical material consisted of 95 patients treated surgically in the Second Department of Surgery of the Jagiellonian University in 2006 - 2011 because of Dupuytren's contracture. Based on a study using PEM questionnaire (Patient Evaluation Measure) an assessment of the quality of life before and after surgery was made.
  
  
  RESULTS
  The average numeric value obtained in the PEM questionnaire before surgery was 30 points (SD ± 14.35). The postoperative controls were found of gradual decrease in the value and so after three months it was 22.39 points (SD ± 14.23), and after a year it reached the value of 18.12 points (SD ± 12.43). Statistically significant correlations (p < 0.001) were demonstrated between test results of PEM taken before and after 3 and 12 months after surgery.
  
  
  CONCLUSIONS
  It has been shown that Dupuytren's contracture has negative impact on quality of life but the quality of life improves after surgical treatment.
authors.forename: Marcin
authors.initials: M
authors.lastname: Bednarek
authors.forename: Marek
authors.initials: M
authors.lastname: Trybus
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Papież
authors.forename: Witold
authors.initials: W
authors.lastname: Pokrowiecki
authors.forename: Maksymilian
authors.initials: M
authors.lastname: Gniadek
mesh_terms: D000368:Aged; D004387:Dupuytren Contracture / Q000523:psychology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011788:Quality of Life; D011795:Surveys and Questionnaires