What we do
About our project
Background
The standard diagnostic work-up for hand and wrist complaints in primary care consists of history taking, physical examination and imaging if needed, but the supporting evidence for this work-up is limited.
Hypothesis
The is a knowledge gap on the diagnosis and treatment of hand and wrist complaints in primary care.
Methods
The current project consists of 4 work packages:
- a systematic literature search for the accuracy of diagnostic tests for fractures and ligament injuries in the hand and wrist.
- validation of the Dutch version of the Patient Rated Wrist/Hand Evaluation (PRWHE-DLV) questionnaire in Dutch primary care patients.
- evaluation of the prevalence of structural abnormalities and the course of symptoms in patients referred from primary care for radiography of the hand/wrist.
- a Delphi study to develop a consensus-based recommendation of history taking and physical examination tests for the diagnostic work-up of patients with hand and wrist complaints.
Our research focus
Primary outcome
Providing evidence-based recommendation for the prognosis and diagnosis of hand an d wrist complaints in primary care.
Providing evidence-based recommendation for the prognosis and diagnosis of hand an d wrist complaints in primary care.
Collaborations
Reinier de Graaf Gasthuis, Dept. Radiology
Publications
Krastman P, Mathijssen NMC, Bierma-Zeinstra SMA, Kraan GA, Runhaar J. Diagnostic accuracy of history taking, physical examination and imaging for non-chronic finger, hand and wrist ligament and tendon injuries: a systematic review update. BMJ Open. 2020 Nov 5;10(11):e037810. doi: 10.1136/bmjopen-2020-037810.
Krastman P, Mathijssen NM, Bierma-Zeinstra SMA, Kraan G, Runhaar J. Diagnostic accuracy of history taking, physical examination and imaging for phalangeal, metacarpal and carpal fractures: a systematic review update. BMC Musculoskelet Disord. 2020 Jan 7;21(1):12. doi: 10.1186/s12891-019-2988-z.
Krastman P, Mathijssen NM, Bierma-Zeinstra SMA, Kraan G, Runhaar J. Diagnostic accuracy of history taking, physical examination and imaging for phalangeal, metacarpal and carpal fractures: a systematic review update. BMC Musculoskelet Disord. 2020 Jan 7;21(1):12. doi: 10.1186/s12891-019-2988-z.
Our team
Dr. J. Runhaar (co-promotor), j.runhaar@erasmusmc.nl
P. Krastman, MD, wetenschap@dezorghoek.nl
Dr. G. Kraan, G.Kraan@rhoc.nl
Dr. N. Mathijssen, N.Mathijssen@rhoc.nl
Prof. S.M.A. Bierma-Zeinstra (promotor), s.bierma-zeinstra@erasmusmc.nl
Contact addresses for the project: p.krastman@erasmusmc.nl and wetenschap@dezorghoek.nl.
P. Krastman, MD, wetenschap@dezorghoek.nl
Dr. G. Kraan, G.Kraan@rhoc.nl
Dr. N. Mathijssen, N.Mathijssen@rhoc.nl
Prof. S.M.A. Bierma-Zeinstra (promotor), s.bierma-zeinstra@erasmusmc.nl
Contact addresses for the project: p.krastman@erasmusmc.nl and wetenschap@dezorghoek.nl.
