Novel Tools to Approach and Measure Outcomes in Patients with Fractures.

Hand Clin · Nov 2023 · Review

Garcia-Lopez E, Halvorson R, Shapiro L

Department of Orthopaedics, University of California San Francisco, 500 Parnassus Avenue

Hand & Upper Extremity Orthopaedic Trauma

SUMMARY — THE REDUCTIONReviews three advances for tracking hand and upper extremity fracture outcomes: telemedicine, patient-reported outcome measures, and wearables with remote monitoring, which support accountability and better clinical outcomes and research.
Abstract, as published

Upper extremity fractures are prevalent and pose a great burden to patients and society. In the US alone, the annual incidence of upper extremity fractures is 67.6 fractures per 10,000 persons. While the majority of patients with upper extremity fractures demonstrate satisfactory outcomes when treated appropriately (the details of which are discussed in prior articles), the importance of follow-up and outcome measurement cannot be understated. Outcome measurement allows for accountability and improvement in clinical outcomes and research. The purpose of this article is to describe recent advances in methods and tools for assessing clinical and research outcomes in hand and upper extremity care. Three specific advances that are broadly changing the landscape of follow-up care of our patients include: 1) telemedicine, 2) patient-reported outcome measurement, and 3) wearables/remote patient monitoring.

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