Hand and Wrist Conditions

The standard set

The ICHOM Standard Set for Hand & Wrist Conditions, is the result of hard work by a group of leading physicians, measurement experts, hand surgeons and hand therapists. It represents the outcomes that matter most to adults who have 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 service users.

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).

For more information on implementing this standard set, please click on the button below:

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Standard Set materials have moved to ICHOM Connect and are still available free of charge. Please log in or register to gain access to unlimited ICHOM resources at a single click of a button. There, you can also indicate your interest in receiving updates about and implementing the Standard Set.

Available materials:

  • Flyer – a brief overview of the most important outcomes for patients relating to this ICHOM Standard Set.
  • Reference Guide – a complete overview of the ICHOM Standard Set, including definitions for each measure and selected PROM instruments, time points for collection, and associated risk factors.
  • Data Dictionary – an index of the outcomes and case-mix variables included in the standard set, how to code them, and the information you need to collect when implementing the outcomes in practice.
  • Press Release
  • Published Articles
  • Additional materials

Team that developed this standard

Project team

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

South Korea

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

United Kingdom

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

United States

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

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