Pain and numbness one month after carpal tunnel release predict patient-reported outcome measures at sixth months
Pain and numbness one month after carpal tunnel release predict patient-reported outcome measures at sixth months
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腕管松解术后一个月的疼痛和麻木可预测第六个月时患者报告的结果测量
DOI：
10.1080/2000656x.2021.1953041
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发表时间：
2021
影响因子：
1.2
通讯作者：
Nakamura Hiroaki
中科院分区：
文献类型：
--
作者：
Hama Shunpei;Okada Mitsuhiro;Yokoi Takuya;Uemura Takuya;Nakamura Hiroaki
腕管综合征（CTS）的腕管松解（CTR）的结果预测的数量已被报道。然而，一些预测因素是有争议的，很少有研究提到CTR术后早期预后因素。本研究的目的是调查CTR后1个月的疼痛和麻木是否是术后6个月临床结局的早期术后预测因素。在术前和术后1个月使用视觉模拟量表（VAS）评价疼痛和麻木。术后6个月记录每例患者的患者报告结局指标（PROM），包括手臂、肩部和手部快速残疾（QDASH）指标、Hand20问卷和波士顿腕管问卷（BCTQ）。BCTQ包括症状严重程度量表（SSS）和功能状态量表（FSS）。进行多变量线性回归分析以研究VAS评分与PROM之间的相关性。我们回顾性地确定了93例接受开放式腕管松解术（OCTR）或内窥镜下腕管松解术的患者。患者的平均年龄为67.5岁，67例患者（72.0%）为女性。OCTR治疗60例（65.0%）。多因素线性回归分析发现，术后1个月VAS评分的疼痛和麻木与术后6个月QDASH、Hand20、SSS和FSS显著相关。总之，CTR后1个月的疼痛和麻木可预测6个月时的PROM。
A number of outcome predictors for carpal tunnel release (CTR) for carpal tunnel syndrome (CTS) have been reported. However, some predictors are controversial, and few studies have referred to the early postoperative outcome prognostic factors after CTR. The aim of this study was to investigate whether pain and numbness at 1 month post-CTR were early postoperative predictors of clinical outcomes 6 months after surgery. Pain and numbness were evaluated using the visual analog scale (VAS) preoperatively and at 1 month post-surgery. Patient-reported outcome measures (PROMs), including the Quick Disabilities of the Arm, Shoulder and Hand (QDASH) measure, the Hand20 questionnaire and the Boston Carpal Tunnel Questionnaire (BCTQ), were recorded for each patient 6 months after surgery. The BCTQ consisted of the Symptom Severity Scale (SSS) and Functional Status Scale (FSS). Multivariable linear regression analysis was performed to investigate the association between the VAS scores and PROMs. We retrospectively identified 93 patients who underwent open carpal tunnel release (OCTR) or endoscopic carpal tunnel release. The mean age of the patients was 67.5 years, and 67 patients (72.0%) were female. Sixty patients were treated by OCTR (65.0%). With multivariable linear regression analysis, we found that pain and numbness, evaluated with VAS 1 month post-surgery had significant correlations with QDASH, Hand20, SSS and FSS 6 months after surgery. In conclusion, pain and numbness 1 month after CTR predict PROMs at 6 months.
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DOI：
--
发表时间：
2019
期刊：
The Journal of Hand Surgery (Asian-Pacific Volume)
影响因子：
--
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影响因子：
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影响因子：
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