Assessment of the carpal tunnel outcome instrument in patients with nerve-compression symptoms

Assessment of the carpal tunnel outcome instrument in patients with nerve-compression symptoms
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DOI:
10.1016/s0363-5023(97)80155-4
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发表时间:
1997-03-01
影响因子:
1.9
通讯作者:
McCabe, SJ
McCabe, SJ
中科院分区:
医学3区
文献类型:
--
作者:
Atroshi, I;Breidenbach, WC;McCabe, SJ

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医学上的结果运动鼓励了由患者回答的问卷的发展,作为幸福的衡量标准。Levine等人介绍了腕管综合征(CTS)的疾病特异性问卷。1993年。我们对156名连续出现上肢疼痛、麻木或刺痛的新患者进行了问卷调查。其中,114例患者正确填写了腕管成形仪。此外,这些患者还完成了Katz和Stirrat为诊断CTS而开发的自我管理手势图。根据手势将114例患者分为典型或可能CTS(n=47)、可能CTS(n=31)和不太可能CTS(n=36)。被归类为典型或可能CTS的患者的平均症状严重程度评分显著高于被归类为可能或不可能CTS的患者的平均评分(p<.01)。典型或可能的CTS患者与可能或不太可能的CTS患者相比,感觉症状的平均得分显著更高(p<.0001)。CTS患者和非CTS患者在功能状态子量表上的得分相似。
The outcome movement in medicine has encouraged the development of patient-answered questionnaires as measures of well-being. A disease-specific questionnaire for carpal tunnel syndrome (CTS) was introduced by Levine et al. in 1993. We evaluated this questionnaire in 156 consecutive new patients presenting with pain, numbness, or tingling of the upper extremity. Of these, 114 correctly filled out the carpal tunnel outcome instrument. In addition, these patients completed the self-administered hand diagram developed by Katz and Stirrat for the diagnosis of CTS. The 114 patients were classified according to their hand diagram as classic or probable CTS (n = 47), possible CTS (n = 31), and unlikely CTS (n = 36). The mean symptom severity score in patients classified as classic or probable CTS was significantly higher than the mean score in patients classified as possible or unlikely CTS (p < .01). The mean scores of items regarding sensory symptoms were significantly higher in patients with classic or probable CTS compared to patients with possible or unlikely CTS (p < .0001). The scores were similar for CTS and non-CTS patients on the functional status subscale.