title: Measuring Functional and Patient-Reported Outcomes After Treatment of Mutilating Hand Injuries: A Global Health Approach.
abstract: Understanding the global burden of trauma, particularly upper extremity trauma, is necessary in addressing the need for surgical services. Critical to that mission is to understand, and accurately measure, disability and related disability-adjusted life-years from massive upper extremity trauma. The impact of these injuries is magnified when considering that they frequently occur to young people in prime working years. This article discusses these social and medical system issues and reviews components of a comprehensive approach to measuring outcomes after these injuries. Patient-reported outcomes are highlighted. Methods of optimizing outcomes measurements and studies, disability assessments, and associated research are also discussed.
authors.affiliation: Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA. Electronic address: aviram@med.umich.edu.
authors.forename: Aviram M
authors.initials: AM
authors.lastname: Giladi
authors.affiliation: Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
authors.forename: Kavitha
authors.initials: K
authors.lastname: Ranganathan
authors.affiliation: Section of Plastic Surgery, Department of Surgery, University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
authors.forename: Kevin C
authors.initials: KC
authors.lastname: Chung
mesh_terms: D000367:Age Factors; D004185:Disability Evaluation; D014943:Global Health; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D000071066:Patient Reported Outcome Measures; D019057:Quality-Adjusted Life Years
keywords: DALY; Global health; Impairment and disability; Mutilating upper extremity trauma; Patient-reported outcomes