Comparison of patient-reported upper extremity disability following free flaps in head and neck reconstruction : A systematic review and meta-analysis
© 2023 Wiley Periodicals LLC..
BACKGROUND: Comparisons of patient-reported donor site morbidity based on the Disabilities in Arm, Shoulder, and Hand (DASH) instrument across upper trunk free flaps in head and neck surgery, including radial forearm (RFFF), osteocutaneous radial forearm (OCRFF), scapular tip (STFF), and serratus anterior (SAFF) free flaps, may help inform donor tissue selection.
METHODS: In this meta-analysis, 12 studies were included and the primary outcome was average DASH score.
RESULTS: The pooled DASH scores were 12.14 (95% CI: 7.40-16.88) for RFFF (5 studies), 17.99 (11.87-24.12) for OCRFF (2 studies), 12.19 (8.74-15.64) for STFF (3 studies), and 16.49 (5.92-27.05) for SAFF (2 studies) and were not significantly different.
CONCLUSIONS: Results suggest that patients generally function well, with minimal to mild donor site morbidity, when assessed at an average of 20 months after flap harvest. These results are based on few effects from primarily retrospective studies of fair quality, and further research is needed.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:45 |
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| Enthalten in: |
Head & neck - 45(2023), 7 vom: 02. Juli, Seite 1832-1840 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ranganath, Kushi [VerfasserIn] |
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| Links: |
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| Themen: |
Disabilities in Arm, Shoulder, and Hand |
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| Anmerkungen: |
Date Completed 08.06.2023 Date Revised 08.06.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/hed.27375 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM356323463 |
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| 245 | 1 | 0 | |a Comparison of patient-reported upper extremity disability following free flaps in head and neck reconstruction |b A systematic review and meta-analysis |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023 Wiley Periodicals LLC. | ||
| 520 | |a BACKGROUND: Comparisons of patient-reported donor site morbidity based on the Disabilities in Arm, Shoulder, and Hand (DASH) instrument across upper trunk free flaps in head and neck surgery, including radial forearm (RFFF), osteocutaneous radial forearm (OCRFF), scapular tip (STFF), and serratus anterior (SAFF) free flaps, may help inform donor tissue selection | ||
| 520 | |a METHODS: In this meta-analysis, 12 studies were included and the primary outcome was average DASH score | ||
| 520 | |a RESULTS: The pooled DASH scores were 12.14 (95% CI: 7.40-16.88) for RFFF (5 studies), 17.99 (11.87-24.12) for OCRFF (2 studies), 12.19 (8.74-15.64) for STFF (3 studies), and 16.49 (5.92-27.05) for SAFF (2 studies) and were not significantly different | ||
| 520 | |a CONCLUSIONS: Results suggest that patients generally function well, with minimal to mild donor site morbidity, when assessed at an average of 20 months after flap harvest. These results are based on few effects from primarily retrospective studies of fair quality, and further research is needed | ||
| 650 | 4 | |a Meta-Analysis | |
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Disabilities in Arm, Shoulder, and Hand | |
| 650 | 4 | |a donor site morbidity | |
| 650 | 4 | |a free flap | |
| 650 | 4 | |a patient-reported outcome measures | |
| 650 | 4 | |a upper extremity disability | |
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| 700 | 1 | |a Goss, Deborah |e verfasserin |4 aut | |
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| 700 | 1 | |a Faden, Daniel L |e verfasserin |4 aut | |
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| 700 | 1 | |a Varvares, Mark A |e verfasserin |4 aut | |
| 700 | 1 | |a Feng, Allen L |e verfasserin |4 aut | |
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