Carpal tunnel surgery: predictors of clinical outcomes and patients’ satisfaction

Abstract

Background: Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy. Moreover, carpal tunnel release (CTR) surgery generally has excellent results. The present study aimed to investigate the predictors of clinical outcomes and satisfaction in patients with CTR. Methods: In this observational prospective cohort study, 152 patients with open carpal tunnel release surgery were investigated. Complete clinical examinations were performed and recorded before the surgery, two weeks after the surgery and 6 months after the surgery. The Boston Carpal Tunnel Questionnaire (BCTQ) were assessed on admission and at last follow-up visits to evaluate clinical outcomes. Patients' satisfaction was determined by a 10-point verbal descriptor nominal scale (1 = very poor, 5 = fair and 10 = excellent) and recorded during the last follow-up visits. Results: Among 152 patients who were investigated, there were 118 (77.6%) females and 34 (22.36%) males. Overall, surgery improved the outcomes based on Symptom Severity Scale (SSS) and Functional Status Scale (FSS) (P < 0.05). Most of the considered variables did not show significant effects on clinical outcomes and patients' satisfaction. However, duration of symptoms and electrophysiological severity were the predictors of the change score in SSS(P < 0.05). As well as, age was the only predictor of the change score in FSS (P < 0.05). Finally, according to the linear regression model, the pre-operative grip strength and age were the independent predictors of post-operative satisfaction (P < 0.05). Conclusions: Results of the present study revealed that there was a significant improvement in clinical outcomes after CTS surgery. Stronger pre-operative grip strength and younger age were independent predictors of higher post-operative satisfaction. These results can be used in pre-operative counseling and management of post-operative expectations.

The Relevance of Collision Tests and Quantitative Sensory Testing in Diagnostics and Postoperative Outcome Prediction in Carpal Tunnel Syndrome

“…The probability of no improvement or deterioration after surgery was 0.1 for the age of 30, while this reached 0.9 for the age of 80 in our study. Similarly, poorer surgical results in older patients have been shown in many studies ( 36 , 39 , 41 , 42 ). Others have not found any relationship between postoperative results and older age ( 22 , 37 , 43 ).…”

COVID-19-associated acute disseminated encephalomyelitis: A systematic review

“…[ 18 ] reported cases of ADEM following COVID-19 while Abdi et al . [ 19 ] reported the ADEM case without prominent clinical pulmonary symptoms. The case reported by Utukuri et al .…”

“…Novi et al, [14] Parsons et al, [15] Zoghi et al, [16] Zanin et al, [17] and Zhang et al [18] reported cases of ADEM following COVID-19 while Abdi et al [19] reported the ADEM case without prominent clinical pulmonary symptoms. The case reported by Utukuri et al [20] had no respiratory symptoms of COVID-19 while Reichard et al [21] described the case where ADEM was confirmed by autopsy.…”

Outcome predictors of platelet‐rich plasma injection for moderate carpal tunnel syndrome

“…Symptom severity and longer symptom duration were reported as predictors of poor outcomes after conservative management 44 or surgery. 49 In contrast, Meys et al 29 found that symptom duration was not associated with outcome after steroid injection. Although younger age was shown to be an independent predictor of higher postoperative satisfaction, 49,50 one study revealed that old age was a good outcome predictor after conservative treatment.…”

“…49 In contrast, Meys et al 29 found that symptom duration was not associated with outcome after steroid injection. Although younger age was shown to be an independent predictor of higher postoperative satisfaction, 49,50 one study revealed that old age was a good outcome predictor after conservative treatment. 27 Bowman et al 51 reported that sex and the dominant hand were outcome predictors when treating CTS, in which males and the dominant hand had poor outcomes.…”