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Efforts should be made to ensure that patients with CTS receive essential care processes including necessary surgery and activity assessment and management. Muscle Nerve 57: 896-904, 2018.

Objective-To evaluate the quality of care provided to individuals with workers' compensation claims related to CTS and identify patient characteristics associated with receiving better care.Methods-We recruited subjects with new claims for CTS from 30 occupational clinics affiliated with Kaiser Permanente Northern California. We applied 45 process-oriented quality measures to 477 subjects' medical records, and performed multivariate logistic regression to identify patient characteristics associated with quality. Craig Conlon served as site principal investigator, overseeing data collection and providing input on issues related to care for CTS and workers' compensation. Michael Robbins oversaw statistical analyses. Michael Dworsky provided input on issues related to workers' compensation and assisted with data analysis and interpretation. Julie Lai and Rachana performed statistical analyses. Carol P. Roth assisted with the design of and oversaw the completion of the medical record reviews. Seth Seabury and John Adams contributed to study design, analytical methods, and interpretation of results. Barbara Levitan assisted with the design of and oversaw the completion of the surveys. Author Access to Data: All authors had access to study data. Payment for the Work: All authors received payment for the work, except John Adams, who donated his time. Results Potential Conflicts of Interest:The authors have no other potential conflicts of interest to report. Conclusions-Care processes for work-associated CTS frequently adhered to quality measures. Clinical factors were more strongly associated with quality than demographic and socioeconomic ones. HHS Public Access