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).

Key:

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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STANDARD SET MATERIALS

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

ICHOM Connect

Team that developed this standard

Project team

Australia

Gregory I. Bain | Flinders University and Flinders Medical Centre

Canada

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

India

S. Raja Sabapathy | Ganga Hospital

Mexico

Martin Iglesias | Instituto Nacional de Ciencias Médicas Nutrición Salvador Zubirán

Netherlands

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

Spain

Marc Garcia-Elias | Kaplan Hand Institute

Sweden

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

Switzerland

Maurizio Calcagni | University Hospital Zurich

Turkey

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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Hand and Wrist Conditions

The standard set

STANDARD SET MATERIALS