The ICHOM Set of Patient-Centered Outcome Measures for Hand & Wrist Conditions is the result of hard work by a group of leading physicians, measurement experts and patients. It is our recommendation of the outcomes that matter most to patients with hand & wrist conditions. We urge all providers around the world to start measuring these outcomes to better understand how to improve the lives of their patients.

1 Patient-reported outcome
2 Evaluated via Michigan Hand Outcomes Questionnaire (MHQ)/ Patient-Rated Wrist/Hand Evaluation (PRWHE)/ Boston Carpal Tunnel

Questionnaire (BCTQ) and Patient Specific Functional Scale (PSFS)
3 Evaluated via Goniometry and Kapandji Score (only used for the Thumb Track, Nerve Track and Severe Trauma Track where applicable)
4 Evaluated via hand-held dynamometer
5 Evaluated via Lateral/Key Pinch and Tip Pinch (not applicable for the wrist track)
6 Evaluated via Numerical Pain Rating Scale and Michigan Hand Outcomes Questionnaire (MHQ) / Patient-Rated Wrist/Hand Evaluation

(PRWHE)/ Boston Carpal Tunnel Questionnaire (BCTQ)
7 Evaluated via Weinstein Enhanced Sensibility Test (WEST)
8 Evaluated via Cold Intolerance Symptom Severity questionnaire (CISS) 9 Evaluated via Working Group-designed Return to Work tool

10 Evaluated via EQ-5D-5L
11 Evaluated via Working Group-designed satisfaction with treatment results tool
12 Evaluated via modified Clavien-Dindo Classification for hand surgery

13 Report of any repeat operation for the same condition in the same patient due to disease progression or recurrence, or as follow-up to failed previous surgery. Subsequently, description of new / additional treatment, (within final time point of tracks).


In addition to the core set there are 5 track specific tracks for each condition.

A= Regular Thumb Track B=Extended Thumb Track C= Regular Finger Track D= Extended Finger Track E= Regular Wrist Track

F= Extended Wrist Track
G= Regular Nerve Track
H= Extended Nerve Track
I= Severe Hand Trauma Track (a score of >50 in MHISS and evidence of 3> damaged structures are required for allocation to this track).

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All of the basic information you need to implement ICHOM Sets is available in the links above. However, for a faster, more easily integrated process, we offer digitised versions of the Set measures. These are designed for immediate upload to existing EMR systems. This is available as part of our Accreditation package, which recognises your work in putting patient outcomes at the heart of treatment.

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Team that developed this set

Chair | Steven Hovius | Radboud University Medical Centre, Xpert Clinic
Research Fellow | Robbert M. Wouters | Erasmus MC, University Medical Center Rotterdam, Handtherapie Nederland/Xpert Clinic
Programme Manager | Andria Joseph | ICHOM
Director of Standardisation and Latin America | Alethse De la Torre | ICHOM
Research Associate | Adedayo O. Jobi-Odeneye | ICHOM
Research Associate | Christiana Ilesanmi | ICHOM

Gregory I. Bain | Flinders University and Flinders Medical Centre

Christine B. Novak | The Hospital for Sick Children, University of Toronto
Joy MacDermind | University of Western Ontario, Roth McFarlene Hand and Upper Limb Centre, St. Joseph’s Health Centre Occupational Therapists

S. Raja Sabapathy | Ganga Hospital

Martin Iglesias | Instituto Nacional de Ciencias Médicas Nutrición Salvador Zubirán

Lucelle van de Ven – Stevens | Dutch Association The Working Group Occupational Therapists
Ruud W. Selles | Erasmus MC – University Medical Center

Goo Hyun Baek | Seoul National University Hospital, Seoul National University College of Medicine

Marc Garcia-Elias | Kaplan Hand Institute

Lars B Dahlin | Department of Translational Medicine – Hand Surgery, Lund University.

Maurizio Calcagni | University Hospital Zurich

Çiğdem Öksüz
Gürsel Leblebicioğlu

Christina Jerosch-Herold | University of East Anglia
David Warwick | University Hospital Southampton
Ryan W Trickett | Cardiff and Vale University Health Board

Alexander Y. Shin | Mayo Clinic
Kevin C. Chung | University of Michigan Medical School

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