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Severe carpal tunnel syndrome potentially needing surgical treatment in a general population.

Atroshi, Isam; Gummesson, Christina LU ; Johnsson, Ragnar LU ; McCabe, Steven J and Ornstein, Ewald (2003) In Journal of Hand Surgery 28(4). p.639-644
Abstract
Purpose: To estimate the prevalence of severe carpal tunnel syndrome (CTS) that potentially needs surgical treatment in a general population. Methods: A health-status questionnaire was mailed to a random general population sample of 3,000 subjects (ages, 25-74 y). The responders who reported numbness and/or tingling in the median nerve distribution in the hands were asked to attend a clinical evaluation at which they completed the validated CTS questionnaire and underwent physical examination and nerve conduction tests. The CTS questionnaire measures the severity of symptoms and disability on a scale from 1 (none) to 5 (most severe). The potential need for surgery was defined as CTS symptom severity score of 3.2 or greater or functional... (More)
Purpose: To estimate the prevalence of severe carpal tunnel syndrome (CTS) that potentially needs surgical treatment in a general population. Methods: A health-status questionnaire was mailed to a random general population sample of 3,000 subjects (ages, 25-74 y). The responders who reported numbness and/or tingling in the median nerve distribution in the hands were asked to attend a clinical evaluation at which they completed the validated CTS questionnaire and underwent physical examination and nerve conduction tests. The CTS questionnaire measures the severity of symptoms and disability on a scale from 1 (none) to 5 (most severe). The potential need for surgery was defined as CTS symptom severity score of 3.2 or greater or functional status score of 2.5 or greater (corresponding to median preoperative scores for surgical patients in previous reports). Results: The response rate for the survey was 83%. Of the responders who reported numbness and/or tingling in the median nerve distribution in the hands 81% attended the clinical evaluation. Of the 94 subjects diagnosed with clinically certain CTS, 19 (20%; 12 with electrophysiologically proven median neuropathy) had previously undiagnosed CTS that potentially needed surgical treatment, yielding a population prevalence of 7 per 1,000 (95% confidence interval, 4-11 per 1,000). Conclusions: In a general population there was a 0.7% prevalence of undiagnosed CTS with a severity similar to-that-of patients undergoing surgery. The degree to which variable numbers of this group are drawn into a medical system could account for variations in the rate of surgery performed. (Less)
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organization
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Contribution to journal
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published
subject
keywords
Middle Aged, Male, Human, Health Surveys, Female, Non-U.S. Gov't, Carpal Tunnel Syndrome: surgery, Carpal Tunnel Syndrome: physiopathology, Carpal Tunnel Syndrome: epidemiology, Aged, Sweden: epidemiology, Adult, Needs Assessment, Neural Conduction: physiology, Population Surveillance, Prevalence, Severity of Illness Index, Support
in
Journal of Hand Surgery
volume
28
issue
4
pages
639 - 644
publisher
Elsevier
external identifiers
  • pmid:12877853
  • wos:000184356800015
  • scopus:0043244932
ISSN
1531-6564
DOI
10.1016/S0363-5023(03)00148-5
language
English
LU publication?
yes
id
e9fba09f-3ba8-4f25-9f9d-f0b8c14ec3f1 (old id 121803)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12877853&dopt=Abstract
date added to LUP
2007-07-03 10:25:02
date last changed
2017-05-28 04:27:07
@article{e9fba09f-3ba8-4f25-9f9d-f0b8c14ec3f1,
  abstract     = {Purpose: To estimate the prevalence of severe carpal tunnel syndrome (CTS) that potentially needs surgical treatment in a general population. Methods: A health-status questionnaire was mailed to a random general population sample of 3,000 subjects (ages, 25-74 y). The responders who reported numbness and/or tingling in the median nerve distribution in the hands were asked to attend a clinical evaluation at which they completed the validated CTS questionnaire and underwent physical examination and nerve conduction tests. The CTS questionnaire measures the severity of symptoms and disability on a scale from 1 (none) to 5 (most severe). The potential need for surgery was defined as CTS symptom severity score of 3.2 or greater or functional status score of 2.5 or greater (corresponding to median preoperative scores for surgical patients in previous reports). Results: The response rate for the survey was 83%. Of the responders who reported numbness and/or tingling in the median nerve distribution in the hands 81% attended the clinical evaluation. Of the 94 subjects diagnosed with clinically certain CTS, 19 (20%; 12 with electrophysiologically proven median neuropathy) had previously undiagnosed CTS that potentially needed surgical treatment, yielding a population prevalence of 7 per 1,000 (95% confidence interval, 4-11 per 1,000). Conclusions: In a general population there was a 0.7% prevalence of undiagnosed CTS with a severity similar to-that-of patients undergoing surgery. The degree to which variable numbers of this group are drawn into a medical system could account for variations in the rate of surgery performed.},
  author       = {Atroshi, Isam and Gummesson, Christina and Johnsson, Ragnar and McCabe, Steven J and Ornstein, Ewald},
  issn         = {1531-6564},
  keyword      = {Middle Aged,Male,Human,Health Surveys,Female,Non-U.S. Gov't,Carpal Tunnel Syndrome: surgery,Carpal Tunnel Syndrome: physiopathology,Carpal Tunnel Syndrome: epidemiology,Aged,Sweden: epidemiology,Adult,Needs Assessment,Neural Conduction: physiology,Population Surveillance,Prevalence,Severity of Illness Index,Support},
  language     = {eng},
  number       = {4},
  pages        = {639--644},
  publisher    = {Elsevier},
  series       = {Journal of Hand Surgery},
  title        = {Severe carpal tunnel syndrome potentially needing surgical treatment in a general population.},
  url          = {http://dx.doi.org/10.1016/S0363-5023(03)00148-5},
  volume       = {28},
  year         = {2003},
}