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Patient satisfaction and return to work after endoscopic carpal tunnel surgery

Atroshi, Isam LU ; Johnsson, Ragnar LU and Ornstein, Ewald LU (1998) In Journal of Hand Surgery 23(1). p.58-65
Abstract
One hundred twenty-eight patients with idiopathic carpal tunnel syndrome were evaluated before surgery and 3 and 6 months after unilateral endoscopic carpal tunnel release. The variables analyzed included patient demographics, symptoms and signs, activities of daily living (ADL), sensibility and strength measurements, preoperative distal motor latency of the median nerve, operating surgeon, postoperative palmar pain and tenderness, return to work, and patient satisfaction with the results of surgery. Multivariate statistical analyses were performed, with patient satisfaction at 6 months after surgery and the time until return to work after surgery as the dependent variables. On stepwise logistic regression analysis of all preoperative... (More)
One hundred twenty-eight patients with idiopathic carpal tunnel syndrome were evaluated before surgery and 3 and 6 months after unilateral endoscopic carpal tunnel release. The variables analyzed included patient demographics, symptoms and signs, activities of daily living (ADL), sensibility and strength measurements, preoperative distal motor latency of the median nerve, operating surgeon, postoperative palmar pain and tenderness, return to work, and patient satisfaction with the results of surgery. Multivariate statistical analyses were performed, with patient satisfaction at 6 months after surgery and the time until return to work after surgery as the dependent variables. On stepwise logistic regression analysis of all preoperative variables, significant predictors of patient dissatisfaction at 6 months after surgery were higher age, heavy vibration exposure, worse ADL score, and better distal motor latency. Analysis of all preoperative and 3-month postoperative variables showed heavy vibration exposure, better distal motor latency, and worse 3-month postoperative ADL score to have the strongest independent correlation with patient dissatisfaction at 6 months. No significant independent association was found between any of the preoperative variables studied and the length of time until return to work after surgery. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Hand Surgery
volume
23
issue
1
pages
58 - 65
publisher
Elsevier
external identifiers
  • scopus:0032467774
ISSN
1531-6564
DOI
10.1016/S0363-5023(98)80090-7
language
English
LU publication?
yes
id
d87aa914-5062-435c-bc3f-61301578e723 (old id 1296564)
date added to LUP
2009-07-31 12:39:08
date last changed
2017-04-09 04:13:21
@article{d87aa914-5062-435c-bc3f-61301578e723,
  abstract     = {One hundred twenty-eight patients with idiopathic carpal tunnel syndrome were evaluated before surgery and 3 and 6 months after unilateral endoscopic carpal tunnel release. The variables analyzed included patient demographics, symptoms and signs, activities of daily living (ADL), sensibility and strength measurements, preoperative distal motor latency of the median nerve, operating surgeon, postoperative palmar pain and tenderness, return to work, and patient satisfaction with the results of surgery. Multivariate statistical analyses were performed, with patient satisfaction at 6 months after surgery and the time until return to work after surgery as the dependent variables. On stepwise logistic regression analysis of all preoperative variables, significant predictors of patient dissatisfaction at 6 months after surgery were higher age, heavy vibration exposure, worse ADL score, and better distal motor latency. Analysis of all preoperative and 3-month postoperative variables showed heavy vibration exposure, better distal motor latency, and worse 3-month postoperative ADL score to have the strongest independent correlation with patient dissatisfaction at 6 months. No significant independent association was found between any of the preoperative variables studied and the length of time until return to work after surgery.},
  author       = {Atroshi, Isam and Johnsson, Ragnar and Ornstein, Ewald},
  issn         = {1531-6564},
  language     = {eng},
  number       = {1},
  pages        = {58--65},
  publisher    = {Elsevier},
  series       = {Journal of Hand Surgery},
  title        = {Patient satisfaction and return to work after endoscopic carpal tunnel surgery},
  url          = {http://dx.doi.org/10.1016/S0363-5023(98)80090-7},
  volume       = {23},
  year         = {1998},
}