Title |
Changes in treatment plan for carpal tunnel syndrome based on electrodiagnostic test results
|
---|---|
Published in |
Journal of Hand Surgery (European Volume), August 2013
|
DOI | 10.1177/1753193413497903 |
Pubmed ID | |
Authors |
S. J. E. Becker, H. S. Makanji, D. Ring |
Abstract |
This study evaluated how often the treatment plan for carpal tunnel syndrome (CTS) changed based on electrodiagnostic test results. Secondly, we assessed factors associated with a change in the treatment plan for CTS. One-hundred-and-thirty English-speaking adult patients underwent electrodiagnostic testing in a prospective cohort study. Treatment plan was recorded before and after testing. Treatment plan changed in 25 patients (19%) based on electrodiagnostic test results. The plan for operative treatment before testing decreased significantly after testing (83% versus 72%). The best logistic regression model for no change in treatment plan included a prolonged or non-recordable median distal sensory latency (normal, prolonged, or non-recordable), and explained 24% of the variation. For surgeons that manage CTS on the basis of objective pathophysiology rather than symptoms, electrodiagnostic test results often lead to changes in recommended treatment. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Germany | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 4% |
United States | 1 | 4% |
Unknown | 25 | 93% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 6 | 22% |
Researcher | 4 | 15% |
Professor | 2 | 7% |
Student > Postgraduate | 2 | 7% |
Professor > Associate Professor | 2 | 7% |
Other | 5 | 19% |
Unknown | 6 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 12 | 44% |
Biochemistry, Genetics and Molecular Biology | 1 | 4% |
Nursing and Health Professions | 1 | 4% |
Unspecified | 1 | 4% |
Psychology | 1 | 4% |
Other | 3 | 11% |
Unknown | 8 | 30% |