Surgical Timing for Carpal Tunnel Syndrome: A Comparison of Health Care Delivery in the Veterans Administration and Private Sector

2021 ◽  
Author(s):  
Jessica I. Billig ◽  
Yu-Ting Lu ◽  
Rodney A. Hayward ◽  
Erika D. Sears
Keyword(s):  
Health Care ◽  
Carpal Tunnel Syndrome ◽  
Private Sector ◽  
Health Care Delivery ◽  
Carpal Tunnel ◽  
Care Delivery ◽  
Veterans Administration ◽  
Surgical Timing ◽  
Tunnel Syndrome

scholarly journals Sickness absence and disability pension after carpal tunnel syndrome diagnosis: A register-based study of patients and matched references in Sweden

2021 ◽  
pp. 140349482110027
Author(s):  
Tea Lallukka ◽  
Rahman Shiri ◽  
Kristina Alexanderson ◽  
Jenni Ervasti ◽  
Ellenor Mittendorfer-Rutz ◽  
...  
Keyword(s):  
Health Care ◽  
Carpal Tunnel Syndrome ◽  
Sickness Absence ◽  
Carpal Tunnel ◽  
Disability Pension ◽  
Negative Binomial ◽  
Age Groups ◽  
Negative Binomial Regression ◽  
Sociodemographic Factors ◽  
Tunnel Syndrome

Aims: The aim of this study was to examine sickness absence and disability pension (SA/DP) during working lifespan among individuals diagnosed with carpal tunnel syndrome (CTS) and their matched references, accounting for sociodemographic factors. Methods: We used a register cohort of 78,040 individuals aged 19–60 years when diagnosed with CTS in secondary health care (hospitals and outpatient specialist health care) and their 390,199 matched references from the general population in 2001–2010. Sociodemographic factors and SA/DP net days during a three-year follow-up were included. Negative binomial regression was used. Results: For those not on DP at inclusion, the average number of SA/DP days per person-year was 58 days (95% confidence interval (CI) 56–60 days) among individuals with CTS and 20 days (95% CI 19–21 days) among the matched references. Among both groups, these numbers increased with age and were higher among women than among men. The rate ratio (RR) of SA/DP days was threefold higher among people with CTS than among the matched references (adjusted RR=3.00, 95% CI 2.91–3.10) Moreover, compared to the matched references, the RR for SA/DP was higher among men with CTS (RR=3.86, 95% CI 3.61–4.13) than among women with CTS (RR=2.69, 95% CI 2.59–2.78). The association between CTS and the number of SA/DP days was smaller among older age groups. Sociodemographic factors were similarly associated with SA/DP among people with and without CTS. Conclusions: Numbers of SA/DP days were higher among people with CTS than their matched references in all age groups, particularly among individuals in their early work careers, highlighting public-health relevance of the findings.

Return-to-Work Interval and Surgery for Carpal Tunnel Syndrome. Results of a Prospective Series of 233 Patients

2004 ◽  
Vol 29 (6) ◽  
pp. 568-570 ◽  
Author(s):  
F. CHAISE ◽  
P. BELLEMÈRE ◽  
J. P. FRIL ◽  
E. GAISNE ◽  
P. POIRIER ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Social Security ◽  
Private Sector ◽  
Return To Work ◽  
Carpal Tunnel ◽  
Civil Servants ◽  
Workers Compensation ◽  
Full Time ◽  
Significant Difference ◽  
Tunnel Syndrome

