The Net Promoter Scores with Friends and Family Test after four hand surgery procedures

J Hand Surg Eur Vol. 2019 Mar;44(3):290-295. doi: 10.1177/1753193418819686. Epub 2018 Dec 19.


The Friends and Family Test, a variant of the Net Promoter Score, was adapted for the National Health Service to evaluate overall patient satisfaction and how likely patients are to recommend an intervention. It ranges from -100 to 100. Positive scores indicate good performance. This study quantifies the scores in 810 patients at a mean of 14 months following four common procedures. The score was 83 for trigger finger release ( n = 103), 68 for carpal tunnel decompression ( n = 467), 62 for surgery for Dupuytren's disease ( n = 224) and 44 for ganglia excision ( n = 16). Our study indicates that these procedures are highly valued and are recommended by patients according to the Friends and Family Test. The results of the Friends and Family Test correlated well with postoperative functional improvement and satisfaction. We conclude from this study that a compound score based on the Friends and Family Test is a useful addition to traditional measures of patient satisfaction. Level of evidence: II.

Keywords: Carpal tunnel decompression; Dupuytren's disease; mucous cysts; patient-reported outcome measures; satisfaction; trigger finger.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Carpal Tunnel Syndrome / surgery
  • Decompression, Surgical
  • Dupuytren Contracture / surgery
  • Female
  • Ganglion Cysts / surgery
  • Humans
  • Male
  • Middle Aged
  • Patient Reported Outcome Measures*
  • Patient Satisfaction / statistics & numerical data*
  • Prospective Studies
  • State Medicine
  • Trigger Finger Disorder / surgery
  • United Kingdom