Patient-reported outcomes of carpal tunnel syndrome surgery in a non-industrial area

Kogut, Katarzyna; Glinkowski, Wojciech

doi:10.26444/aaem/99004

Cited by 3 publications

(3 citation statements)

References 40 publications

(45 reference statements)

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“…The current work showed that, middle aged patients were affected with female sex predominance by CTS. This is in line with previous studies indicated that, CTS affected the middle-aged females [18][19][20][21] .…”

Section: Discussionsupporting

confidence: 93%

A Clinical Outcome of Median Nerve Neurolysis For the Treatment of Carpal Tunnel Syndrome: Conventional S-Shaped Versus Transwrist Mini-Incision Techniques

Abd-Elghany

2023

International Journal of Medical Arts

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Article informationBackground: Carpal Tunnel Syndrome [CTS] is the commonest entrapment syndrome of peripheral nerves. Many surgical approaches are in use for median nerve release. However, there is no consensus on the optimal approach. The aim of the work:The current work aimed to evaluate the outcome of two surgical approaches: the open longitudinal mini-incision and conventional approach.Methods: This was a retrospective study compared conventional to mini-incision approach for CTS treatment. Ninety patients were included, 45 in each group. The collected data included general patient characteristics, median nerve conduction electrophysiological study, operative and postoperative data.The final assessment at the end of the third postoperative month.Results: Patient's age ranged between 30 and 65 years, and females were predominant in both groups. there were no significant differences between conventional and mini-incision groups regarding patient characteristics, operable side, clinical signs, duration of symptoms, preoperative pain scores, functional scores and electrophysiological results. However, the operative time and incision length were significantly shorter among mini-incision than conventional group [19.02 ± 1.60 vs. 22.53 ± 3.62 minutes and 14.44 ± 2.34 vs. 33.49 ± 3.28 mm]. Patients experiencing surgical wound pain were significantly lower among mini-incision than conventional group [6.7% vs. 24.4%], and pain scores were significantly lower among patients in mini-incision group. Conclusion:The open mini-incision surgical approach for treatment of CTS is as effective as the conventional approach and it had advantages over it [mainly, shorter operative time and better aesthetic results].

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Section: Discussionsupporting

confidence: 93%

A Clinical Outcome of Median Nerve Neurolysis For the Treatment of Carpal Tunnel Syndrome: Conventional S-Shaped Versus Transwrist Mini-Incision Techniques

Abd-Elghany

2023

International Journal of Medical Arts

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“…A number of studies have estimated MIC values for PROMIS measures. However, in light of its increasing use across the world [11][12][13][14][15][16][17][18][19], and the aforementioned confusion in the interpretation literature, additional guidance is needed on interpreting PROMIS change scores.…”

Section: Introductionmentioning

confidence: 99%

Minimal important change (MIC): a conceptual clarification and systematic review of MIC estimates of PROMIS measures

et al. 2021

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We define the minimal important change (MIC) as a threshold for a minimal within-person change over time above which patients perceive themselves importantly changed. There is a lot of confusion about the concept of MIC, particularly about the concepts of minimal important change and minimal detectable change, which questions the validity of published MIC values. The aims of this study were: (1) to clarify the concept of MIC and how to use it; (2) to provide practical guidance for estimating methodologically sound MIC values; and (3) to improve the applicability of PROMIS by summarizing the available evidence on plausible PROMIS MIC values. We discuss the concept of MIC and how to use it and provide practical guidance for estimating MIC values. In addition, we performed a systematic review in PubMed on MIC values of any PROMIS measure from studies using recommended approaches. A total of 50 studies estimated the MIC of a PROMIS measure, of which 19 studies used less appropriate methods. MIC values of the remaining 31 studies ranged from 0.1 to 12.7 T-score points. We recommend to use the predictive modeling method, possibly supplemented with the vignette-based method, in future MIC studies. We consider a MIC value of 2–6 T-score points for PROMIS measures reasonable to assume at this point. For surgical interventions a higher MIC value might be appropriate. We recommend more high-quality studies estimating MIC values for PROMIS.

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“…It could be indicative of the effectiveness of surgical treatment in symptom alleviation, a perspective supported by previous studies like the one conducted by Gerritsen et al (2002), which demonstrated the superiority of surgery in improving symptom severity and functional status over non-surgical treatments in the long term. (21,22) The study's methodology, while robust, is not without its limitations. The reliance on patient-reported outcomes, although valuable for understanding real-world impacts of treatments, can introduce subjectivity and recall bias.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Outcomes of Non-surgical versus Surgical Treatment for Carpal Tunnel Syndrome: An Observational Cohort Study

Khan,

Sharif,

Sajid

et al. 2023

JHRR

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Background: Carpal Tunnel Syndrome (CTS) is a common condition that significantly impacts patients' quality of life and work productivity. While both non-surgical and surgical treatments are employed, there is a lack of consensus regarding the most effective management strategy. Objective: This study aims to compare the outcomes of non-surgical and surgical treatments for CTS, focusing on symptom severity, functional status, and patient satisfaction. Methods: This observational cohort study included 74 participants, with 37 in each treatment group (non-surgical and surgical). Demographic data, including age, gender, occupation, and hand dominance, were recorded. Clinical parameters assessed were duration and severity of CTS symptoms, previous treatments, and comorbid conditions. The non-surgical group underwent treatments like wrist splinting, NSAIDs, and physical therapy, while the surgical group underwent decompression surgery. Outcomes measured included frequency and severity of symptoms, impact on daily activities, and satisfaction with treatment outcomes. Data were analysed using descriptive statistics to compare between groups. Results: The average age was 50 ± 9 years in the non-surgical group and 52 ± 8 years in the surgical group, with a predominance of females in both. The non-surgical group showed higher frequency and severity of symptoms, with daily symptoms reported by 76.1% of patients, compared to 44.4% in the surgical group. Severity of pain was higher in the non-surgical group (5.8 out of 10) than in the surgical group (2.8 out of 10). Satisfaction with surgical outcomes was high, with all patients in the surgical group reporting satisfaction despite a 100% rate of postoperative complications. Conclusion: The study indicates that surgical treatment for CTS may be more effective in reducing symptom severity and improving patient satisfaction compared to non-surgical methods. However, the high rate of postoperative complications in the surgical group necessitates careful consideration and patient counselling regarding treatment choices. Keywords: Carpal Tunnel Syndrome, Non-surgical Treatment, Surgical Treatment, Patient Outcomes, Symptom Severity, Treatment Satisfaction

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Patient-reported outcomes of carpal tunnel syndrome surgery in a non-industrial area

Cited by 3 publications

References 40 publications

A Clinical Outcome of Median Nerve Neurolysis For the Treatment of Carpal Tunnel Syndrome: Conventional S-Shaped Versus Transwrist Mini-Incision Techniques

A Clinical Outcome of Median Nerve Neurolysis For the Treatment of Carpal Tunnel Syndrome: Conventional S-Shaped Versus Transwrist Mini-Incision Techniques

Minimal important change (MIC): a conceptual clarification and systematic review of MIC estimates of PROMIS measures

Long-Term Outcomes of Non-surgical versus Surgical Treatment for Carpal Tunnel Syndrome: An Observational Cohort Study

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