Advanced

Incidence of referred carpal tunnel syndrome and carpal tunnel release surgery in the general population : Increase over time and regional variations

Tadjerbashi, Kamelia LU ; Åkesson, Anna and Atroshi, Isam LU (2019) In Journal of Orthopaedic Surgery 27(1).
Abstract

Purpose: To investigate the change in incidence of referred carpal tunnel syndrome (CTS) and carpal tunnel release (CTR) surgery over time and regional variations. Methods: From the nationwide patient registry, we identified all adult individuals who had received first-time CTS diagnosis (International Classification of Diseases, 10th Revision code G560) at secondary or tertiary level and first-time CTR surgery during the period of 9 years. Results: From 2001 through 2009, the incidence (per 100,000 person-years) of CTS diagnosed at secondary or tertiary level increased from 216 to 243 in women and from 95 to 119 in men and of CTR from 117 to 168 in women and from 52 to 78 in men. The mean annual increase in first-time CTR (95%... (More)

Purpose: To investigate the change in incidence of referred carpal tunnel syndrome (CTS) and carpal tunnel release (CTR) surgery over time and regional variations. Methods: From the nationwide patient registry, we identified all adult individuals who had received first-time CTS diagnosis (International Classification of Diseases, 10th Revision code G560) at secondary or tertiary level and first-time CTR surgery during the period of 9 years. Results: From 2001 through 2009, the incidence (per 100,000 person-years) of CTS diagnosed at secondary or tertiary level increased from 216 to 243 in women and from 95 to 119 in men and of CTR from 117 to 168 in women and from 52 to 78 in men. The mean annual increase in first-time CTR (95% confidence interval) was 5.1% (4.7–5.4) in women and 6.2% (5.6–6.7) in men. The age-standardized 3-year (2007–2009) incidence varied significantly across Sweden’s 21 counties; compared to the county with the lowest incidence of CTR, the incidence rates in the other counties were higher by 6–152% (mean 60%) in women and by 20–182% (mean 85%) in men. The proportion of CTS-diagnosed individuals treated with surgery varied across counties from 53% to 81% in women and from 51% to 77% in men. Conclusion: The incidence of referred CTS and of CTR surgery increased over time in both sexes, with large regional variations found in the incidence rates and in the proportion of individuals treated with surgery.

(Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
carpal tunnel syndrome, epidemiology, incidence, regional variations
in
Journal of Orthopaedic Surgery
volume
27
issue
1
publisher
Hong Kong Academy of Medicine Press
external identifiers
  • scopus:85061207839
ISSN
1022-5536
DOI
10.1177/2309499019825572
language
English
LU publication?
yes
id
78904b67-d6af-4ba9-99d8-25a815b3db7d
date added to LUP
2019-02-20 10:32:27
date last changed
2019-10-08 03:46:53
@article{78904b67-d6af-4ba9-99d8-25a815b3db7d,
  abstract     = {<p>Purpose: To investigate the change in incidence of referred carpal tunnel syndrome (CTS) and carpal tunnel release (CTR) surgery over time and regional variations. Methods: From the nationwide patient registry, we identified all adult individuals who had received first-time CTS diagnosis (International Classification of Diseases, 10th Revision code G560) at secondary or tertiary level and first-time CTR surgery during the period of 9 years. Results: From 2001 through 2009, the incidence (per 100,000 person-years) of CTS diagnosed at secondary or tertiary level increased from 216 to 243 in women and from 95 to 119 in men and of CTR from 117 to 168 in women and from 52 to 78 in men. The mean annual increase in first-time CTR (95% confidence interval) was 5.1% (4.7–5.4) in women and 6.2% (5.6–6.7) in men. The age-standardized 3-year (2007–2009) incidence varied significantly across Sweden’s 21 counties; compared to the county with the lowest incidence of CTR, the incidence rates in the other counties were higher by 6–152% (mean 60%) in women and by 20–182% (mean 85%) in men. The proportion of CTS-diagnosed individuals treated with surgery varied across counties from 53% to 81% in women and from 51% to 77% in men. Conclusion: The incidence of referred CTS and of CTR surgery increased over time in both sexes, with large regional variations found in the incidence rates and in the proportion of individuals treated with surgery.</p>},
  author       = {Tadjerbashi, Kamelia and Åkesson, Anna and Atroshi, Isam},
  issn         = {1022-5536},
  keyword      = {carpal tunnel syndrome,epidemiology,incidence,regional variations},
  language     = {eng},
  number       = {1},
  publisher    = {Hong Kong Academy of Medicine Press},
  series       = {Journal of Orthopaedic Surgery},
  title        = {Incidence of referred carpal tunnel syndrome and carpal tunnel release surgery in the general population : Increase over time and regional variations},
  url          = {http://dx.doi.org/10.1177/2309499019825572},
  volume       = {27},
  year         = {2019},
}