{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T03:09:25Z","timestamp":1793761765457,"version":"4.6.1"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T00:00:00Z","timestamp":1599609600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>Non-surgical treatment is successful in controlling pain and preventing disease progress in treating thumb carpometacarpal arthritis. We used Optum\u2019s de-identified Clinformatics\u00ae Data Mart Databases between 2015 and 2018 to conduct a study of the patient and provider characteristics associated with three types of non-surgical treatment (hand therapy, splinting and corticosteroid injection) prior to surgery. In this population-based cohort study, we found that non-surgical providers were more likely to provide three different types of non-surgical treatments, as compared with hand surgeons. In addition, women and patients with comorbid conditions, including carpal tunnel syndrome, obesity, chronic pain and depression, were less likely to exhaust the available non-surgical management options for thumb carpometacarpal arthritis. Therefore, we suggest that these specific patient populations can potentially benefit from additional non-surgical treatments that may delay or obviate surgery for this disease. These groups are target populations for future efforts to ensure that all patients receive equitable care.<\/jats:p>\n                  <jats:p>Level of evidence: II<\/jats:p>","DOI":"10.1177\/1753193420950600","type":"journal-article","created":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T14:48:28Z","timestamp":1599662908000},"page":"141-145","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Discrepancies in conservative treatment for thumb carpometacarpal arthritis: a comparison between different specialities and patient characteristics"],"prefix":"10.1177","volume":"46","author":[{"given":"Jessica I.","family":"Billig","sequence":"first","affiliation":[{"name":"Department of Surgery, Michigan Medicine, Ann Arbor, MI, USA"},{"name":"VA HSR&D Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA"},{"name":"Section of Plastic Surgery, Michigan Medicine, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert L.","family":"Kane","sequence":"additional","affiliation":[{"name":"Section of Plastic Surgery, Michigan Medicine, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molin","family":"Yue","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin C.","family":"Chung","sequence":"additional","affiliation":[{"name":"Section of Plastic Surgery, Michigan Medicine, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,9,9]]},"reference":[{"key":"bibr1-1753193420950600","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2006.06.004"},{"key":"bibr3-1753193420950600","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000916"},{"key":"bibr4-1753193420950600","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-3912-3"},{"key":"bibr5-1753193420950600","doi-asserted-by":"publisher","DOI":"10.1080\/028443101317149381"},{"key":"bibr6-1753193420950600","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004840"},{"key":"bibr7-1753193420950600","doi-asserted-by":"publisher","DOI":"10.1177\/1558944717717506"},{"key":"bibr8-1753193420950600","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2006.046300"},{"key":"bibr9-1753193420950600","doi-asserted-by":"publisher","DOI":"10.1177\/229255031101900409"},{"key":"bibr10-1753193420950600","doi-asserted-by":"publisher","DOI":"10.1136\/rmdopen-2019-001046"},{"key":"bibr11-1753193420950600","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200407000-00013"},{"key":"bibr12-1753193420950600","doi-asserted-by":"crossref","unstructured":"Hoogendam L, van der Oest MJW, Tsehaie J et\u00a0al. Psychological factors are more strongly associated with pain than radiographic severity in non-invasively treated first carpometacarpal osteoarthritis. Disabil Rehabil. Epub ahead of print 2019: 1\u20136.","DOI":"10.1080\/09638288.2019.1685602"},{"key":"bibr13-1753193420950600","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2018-213826"},{"key":"bibr141-1753193420950600","doi-asserted-by":"crossref","unstructured":"Kolasinski SL, Neogi T, Hochberg MC, et al. 2019 American college of rheumatology\/arthritis foundation guideline for the management of osteoarthritis of the hand, hip, knee. 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