Patient-reported outcome after carpal tunnel release for advanced disease

2005 ◽  
Vol 30 (1) ◽  
pp. 184a ◽  
Author(s):  
E.F. Shaw Wilgis
Keyword(s):  
Carpal Tunnel ◽  
Advanced Disease ◽  
Carpal Tunnel Release ◽  
Patient Reported Outcome ◽  
Patient Reported

scholarly journals Open carpal tunnel release and diabetes: a retrospective study using PROMs and national quality registries

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030179 ◽  
Author(s):  
Malin Zimmerman ◽  
Katarina Eeg-Olofsson ◽  
Ann-Marie Svensson ◽  
Mikael Åström ◽  
Marianne Arner ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Patient Reported Outcome ◽  
Residual Symptoms ◽  
Link Type ◽  
National Quality ◽  
Patient Reported ◽  
Patients With Diabetes ◽  
Open Carpal Tunnel Release

ObjectivesTo study patient-reported outcome after open carpal tunnel release (OCTR) for carpal tunnel syndrome (CTS) in patients with or without diabetes using national healthcare quality registries.DesignRetrospective cohort study.SettingData from the Swedish National Quality Registry for Hand Surgery (HAKIR;www.hakir.se) were linked to data from the Swedish National Diabetes Register (NDR;www.ndr.nu).ParticipantsWe identified 9049 patients (10 770 hands) operated for CTS during the inclusion period (2010–2016).Primary outcome measuresPatient-reported outcome measures were analysed before surgery and at 3 and 12 months postoperatively using the QuickDASH as well as the HAKIR questionnaire with eight questions on hand symptoms and disability.ResultsPatients with diabetes (n=1508; 14%) scored higher in the QuickDASH both preoperatively and postoperatively than patients without diabetes, but the total score change between preoperative and postoperative QuickDASH was equal between patients with and without diabetes. The results did not differ between patients with type 1 or type 2 diabetes. Patients with diabetic retinopathy scored higher in QuickDASH at 3 months postoperatively than patients with diabetes without retinopathy. In the regression analysis, diabetes was associated with more residual symptoms at 3 and 12 months postoperatively.ConclusionsPatients with diabetes experience more symptoms both before and after OCTR, but can expect the same relative improvement from surgery as patients without diabetes . Patients with retinopathy, as a proxy for neuropathy, may need longer time for symptoms to resolve after OCTR. Smoking, older age, higher HbA1c levels and receiving a diabetes diagnosis after surgery were associated with more residual symptoms following OCTR.

The Effect of Hand Dominance on Patient-Reported Outcomes of Carpal Tunnel Release in Patients with Bilateral Carpal Tunnel Syndrome

2017 ◽  
Vol 22 (03) ◽  
pp. 303-308
Author(s):  
Qian Ying TANG ◽  
Wei Hong LAI ◽  
Shian Chao TAY
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Complete Resolution ◽  
Carpal Tunnel Release ◽  
Patient Reported Outcome ◽  
Dominant Hand ◽  
Hand Dominance ◽  
Significant Difference ◽  
Patient Reported ◽  
Tunnel Syndrome

Background: There is a paucity of studies in published literature that examines the effect of hand dominance on the resolution of symptoms following a carpal tunnel release. The objective of this study is to examine the effect of hand dominance on the resolution of symptoms following surgical decompression in patients with severe and moderate carpal tunnel syndrome. Methods: Bilateral carpal tunnel release (total 90 open and 84 endoscopic) was performed on 87 patients (11 males, 76 females) presenting with bilateral severe or moderate carpal tunnel syndrome of equal severity. Patient-reported outcome of resolution of symptoms were recorded, with patients followed up until complete resolution of symptoms or last recorded consultation (mean follow-up duration 11.4 months, range 3.1 to 32.4 months). Results: In patients with bilateral severe carpal tunnel syndrome, a larger proportion of non-dominant hand (75.4%) achieved complete resolution compared to dominant hand (72.1%), and did so at a statistically shorter time (mean: 52.3 days) than the dominant hand (mean: 81.0 days). However, there was no statistically significant difference between proportion of patients and time taken before complete resolution of symptoms between dominant and non-dominant hand in patients with bilateral moderate carpal tunnel syndrome. Conclusions: Symptoms in the non-dominant hand resolved faster after carpal tunnel release in patients with severe carpal tunnel syndrome. We postulate that greater daily activity by the dominant hand compared to the non-dominant hand may be a contributing factor to its slower rate of symptoms resolution post-surgically in patients with bilateral severe carpal tunnel syndrome. This effect of hand dominance is not evident in post-surgical patients with moderate carpal tunnel syndrome.

