Screening for Carpal Tunnel Syndrome in Patients on Chronic Hemodialysis

Abstract

<p><strong>Objectives. </strong>To determine the prevalence of carpal tunnel syndrome risk in patients on chronic hemodialysis (HD) using Levine questionnaire for assessment of carpal tunnel syndrome - related symptoms severity and patients’ functional status and to examine the relation of the determined risk with the participants’ demographic, anthropometric and laboratory data.</p><p><strong>Participants and Methods</strong>. This crosssectional study included 78 chronic HD patients at Department for Nephrology in University Hospital Osijek. All participants filled out the Levine questionnaire to examine the severity of carpal tunnel syndrome - related symptoms and their functional state. The participants’ demographic, anthropometric and laboratory data were taken from the medical records and statistically analyzed by SPSS for Windows (version 16.0, SPSS Inc., Chicago, IL, SAD).</p><p><strong>Results. </strong>Risk for carpal tunnel syndrome was found in 38.5% of the participants. No significant differences between patients with and without the risk were found in sex distribution, underlying kidney disease or vascular access. Patients at risk were older (P=0.044) and had higher body mass index (BMI), (t-test, P=0.019). Participants’ age, BMI and predialytic serum urea concentration were independent predictors for carpal tunnel syndrome risk (P=0.033).</p><p><strong>Conclusion</strong>. The prevalence of risk for carpal tunnel syndrome among patients on chronic HD was found in more than one third of patients. Older age, higher BMI and higher predialytic serum urea concentration bear a higher risk. Electromyoneurography is thus often indicated in this population to confirm the diagnosis for consecutive surgical treatment.</p>

Is Smoking Associated with Carpal Tunnel Syndrome? A Meta-Analysis

“…Hospital-based controls are likely to have other latent or undiagnosed diseases. Many studies have shown that the prevalence of CTS is significantly higher, for example, among patients with postmastectomy lymphedema or chronic hemodialysis than among the general population [ 63 , 64 , 65 , 66 ]. Using hospital patients as a control group may underestimate the true association between smoking and CTS.…”

Carpal tunnel syndrome caused by tophi in the superficial flexor tendon: a case report

“…Carpal tunnel syndrome (CTS) is the most common clinical peripheral nerve entrapment syndrome, with the highest incidence among all peripheral nerve entrapment syndromes, usually due to the hyperplasia of the transverse carpal ligament causing compression of the median nerve (1). The disease is common in those who overuse the wrist, most of which are spontaneous, and mild patients with a short course of the disease can mostly relieve symptoms after conservative treatment (2); however, it may also be secondary to fractures and fracture dislocations about the wrist, rheumatoid arthritis, diabetes, ganglion cyst, and dialysis patients (3)(4)(5)(6). In addition, tophi deposition in the flexor tendon sheath can also cause compression of the median nerve, leading to CTS.…”

Effects of Medium Cut-Off Polyarylethersulfone and Polyvinylpyrrolidone Blend Membrane Dialyzers in Hemodialysis Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

“…Hemodialysis patients experiece a variety of bothersome clinical symptoms, such as carpal tunnel syndrome [ 6 , 7 ], restless leg syndrome [ 8 , 9 ], pruritus [ 8 , 10 ], poor appetite [ 8 , 11 , 12 ], anemia [ 13 ], and insomnia [ 14 ]. Some of these symptoms can be explained by the incomplete removal of middle high molecular weight uremic toxins during hemodialysis [ 15 ].…”