scholarly journals Assessing the Value of High-Quality Care for Work-Associated Carpal Tunnel Syndrome in a Large Integrated Health Care System: Study Design

2016 ◽  
Author(s):  
Craig Conlon
Keyword(s):  
Health Care ◽  
Carpal Tunnel Syndrome ◽  
Health Care System ◽  
Study Design ◽  
Carpal Tunnel ◽  
Quality Care ◽  
System Study ◽  
High Quality ◽  
Integrated Health Care System ◽  
Tunnel Syndrome

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 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.

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.

Physicians??? Assessments of Their Ability to Provide High-Quality Care in a Changing Health Care System

Medical Care ◽  
2001 ◽  
Vol 39 (3) ◽  
pp. 254-269 ◽  
Author(s):  
James Reschovsky ◽  
Marie Reed ◽  
David Blumenthal ◽  
Bruce Landon
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Quality Care ◽  
High Quality ◽  
High Quality Care ◽  
Care System

Italian multicentre study of carpal tunnel syndrome: study design

1998 ◽  
Vol 19 (5) ◽  
pp. 285-289 ◽  
Author(s):  
L. Padua ◽  
R. Padua ◽  
M. LoMonaco ◽  
E. Romanini ◽  
P. Tonali ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Multicentre Study ◽  
Study Design ◽  
Carpal Tunnel ◽  
Tunnel Syndrome

scholarly journals Effect of custom-made and prefabricated orthoses on grip strength in persons with carpal tunnel syndrome

2013 ◽  
Vol 38 (3) ◽  
pp. 193-198 ◽  
Author(s):  
Maja Mlakar ◽  
Nerrolyn Ramstrand ◽  
Helena Burger ◽  
Gaj Vidmar
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Grip Strength ◽  
Study Design ◽  
Carpal Tunnel ◽  
Clinical Relevance ◽  
Neutral Position ◽  
Wrist Position ◽  
Affected Side ◽  
Custom Made ◽  
Tunnel Syndrome

Background: Based on the literature, patients with carpal tunnel syndrome are suggested to wear a custom-made wrist orthosis immobilizing the wrist in a neutral position. Many prefabricated orthoses are available on the market, but the majority of those do not assure neutral wrist position. Objectives: We hypothesized that the use of orthosis affects grip strength in persons with carpal tunnel syndrome in a way that supports preference for custom-made orthoses with neutral wrist position over prefabricated orthoses. Study design: Experimental. Methods: Comparisons of grip strength for three types of grips (cylindrical, lateral, and pinch) were made across orthosis types (custom-made, prefabricated with wrist in 20° of flexion, and none) on the affected side immediately after fitting, as well as between affected side without orthosis and nonaffected side. Results: Orthosis type did not significantly affect grip strength ( p = 0.661). Cylindrical grip was by far the strongest, followed by lateral and pinch grips ( p < 0.050). The grips of the affected side were weaker than those of the nonaffected side ( p = 0.002). Conclusions: In persons with carpal tunnel syndrome, neither prefabricated orthoses with 20° wrist extension nor custom-made wrist orthoses with neutral wrist position influenced grip strength of the affected hand. Compared to the nonaffected side, the grips of the affected side were weaker. Clinical relevance The findings from this study can be used to guide application of orthoses to patients with carpal tunnel syndrome.

scholarly journals Progesterone - new therapy in mild carpal tunnel syndrome? Study design of a randomized clinical trial for local therapy

2014 ◽  
Vol 05 (01) ◽  
pp. e124-e130 ◽  
Author(s):  
Paolo Milani ◽  
Mauro Mondelli ◽  
Federica Ginanneschi ◽  
Riccardo Mazzocchio ◽  
Alessandro Rossi
Keyword(s):  
Clinical Trial ◽  
Carpal Tunnel Syndrome ◽  
Randomized Clinical Trial ◽  
Study Design ◽  
Carpal Tunnel ◽  
Local Therapy ◽  
New Therapy ◽  
Tunnel Syndrome
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