Aim of the study To evaluate the connection between the type of patient insurance and the time taken to return to work after carpal tunnel surgery. Patients and methods Two hundred and thirty-three patients in full-time work were operated on for carpal tunnel syndrome between 1 January and 30 June 1998. They were divided into three groups: independent workers ( n=87), wage earners in the private sector ( n=90) and civil servants ( n=56). Four categories were defined: manual workers, non-manual workers, patients with social security insurance and patients with workers compensation. The average return-to-work interval after surgery for each of the groups was evaluated and compared group by group. Results For independent workers the average time off work is 17 days, for those in the private sector it is 35 days, and for civil servants it is 56 days. Patients with social security insurance were off work for 32 days and those with workers compensation for 49 days. Discussion The comparison shows significant differences with regard to social security insurance: the return-to-work interval in civil servants is larger than for private sector workers, and this is higher than in independent workers. The difference between patients with workers compensation and those with social security insurance is 17 days and significant. There is a significant difference between manual and non-manual workers in independent and private sector workers. There is no significant difference between the sub-groups in the civil servants. These cross references enable us to work out the influence that social security status has on the return-to-work time following surgery.

scholarly journals Prevalence of Carpal Tunnel syndrome among dental health care providers -systematic review protocol

2022 ◽  
Author(s):  
Kalyana Pentapati ◽  
◽  
Deepika Chenna ◽  
Mathangi Kumar ◽  
Medhini Madi ◽  
...  
Keyword(s):  
Health Care ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Health Care Providers ◽  
Carpal Tunnel ◽  
Dental Health ◽  
Ring Finger ◽  
Care Providers ◽  
Dental Health Care ◽  
Tunnel Syndrome

Review question / Objective: What is the prevalence of Carpal Tunnel syndrome among dental health care providers? Condition being studied: Carpal tunnel syndrome is median nerve peripheral neuropathy which causes paresthesia, pain, and numbness in territory of median nerve (thumb, index, middle, and lateral half of the ring finger). Information sources: Pubmed, SCOPUS, EMBASE, CINAHL, Web of Sciences, Dentistry and Oral Science Source from inception to January 1st 2022.

scholarly journals Characteristics of Traditional Chinese Medicine Use for Carpal Tunnel Syndrome

2019 ◽  
Vol 16 (21) ◽  
pp. 4086
Author(s):  
Meng-Chuan Tsai ◽  
Yu-Hsien Kuo ◽  
Chih-Hsin Muo ◽  
Li-Wei Chou ◽  
Chung-Yen Lu
Keyword(s):  
Health Care ◽  
Chinese Medicine ◽  
Carpal Tunnel Syndrome ◽  
Traditional Chinese Medicine ◽  
Carpal Tunnel ◽  
Health Care Use ◽  
Medical Conditions ◽  
Odds Ratios ◽  
Tunnel Syndrome ◽  
Adjusted Model

Carpal tunnel syndrome (CTS) is a common musculoskeletal disorder and an occupational disease caused by repeated exercise or overuse of the hand. We investigated the characteristics of traditional Chinese medicine (TCM) use by practitioners in CTS patients, including demographic variables, socioeconomic status, previous medical conditions, health care use, and hospital characteristics for TCM health care. This cross-sectional study identified 25,965 patients newly diagnosed with CTS based on the first medical diagnosis recorded between 1999 and 2013 in the nationwide representative insurance database of Taiwan. The date of initial CTS diagnosis in outpatient data was defined as the index date, and four patients were excluded because of missing gender-related information. Patients who used TCM care as the first option at their diagnosis were classified as TCM users (n = 677; 2.61%), and all others were TCM non-users (n = 25,288; 97.4%). In the all variables-adjusted model, female patients had an adjusted odds ratio (OR; 95% CI) of TCM use of 1.35 (1.11–1.66). National Health Insurance (NHI) registration was associated with higher odds ratios of TCM use in central, southern, and eastern Taiwan than in northern Taiwan (ORs = 1.43, 1.86, and 1.82, respectively). NHI registration was associated with higher odds ratios of TCM use in rural cities than in urban cities (OR (95% CI) = 1.33 (1.02–1.72)). The TCM group had a 20% less likelihood of exhibiting symptoms, signs, and ill-defined conditions and injury and poisoning. The TCM group had a 56% lower likelihood of having diseases of the musculoskeletal system and connective tissue. Multi-level model outcomes were similar to the results of the all variables-adjusted model, except for the NHI registration outcome in rural and urban cities (OR [95% CI] = 1.33 [0.98–1.81]). Significant associations between the number of TCM visits and TCM use were observed in all logistic regression models. The study presented key demographic characteristics, health care use, and medical conditions associated with TCM use for CTS. Previous experience of TCM use may affect the use of TCM for CTS treatment. This information provides a reference for the allocations of relevant medical resources and health care providers.

