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Surgery for carpal tunnel syndrome in patients with and without diabetes-Is there a difference in the frequency of surgical procedures?

Svensson, Anna-Karin LU ; Dahlin, Lars B LU orcid ; Rydberg, Mattias LU orcid ; Perez, Raquel LU and Zimmerman, Malin LU orcid (2024) In PLoS ONE 19(5).
Abstract

Carpal tunnel syndrome (CTS) occurs more often among individuals with diabetes. The aim of this retrospective observational registry study was to examine whether individuals with diabetes and CTS are treated surgically to the same extent as individuals with CTS but without diabetes. Data on CTS diagnosis and surgery were collected from the Skåne Healthcare Register (SHR). A total of 35,105 individuals (age ≥ 18 years) diagnosed with CTS from 2004-2019 were included. Data were matched to the Swedish National Diabetes Register (NDR. Cox regression models were used to calculate the risk of the use of surgical treatment. Of the 35,105 included individuals with a CTS diagnosis, 17,662 (50%) were treated surgically, and 4,966 (14%) had... (More)

Carpal tunnel syndrome (CTS) occurs more often among individuals with diabetes. The aim of this retrospective observational registry study was to examine whether individuals with diabetes and CTS are treated surgically to the same extent as individuals with CTS but without diabetes. Data on CTS diagnosis and surgery were collected from the Skåne Healthcare Register (SHR). A total of 35,105 individuals (age ≥ 18 years) diagnosed with CTS from 2004-2019 were included. Data were matched to the Swedish National Diabetes Register (NDR. Cox regression models were used to calculate the risk of the use of surgical treatment. Of the 35,105 included individuals with a CTS diagnosis, 17,662 (50%) were treated surgically, and 4,966 (14%) had diabetes. A higher number of individuals with diabetes were treated surgically (2,935/4,966, 59%) than individuals without diabetes (14,727/30,139, 49%). In the Cox regression model, diabetes remained a significant risk factor for surgical treatment (PR 1.14 (95% CI 1.11-1.17)). Individuals with type 1 diabetes were more frequently treated surgically (490/757, 65%) than individuals with type 2 diabetes (2,445/4,209, 58%). There was no difference between the sexes and their treatment. The duration of diabetes was also a risk factor for surgical treatment in diabetes type 2, but high HbA1c levels were not. Individuals with diabetes are more likely to be treated surgically for CTS than individuals without diabetes. Individuals with type 1 diabetes are more likely to be treated surgically for CTS than individuals with type 2 diabetes.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Humans, Carpal Tunnel Syndrome/surgery, Male, Female, Middle Aged, Retrospective Studies, Aged, Adult, Diabetes Mellitus, Type 2/complications, Sweden/epidemiology, Registries, Diabetes Mellitus, Type 1/complications, Risk Factors, Proportional Hazards Models
in
PLoS ONE
volume
19
issue
5
article number
e0302219
publisher
Public Library of Science (PLoS)
external identifiers
  • scopus:85192580580
  • pmid:38718087
ISSN
1932-6203
DOI
10.1371/journal.pone.0302219
language
English
LU publication?
yes
id
7949475d-e3fe-4a59-984b-b1b418dcd578
date added to LUP
2024-05-23 07:25:35
date last changed
2024-06-21 05:41:50
@article{7949475d-e3fe-4a59-984b-b1b418dcd578,
  abstract     = {{<p>Carpal tunnel syndrome (CTS) occurs more often among individuals with diabetes. The aim of this retrospective observational registry study was to examine whether individuals with diabetes and CTS are treated surgically to the same extent as individuals with CTS but without diabetes. Data on CTS diagnosis and surgery were collected from the Skåne Healthcare Register (SHR). A total of 35,105 individuals (age ≥ 18 years) diagnosed with CTS from 2004-2019 were included. Data were matched to the Swedish National Diabetes Register (NDR. Cox regression models were used to calculate the risk of the use of surgical treatment. Of the 35,105 included individuals with a CTS diagnosis, 17,662 (50%) were treated surgically, and 4,966 (14%) had diabetes. A higher number of individuals with diabetes were treated surgically (2,935/4,966, 59%) than individuals without diabetes (14,727/30,139, 49%). In the Cox regression model, diabetes remained a significant risk factor for surgical treatment (PR 1.14 (95% CI 1.11-1.17)). Individuals with type 1 diabetes were more frequently treated surgically (490/757, 65%) than individuals with type 2 diabetes (2,445/4,209, 58%). There was no difference between the sexes and their treatment. The duration of diabetes was also a risk factor for surgical treatment in diabetes type 2, but high HbA1c levels were not. Individuals with diabetes are more likely to be treated surgically for CTS than individuals without diabetes. Individuals with type 1 diabetes are more likely to be treated surgically for CTS than individuals with type 2 diabetes.</p>}},
  author       = {{Svensson, Anna-Karin and Dahlin, Lars B and Rydberg, Mattias and Perez, Raquel and Zimmerman, Malin}},
  issn         = {{1932-6203}},
  keywords     = {{Humans; Carpal Tunnel Syndrome/surgery; Male; Female; Middle Aged; Retrospective Studies; Aged; Adult; Diabetes Mellitus, Type 2/complications; Sweden/epidemiology; Registries; Diabetes Mellitus, Type 1/complications; Risk Factors; Proportional Hazards Models}},
  language     = {{eng}},
  number       = {{5}},
  publisher    = {{Public Library of Science (PLoS)}},
  series       = {{PLoS ONE}},
  title        = {{Surgery for carpal tunnel syndrome in patients with and without diabetes-Is there a difference in the frequency of surgical procedures?}},
  url          = {{http://dx.doi.org/10.1371/journal.pone.0302219}},
  doi          = {{10.1371/journal.pone.0302219}},
  volume       = {{19}},
  year         = {{2024}},
}