Measurement properties of the EuroQoL EQ-5D-5L to assess quality of life in patients undergoing carpal tunnel release

2016 ◽  
Vol 41 (9) ◽  
pp. 957-962 ◽  
Author(s):  
C. Marti ◽  
S. Hensler ◽  
D. B. Herren ◽  
K. Niedermann ◽  
M. Marks

The objective of this study was to investigate the measurement properties of the EuroQol EQ-5D-5L questionnaire (EQ-5D-5L). A total of 60 patients with carpal tunnel syndrome completed the EQ-5D-5L twice before surgical decompression and once more 6 weeks after surgery. In addition, they filled out the Short Form 12 and Michigan Hand Outcomes Questionnaire at the baseline and postoperative follow-up examinations. Test–retest reliability was excellent with an intraclass correlation coefficient of 0.81. Internal consistency was high with Cronbach’s alpha of 0.83. Good validity of the EQ-5D-5L was indicated by correlations of r = 0.7 and r = 0.5 with the Short Form 12 and Michigan Hand Outcomes Questionnaire, respectively. Moderate responsiveness was shown by an effect size of 0.5. The minimal important change was 0.09 points. Overall, the EQ-5D-5L demonstrates sound measurement properties and can be recommended as a suitable tool to assess quality of life in patients with carpal tunnel syndrome. Level of evidence: I

2009 ◽  
Vol 14 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Toshiro Itsubo ◽  
Shigeharu Uchiyama ◽  
Toshimitsu Momose ◽  
Takashi Yasutomi ◽  
Toshihiko Imaeda ◽  
...  

1999 ◽  
Vol 24A (2) ◽  
pp. 0398-0404 ◽  
Author(s):  
Isam Atroshi ◽  
Christina Gummesson ◽  
Ragnar Johnsson ◽  
Anna Sprinchorn

2019 ◽  
Vol 132 (1) ◽  
pp. 52-55
Author(s):  
Nicolas Anthony Damms ◽  
Lucy Moira McCallum ◽  
Ptolemaios Georgios Sarrigiannis ◽  
Panagiotis Zis

2019 ◽  
Vol 45 (3) ◽  
pp. 250-254 ◽  
Author(s):  
Paul H. C. Stirling ◽  
Thomas F. M. Yeoman ◽  
Andrew D. Duckworth ◽  
Nicholas D. Clement ◽  
Paul J. Jenkins ◽  
...  

This prospective single-centre study describes the functional outcomes, satisfaction and health-related quality of life after open revision carpal tunnel decompression for recurrent carpal tunnel syndrome. The QuickDASH, patient satisfaction and EuroQol-5 dimensions questionnaires were collected preoperatively and postoperatively over a 5-year period (2013–2018). The median time to revision was 13.3 years (range 3.9–35.4 years; interquartile range 7.2–15.9 years). Outcomes were available for 14 hands in 13 patients at a mean of 20 months after revision surgery. The mean preoperative and postoperative QuickDASH scores were 55 and 29, respectively, and the mean improvement in QuickDASH was 26. The mean improvement in EuroQol-5 dimensions score was 0.1, and 13 of the 14 patients were satisfied. The net promoter score was 85. This study confirms that patients undergoing revision open carpal tunnel decompression for recurrent carpal tunnel syndrome experience a significant improvement in function and health-related quality of life. Level of evidence: IV


BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017732 ◽  
Author(s):  
Christina Jerosch-Herold ◽  
Julie Houghton ◽  
Julian Blake ◽  
Anum Shaikh ◽  
Edward CF Wilson ◽  
...  

ObjectivesThe Prediciting factors for response to treatment in carpal tunnel syndrome (PALMS) study is designed to identify prognostic factors for outcome from corticosteroid injection and surgical decompression for carpal tunnel syndrome (CTS) and predictors of cost over 2 years. The aim of this paper is to explore the cross-sectional association of baseline patient-reported and clinical severity with anxiety, depression, health-related quality of life and costs of CTS in patients referred to secondary care.MethodsProspective, multicentre cohort study initiated in 2013. We collected baseline data on patient-reported symptom severity (CTS-6), psychological status (Hospital Anxiety and Depression Scale), hand function (Michigan Hand Questionnaire) comorbidities, EQ-5D-3L (3-level version of EuroQol-5 dimension) and sociodemographic variables. Nerve conduction tests classified patients into five severity grades (mild to very severe). Data were analysed using a general linear model.Results753 patients with CTS provided complete baseline data. Multivariable linear regression adjusting for age, sex, ethnicity, duration of CTS, smoking status, alcohol consumption, employment status, body mass index and comorbidities showed a highly statistically significant relationship between CTS-6 and anxiety, depression and the EQ-5D (p<0.0001 in each case). Likewise, a significant relationship was observed between electrodiagnostic severity and anxiety (p=0.027) but not with depression (p=0.986) or the EQ-5D (p=0.257). National Health Service (NHS) and societal costs in the 3 months prior to enrolment were significantly associated with self-reported severity (p<0.0001) but not with electrodiagnostic severity.ConclusionsPatient-reported symptom severity in CTS is significantly and positively associated with anxiety, depression, health-related quality of life, and NHS and societal costs even when adjusting for age, gender, body mass index, comorbidities, smoking, drinking and occupational status. In contrast, there is little or no evidence of any relationship with objectively derived CTS severity. Future research is needed to understand the impact of approaches and treatments that address psychosocial stressors as well as biomedical factors on relief of symptoms from carpal tunnel syndrome.


2021 ◽  
Vol 429 ◽  
pp. 118420
Author(s):  
Jyoti Gautam ◽  
Madhu Nagappa ◽  
Partha Haldar ◽  
Meeka Khanna ◽  
Doniparthi Seshagiri ◽  
...  

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