scholarly journals Variation in Nonsurgical Services for Carpal Tunnel Syndrome Across a Large Integrated Health Care System

2019 ◽  
Vol 44 (2) ◽  
pp. 85-92.e1 ◽  
Author(s):  
Erika D. Sears ◽  
Esther L. Meerwijk ◽  
Eric M. Schmidt ◽  
Eve A. Kerr ◽  
Kevin C. Chung ◽  
...  
Keyword(s):  
Health Care ◽  
Carpal Tunnel Syndrome ◽  
Health Care System ◽  
Carpal Tunnel ◽  
Integrated Health Care ◽  
Integrated Health ◽  
Integrated Health Care System ◽  
Tunnel Syndrome ◽  
Care System

scholarly journals INSIDEN CARPAL TUNNEL SYNDROME BERDASARKAN ANAMNESIS PADA KARYAWAN BANK DI KOTA BITUNG SULAWESI UTARA

e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Denniel Saerang ◽  
Mieke Kembuan ◽  
Winifred Karema
Keyword(s):  
Health Care ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Descriptive Study ◽  
Cross Sectional ◽  
Life Problems ◽  
Cost Of Health Care ◽  
Tunnel Syndrome ◽  
Bank Employees ◽  
Cross Sectional Design

Abstrak: Carpal Tunnel Syndrome (CTS) is pressure neuropathy against nervous medianus in carpal tunnel on the wrists, exactly on the bottom of the fleksor retinaculum. CTS can occur due to excessive body activities or due to repeated movements including the use of computers. This could result in life problems, such as reduction in productivity of work and also the rising cost of health care. In Indonesia, CTS generally is not specified independently but it is incorporated into the accident of working muscle and bones groups. This study aimed to know the incidence of CTS among employees in Bitung. The was a descriptive study with a cross sectional design. Samples were 47 people who worked in banks: BNI and BCA in Bitung. Data were obtained by using questionnaire. The results showed that the incidence of CTS was found in 28% of bank employees; 13% had right unilateral CTS, 2% had left unilateral CTS, and 13% had bilateral CTS.Keywords: Carpal Tunnel Syndrome, computer, employees of banksAbstrak: Carpal Tunnel Syndrome (CTS) merupakan neuropati tekanan terhadap nervus medianus dalam terowongan karpal pada pergelangan tangan, tepatnya di bawah fleksor retinakulum. CTS dapat terjadi karena aktifitas tubuh yang berlebihan atau karena pergerakan yang berulang termasuk penggunaan komputer. Hal ini dapat mengakibatkan suatu masalah khusus dalam kehidupan, seperti penurunan produktivitas pekerjaan serta meningkatnya biaya untuk kesehatan. Di Indonesia umumnya CTS tidak dispesifikasi sendiri melainkan dimasukkan dalam kecelakaan kerja kelompok otot dan tulang. Penelitian ini bertujuan untuk mengetahui insiden CTS pada karyawan di Kota Bitung. Metode penelitian deskriptif dengan menggunakan rancangan potong lintang. Sampel berjumlah 47 orang yang bekerja di Bank BNI dan BCA di Kota Bitung. Data diperoleh menggunakan kuisioner. Hasil penelitian menunjukkan bahwa insiden CTS ditemukan pada 28% karyawan Bank di kota Bitung: 13% mengalami CTS unilateral kanan, 2% mengalami CTS unilateral kiri, dan 13% mengalami CTS bilateral.Kata kunci: Carpal Tunnel Syndrome, komputer, pekerja Bank BNI & Bank BCA

Sign in / Sign up

Export Citation Format

Share Document