A prognostic model for the patient-reported outcome of surgical treatment of carpal tunnel syndrome

2018 ◽  
Vol 58 (6) ◽  
pp. 784-789 ◽  
Author(s):  
Angela Bowman ◽  
Stephan Rudolfer ◽  
Peter Weller ◽  
Jeremy D. P. Bland
Keyword(s):  
Surgical Treatment ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Prognostic Model ◽  
Patient Reported Outcome ◽  
Patient Reported ◽  
Tunnel Syndrome

The relationship of mental health status to functional outcome and satisfaction after carpal tunnel release

2019 ◽  
Vol 45 (2) ◽  
pp. 147-152 ◽  
Author(s):  
Julian F. Maempel ◽  
Paul J. Jenkins ◽  
Jane E. McEachan
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Carpal Tunnel ◽  
Mental Component Summary ◽  
Short Form ◽  
Carpal Tunnel Release ◽  
Mental Health Status ◽  
Mental Disability ◽  
Level Of Evidence ◽  
Patient Reported

We studied whether mental health status is significantly correlated to patient reported functional outcomes and satisfaction after carpal tunnel release. Over a 7-year period, 809 patients completed Short Form-12 (SF-12) questionnaires which allowed calculation of the SF-12 mental component summary 1 year postoperatively, 780 (96%) completed a satisfaction questionnaire and 777 (96%) completed a QuickDisabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Median QuickDASH score was 55 preoperatively (interquartile range [IQR] 28) and 14 postoperatively (IQR 32). A total of 674 patients were satisfied. Patients with mental disability had worse QuickDASH scores (median 34, IQR 41) and a higher incidence of dissatisfaction (52/245, 21%) than those without mental disability (n = 9, IQR 20, 10%, both p < 0.001). Regression analyses indicated scores in the SF-12 mental component summary were significantly related to postoperative QuickDASH score ( p < 0.001) and satisfaction ( p = 0.02). We concluded that patients with mental disability report poorer outcomes and lower satisfaction rates; however, the majority still exhibit significant improvements and are satisfied. Level of evidence: II

Carpal Tunnel Release for Advanced Disease in Patients 70 Years and Older: Does Outcome from the Patient’s Perspective Justify Surgery?

2001 ◽  
Vol 26 (5) ◽  
pp. 481-483 ◽  
Author(s):  
M. M. TOMAINO ◽  
R. W. WEISER
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Elderly Patients ◽  
Carpal Tunnel ◽  
Advanced Disease ◽  
Carpal Tunnel Release ◽  
Patient’S Perspective ◽  
Retrospective Assessment ◽  
Axon Loss ◽  
Advanced Stages ◽  
Tunnel Syndrome

Because more advanced stages of nerve compression are likely to result in intraneural changes including intrinsic fibrosis and axon loss, we hypothesised that carpal tunnel release for advanced carpal tunnel syndrome might not result in satisfactory resolution of symptoms. We were particularly interested in evaluating a population of elderly patients 70 years and older for whom relief of symptoms is the overwhelming objective of surgery. Our retrospective assessment of symptom resolution and patient satisfaction in 13 patients with advanced carpal tunnel syndrome utilized a validated self-administered questionnaire and revealed minimal symptoms in 11 patients. Although carpal tunnel release is unlikely to result in the total elimination of symptoms when performed in elderly patients with advanced disease, outcome from the patient’s perspective appears to be satisfactory and the surgery quite justified.

Patient-reported outcomes of carpal tunnel release surgery in patients with bilateral severe carpal tunnel syndrome

2017 ◽  
Vol 42 (9) ◽  
pp. 932-936 ◽  
Author(s):  
C. Q. Y. Tang ◽  
S. W. H. Lai ◽  
S. C. Tay
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Complete Resolution ◽  
Patient Reported Outcomes ◽  
Operative Time ◽  
Carpal Tunnel Release ◽  
Level Of Evidence ◽  
Patient Reported ◽  
Tunnel Syndrome ◽  
Carpal Tunnel Release Surgery

This retrospective study examined whether the presenting complaint of numbness is relieved post-operatively in severe carpal tunnel syndrome and also assessed any correlation between outcomes of the first and second procedures in staged bilateral carpal tunnel releases. Carpal tunnel release (60 open and 38 endoscopic) was done in 49 patients with bilateral severe carpal tunnel syndrome. There was complete resolution of numbness post-operatively in 77% ( n = 75) of hands. The median post-operative time before complete resolution of numbness was 21 days (IQR 8 to 21; range 3 to 482). The likelihood of complete resolution of symptoms after the second carpal tunnel release in patients with complete resolution of symptoms after the first carpal tunnel release was 22 (95% CI: 4 to 131) times that of the likelihood of improvement in patients with incomplete resolution of symptoms after the first carpal tunnel release. Level of evidence: IV

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