{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:15:53Z","timestamp":1777662953380,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Thelma Zoegas Fundation"},{"name":"Regional Agreement on Medical Training and Clinical Research (ALF) between Region Sk\u00e5ne and Lund University."},{"DOI":"10.13039\/501100008546","name":"Diabetesf\u00f6rbundet","doi-asserted-by":"publisher","award":["DIA2020-492"],"award-info":[{"award-number":["DIA2020-492"]}],"id":[{"id":"10.13039\/501100008546","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/sk\u00e5nes","name":"sk\u00e5nes universitetssjukhus","doi-asserted-by":"publisher","id":[{"id":"10.13039\/sk\u00e5nes","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Trigger finger surgery typically has a successful outcome, also in patients with diabetes mellitus (DM). However, the impact of glycemic control on long-term outcomes after open trigger finger release (OTFR) remains unclear. This study examines whether high hemoglobin A\n                      <jats:sc>1c (<\/jats:sc>\n                      HbA\n                      <jats:sc>1c)<\/jats:sc>\n                      levels affect patient-reported outcome (PRO) following OTFR in individuals with type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Data from 2010 to 2020 were sourced from the Swedish national quality register for hand surgery (HAKIR) and cross-linked with the Swedish National Diabetes Register. Adults \u226518 years undergoing OTFR were included. Patient-reported outcomes were assessed using the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) and HAKIR Questionnaire-8 (HQ-8) questionnaires (evaluating stiffness, pain, and satisfaction) preoperatively and at 3 and 12 months postsurgery. Participants were stratified into tertiles based on mean HbA\n                      <jats:sc>1c<\/jats:sc>\n                      : \u201coptimal control\u201d (\u226448 mmol\/mol), \u201cacceptable control\u201d (48.1-64 mmol\/mol), and \u201cpoor control\u201d (&gt;64 mmol\/mol). Linear mixed model regression, adjusted for sex, age, DM duration, smoking, mean arterial pressure, body mass index, and physical activity, analyzed outcomes over time, using \u201cacceptable control\u201d group as reference. To adjust for multiple comparisons, a Bonferroni correction was used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In total, 496 individuals with T1DM and 869 individuals with T2DM underwent OTFR and were registered in HAKIR. Of these, 53% (n = 710) answered at least 1 questionnaire. There was no difference in QuickDASH nor the studied HQ-8 between the different HbA\n                      <jats:sc>1c<\/jats:sc>\n                      groups at 12 months, neither in individuals with T1DM nor T2DM.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      Poor glycemic control was not associated with worse PRO 12 months after OTFR. Thus, for long-term outcome, preoperative HbA\n                      <jats:sc>1c<\/jats:sc>\n                      testing does not seem to be necessary.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447261424448","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T06:21:48Z","timestamp":1773728508000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["HbA\n                    <scp>1c<\/scp>\n                    Levels Do Not Affect Long-Term Outcome After Open Trigger Finger Release in Individuals With Diabetes Mellitus"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8249-8660","authenticated-orcid":false,"given":"Mattias","family":"Rydberg","sequence":"first","affiliation":[{"name":"Department of Translational Medicine \u2013 Hand Surgery, Lund University, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3376-4707","authenticated-orcid":false,"given":"Katarina","family":"Eeg-Olofsson","sequence":"additional","affiliation":[{"name":"National Diabetes Register, Centre of Registers, Gothenburg, Sweden"},{"name":"Department of Medicine, Sahlgrenska University Hospital, Univeristy of Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne","family":"Arner","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"issue":"6","key":"e_1_3_3_2_2","article-title":"Patient experiences after open trigger finger release in patients with type 1 and type 2 diabetes\u2014a retrospective study using patient-reported outcome measures","volume":"11","author":"Rydberg M","year":"2023","unstructured":"Rydberg M, Zimmerman M, Gotts\u00e4ter A, et al. Patient experiences after open trigger finger release in patients with type 1 and type 2 diabetes\u2014a retrospective study using patient-reported outcome measures. 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