دورية أكاديمية
أعرض في EDS

Appropriateness of carpal tunnel syndrome management compared with the AAOS appropriate use criteria: A retrospective review across various specialties.

التفاصيل البيبلوغرافية
العنوان: Appropriateness of carpal tunnel syndrome management compared with the AAOS appropriate use criteria: A retrospective review across various specialties.
المؤلفون: Salman LA; Orthopedic Surgery Department, Hamad General Hospital, Hamad Medical Corporation, PO Box 3050, Doha, Qatar.; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Windmill Road, Oxford, OX3 7LD, UK., Omari RY; Plastic and Reconstructive Surgery Department, Hamad General Hospital, Hamad Medical Corporation, PO Box 3050, Doha, Qatar., Moghamis IS; Orthopedic Surgery Department, Hamad General Hospital, Hamad Medical Corporation, PO Box 3050, Doha, Qatar., Hantouly AT; Orthopedic Surgery Department, Hamad General Hospital, Hamad Medical Corporation, PO Box 3050, Doha, Qatar., Ahmed G; Orthopedic Surgery Department, Hamad General Hospital, Hamad Medical Corporation, PO Box 3050, Doha, Qatar.
المصدر: Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2022 Jul 12; Vol. 80, pp. 104140. Date of Electronic Publication: 2022 Jul 12 (Print Publication: 2022).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Country of Publication: England NLM ID: 101616869 Publication Model: eCollection Cited Medium: Print ISSN: 2049-0801 (Print) Linking ISSN: 20490801 NLM ISO Abbreviation: Ann Med Surg (Lond) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2023- : [London] : Wolters Kluwer
Original Publication: London : Surgical Associates Ltd., 2012-
مستخلص: Purpose: Carpal tunnel syndrome (CTS) is a common peripheral nerve entrapment disorder among adults that causes upper-extremity disability. The American Academy of Orthopedic Surgeons (AAOS) developed an evidence-based appropriate use criteria (AUC) for the management of CTS. This study aimed to assess the appropriateness of our practice and the usability of the AUC through comparing the actual management provided at our institution with that recommended by the AUC.
Methods: A retrospective review of the electronic medical records at our hospital was performed between 1 Jan 2016 and 31 Dec 2019. Data were collected by two authors independently. The collected data were input into the AUC application to determine the rate of the appropriateness of the treatments. Afterwards, the agreement between the actual treatment provided and the AUC recommendation was assessed. The primary outcome was the appropriateness rate. Descriptive statistics such as the mean, range and percentage were used to summarize the patients' demographics and treatment options.
Results: There were 127 patients (169 interventions), with a mean age of 50.18 years (range, 24-85 years). Most of the included patients were females, 78% (99). Obesity was the most frequent risk factor 64.5% (82), and bilateral wrist involvement was the most common presentation 58% (74). The overall appropriateness rate and agreement with the AUC recommendations among all interventions was 84%. A sub-analysis of carpal tunnel surgical release across different surgical specialities showed appropriateness rates of 88%, 89%, 54% in orthopaedic surgery, neurosurgery and plastic surgery teams, respectively (Chi 2 19.54, P-Value 0.000613).
Conclusion: This study demonstrated that most of the treatments provided at our institution were appropriate and in agreement with the AUC recommendations. Additionally, the AUC for carpal tunnel syndrome is a valuable and practical tool that can be applied in clinical settings.
Level of Evidence: Retrospective study, level IV.
Competing Interests: None.
(© 2022 The Authors.)
References: Int J Clin Rheumtol. 2010 Feb;5(1):129-142. (PMID: 20490348)
J Hand Ther. 2004 Apr-Jun;17(2):210-28. (PMID: 15162107)
Joint Bone Spine. 2018 Oct;85(5):545-552. (PMID: 29154980)
J Orthop Surg Res. 2011 Apr 11;6:17. (PMID: 21477381)
Muscle Nerve. 2011 Oct;44(4):597-607. (PMID: 21922474)
JAMA. 1999 Jul 14;282(2):153-8. (PMID: 10411196)
Cochrane Database Syst Rev. 2008 Oct 08;(4):CD001552. (PMID: 18843618)
Muscle Nerve. 2018 Oct;58(4):497-502. (PMID: 29665085)
J Hand Surg Am. 2006 Jul-Aug;31(6):919-24. (PMID: 16886290)
J Clin Med. 2021 Jun 18;10(12):. (PMID: 34207345)
Arthritis Rheum. 2005 Feb;52(2):612-9. (PMID: 15692981)
Int Orthop. 2021 Nov;45(11):2805-2810. (PMID: 34402950)
AJR Am J Roentgenol. 2021 Aug;217(2):460-468. (PMID: 32876476)
Cardiovasc Intervent Radiol. 2021 Jun;44(6):976-981. (PMID: 33629135)
Int J Surg. 2021 Dec;96:106165. (PMID: 34774726)
Knee Surg Sports Traumatol Arthrosc. 2020 Jul;28(7):2077-2081. (PMID: 32144478)
PM R. 2013 May;5(5 Suppl):S14-21. (PMID: 23542773)
Plast Reconstr Surg. 2017 Aug;140(2):338-347. (PMID: 28746281)
Eur J Orthop Surg Traumatol. 2022 Feb;32(2):219-227. (PMID: 33783631)
Ulster Med J. 2008 Jan;77(1):6-17. (PMID: 18269111)
فهرسة مساهمة: Keywords: AUC; Appropriateness; Carpal tunnel syndrome; Hand surgery: AAOS; Management
تواريخ الأحداث: Date Created: 20220901 Latest Revision: 20220907
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC9422078
DOI: 10.1016/j.amsu.2022.104140
PMID: 36045855
قاعدة البيانات: MEDLINE
الوصف
تدمد:2049-0801
DOI:10.1016/j.amsu.2022.104140