01153nas a2200145   4500000000100000008004100001100001400042700001800056700001300074245012600087300001200213490000700225520076100232022001400993       2016                            d1 aGiladi AM1 aRanganathan K1 aChung KC00aMeasuring functional and patient-reported outcomes after treatment of mutilating hand injuries: A global health approach.  a465-4750 v323 a<p>Understanding the global burden of trauma, particularly upper extremity trauma, is necessary in addressing the need for surgical services. Critical to that mission is to understand, and accurately measure, disability and related disability-adjusted life-years from massive upper extremity trauma. The impact of these injuries is magnified when considering that they frequently occur to young people in prime working years. This article discusses these social and medical system issues and reviews components of a comprehensive approach to measuring outcomes after these injuries. Patient-reported outcomes are highlighted. Methods of optimizing outcomes measurements and studies, disability assessments, and associated research are also discussed.</p>
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