{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T03:17:35Z","timestamp":1781061455851,"version":"3.54.1"},"reference-count":33,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T00:00:00Z","timestamp":1702512000000},"content-version":"unspecified","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Swedish Research Council","doi-asserted-by":"crossref","award":["2022-01942"],"award-info":[{"award-number":["2022-01942"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Almroth Foundation, Kockska foundation, (MZ), the Magnus Bergvall Foundation","award":["2020-03612"],"award-info":[{"award-number":["2020-03612"]}]},{"name":"Swedish Diabetes Foundation","award":["DIA2020-492"],"award-info":[{"award-number":["DIA2020-492"]}]},{"name":"Funds from Sk\u00e5ne University Hospital","award":["2019-659"],"award-info":[{"award-number":["2019-659"]}]},{"DOI":"10.13039\/501100003252","name":"Lund University","doi-asserted-by":"crossref","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/501100003252","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Stig and Ragna Gorthon Foundation","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"name":"Elly Olsson's Foundation for scientific research","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"name":"the Regional Agreement on Medical Training and Clinical Research (ALF) between Region Sk\u00e5ne and Lund University","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,11,17]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate if socioeconomic status impacts patient-reported outcomes after a surgically treated trigger finger (TF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and setting<\/jats:title>\n                    <jats:p>Data on patients with TF treated with surgery were collected from the Swedish National Quality Registry of Hand Surgery (HAKIR) 2010\u20132019 with an evaluation of symptoms and disability before surgery and at 3 and 12 months after surgery, using the short version of the Disabilities of Arm, Shoulder and Hand (QuickDASH) questionnaire.<\/jats:p>\n                    <jats:p>\n                      Data from HAKIR and the Swedish National Diabetes Registry (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/ndr.nu\/\">ndr.nu<\/jats:ext-link>\n                      ) were combined with socioeconomic data from Statistics Sweden (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/scd.se\/\">scb.sc<\/jats:ext-link>\n                      ), analysing the impact of marital status, education level, income, occupation, sickness benefits, days of unemployment, social assistance and migrant status on the outcome by a linear regression model.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>In total, 5477 patients were operated on for primary TF during the study period, of whom 21% had diabetes, with a response rate of 35% preoperatively, 26% at 3\u2009months and 25% at 12 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At all time points, being born in Sweden (preoperatively B-coefficient: \u22129.74 (95% CI \u221213.38 to \u22126.11), 3\u2009months postoperatively \u22129.80 (95% CI \u221213.82 to \u22125.78) and 12 months postoperatively \u22128.28 (95% CI \u221212.51 to \u22124.05); all p&lt;0.001) and high earnings (preoperatively \u22127.81 (95% CI \u221211.50 to \u22124.12), 3\u2009months postoperatively \u22129.35 (95% CI \u221213.30 to \u22125.40) and 12 months postoperatively \u221210.25 (95% CI \u221214.37 to \u22126.13); all p&lt;0.0001) predicted lower QuickDASH scores (ie, fewer symptoms and disability) in the linear regression models. More sick leave during the surgery year predicted higher QuickDASH scores (preoperatively 5.77 (95% CI 3.28 to 8.25; p&lt;0.001), 3\u2009months postoperatively 4.40 (95% CI 1.59 to 7.22; p&lt;0.001) and 12 months postoperatively 4.38 (95% CI 1.35 to 7.40; p=0.005)). No socioeconomic factors impacted the change in QuickDASH score from preoperative to 12 months postoperatively in the fully adjusted model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Individuals with low earnings, high sick leave the same year as the surgery and those born outside of Sweden reported more symptoms both before and after surgery, but the relative improvement was not affected by socioeconomic factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-077101","type":"journal-article","created":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T02:10:44Z","timestamp":1702606244000},"page":"e077101","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Effects of socioeconomic status on patient-reported outcome after surgically treated trigger finger: a retrospective national registry-based study"],"prefix":"10.1136","volume":"13","author":[{"given":"Lovisa","family":"Lesand","sequence":"first","affiliation":[{"name":"Department of Translational Medicine - Hand Surgery, Lund University, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1334-3099","authenticated-orcid":false,"given":"Lars B","family":"Dahlin","sequence":"additional","affiliation":[{"name":"Department of Translational Medicine - Hand Surgery, Lund University, Lund, Sweden"},{"name":"Department of Hand Surgery, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden"},{"name":"Department of Biomedical and Clinical Sciences, Link\u00f6ping University, Link\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattias","family":"Rydberg","sequence":"additional","affiliation":[{"name":"Department of Translational Medicine - Hand Surgery, Lund University, Lund, Sweden"},{"name":"Department of Hand Surgery, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9925-3838","authenticated-orcid":false,"given":"Malin","family":"Zimmerman","sequence":"additional","affiliation":[{"name":"Department of Translational Medicine - 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