Comparison of the Michigan Hand Outcomes Questionnaire, Boston Carpal Tunnel Questionnaire, and PROMIS Instruments in Carpal Tunnel Syndrome

Mahmood, Bilal; Chen, Chongshu; Qiu, Xing; Messing, Susan; Hammert, Warren C.

doi:10.1016/j.jhsa.2017.06.019

Cited by 7 publications

(12 citation statements)

References 5 publications

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“…Although the authors observed a reduction in symptom severity (BCTQ‐SS) from 3.1 preoperatively to 2.3 at 1 week postoperatively, they also noted a worsening of function (BCTQ‐FS) from 2.3 preoperatively to 2.6 at 1 week postoperatively, followed by a subsequent improvement in BCTQ‐FS scores to 1.8 at 6 weeks postoperatively. In both studies, the authors attributed the early functional decline after mOCTR to limitations of the palmar incision . The early QDASH results in our study group were similar to those of Rojo‐Manaute et al for USCTR, and the early BCTQ results were superior to those of Mahmood et al for mOCTR.…”

Section: Discussionsupporting

confidence: 84%

“…In both studies, the authors attributed the early functional decline after mOCTR to limitations of the palmar incision . The early QDASH results in our study group were similar to those of Rojo‐Manaute et al for USCTR, and the early BCTQ results were superior to those of Mahmood et al for mOCTR. Consequently, although conclusions based on our study should be interpreted within the context of the study design, our observations further support previously published comparative studies reporting that USCTR resulted in more rapid improvements in symptoms and function compared to mOCTR .…”

Section: Discussionsupporting

confidence: 84%

“…However, at this time, there are no publications formally comparing USCTR techniques or any USCTR to ECTR. Fourth, although our follow‐up period of 3 months might be considered relatively short, previous studies have documented that most of the improvement after CTR occurs within the first 3 months after the procedure, and after 6 months, results are stable . Consequently, it would not be expected that additional follow‐up would have substantially altered the results of this study.…”

Section: Discussionmentioning

confidence: 93%

“…Similar values for USCTR in the same trial were 50.69, 23.69, and 15.58, respectively. Mahmood et al recently reported early BCTQ results after mOCTR. Although the authors observed a reduction in symptom severity (BCTQ‐SS) from 3.1 preoperatively to 2.3 at 1 week postoperatively, they also noted a worsening of function (BCTQ‐FS) from 2.3 preoperatively to 2.6 at 1 week postoperatively, followed by a subsequent improvement in BCTQ‐FS scores to 1.8 at 6 weeks postoperatively.…”

Section: Discussionmentioning

confidence: 99%

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Clinical Results of Ultrasound‐Guided Carpal Tunnel Release Performed by a Primary Care Sports Medicine Physician

Joseph

Leiby

Beckman³

2019

J of Ultrasound Medicine

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Objectives The purpose of this study was to determine the safety and efficacy of ultrasound‐guided carpal tunnel release (USCTR) in a consecutive group of patients treated by a single primary care sports medicine physician. Methods The study group consisted of 35 USCTRs performed on 22 consecutive patients for whom clinical outcomes were available before USCTR and at 1 to 2 weeks, 1 month, and 3 months after USCTR. All procedures were performed by the same operator using a single USCTR technique. Outcomes included complications, Quick Disabilities of the Arm, Shoulder, and Hand scores, Boston Carpal Tunnel Questionnaire symptom severity and functional status scores, and a 5‐point global satisfaction score. Results The 22 patients included 13 female and 9 male patients (ages 31–82 years). Eleven patients (22 wrists) had bilateral simultaneous USCTRs; 2 patients (4 wrists) had staged bilateral USCTRs; and 9 patients had unilateral USCTRs. No complications occurred in any patient. Statistically and clinically significant reductions in Quick Disabilities of the Arm, Shoulder, and Hand scores and Boston Carpal Tunnel Questionnaire symptom severity and functional status scores occurred by 1 to 2 weeks after USCTR (mean 1‐ to 2‐week changes, –29.23, –1.74, and –1.18, respectively), and further improvements occurred during the 3‐month follow‐up period (mean 3‐month changes, –51.11, –2.29, and –1.91; P < .0001 for all values versus before USCTR). Mean global satisfaction scores at 1 to 2 weeks and 3 months were 4.63 and 4.66. Conclusions Ultrasound‐guided CTR is a safe and effective procedure that can be performed by an experienced primary care sports medicine physician and typically results in significant improvements within the first 2 weeks after the procedure. Furthermore, bilateral simultaneous USCTRs are feasible and may provide significant advantages for patients who are candidates for bilateral CTRs.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical Results of Ultrasound‐Guided Carpal Tunnel Release Performed by a Primary Care Sports Medicine Physician

Joseph

Leiby

Beckman³

2019

J of Ultrasound Medicine

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“…18 The latter was developed in 1993 as an objective tool to quantify symptoms and functional limitations brought about by the condition and has been reported as being more reliable in tracking the symptoms, progression, and recovery of the condition. 19 Indeed, it has undergone validation and psychometric analyses 20,21 to determine its appropriateness for the condition; has been validated and applied in Western, 20,22,23 Middle Eastern, 24 and Asian 25,26 populations; and has a strong test and retest validity and reliability. 27 However, it has never previously been tested as a screening tool, despite it asking for symptoms in a more structured and quantified manner.…”

Section: Introductionmentioning

confidence: 99%

Can the Boston Carpal Tunnel Syndrome Questionnaire Be Used as a Screening Tool Among a Potentially High-Risk Population in Singapore?

Sirisena

Lim

Sim

et al. 2022

Journal of Hand and Microsurgery

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Introduction Carpal tunnel syndrome (CTS) causes significant morbidity with delayed diagnosis or management. The Boston Carpal Tunnel Questionnaire (BCTQ) is validated for monitoring CTS following diagnosis; however, it has not been trialed in a screening capacity. The study aimed to determine whether it can be utilized when screening a focused population in Singapore. Materials and Methods A single-center survey-based study was undertaken prospectively to identify whether positive symptoms could be identified among nursing and administrative staff. Results A total of 605 staff responded. Positive symptoms were identified in 317 (52.4%) of participants and 23 (3.8%) reported them to be severe. Functional limitations were detected in 157 (26.0%) of participants with 5 (0.8%) reporting these as severe. Positive symptoms (84.9%) and functional limitations (81.5%) were more prevalent among nursing staff. Cronbach’s α scores (0.896 for symptoms and 0.84 for functional limitations) suggested good reliability in matching symptoms and functional limitations. Conclusion The BCTQ can potentially be implemented as a screening tool for CTS among those without a prior diagnosis. It has a greater depth of questioning with symptomatic and functional limitations considered, and in situations where a formal diagnosis is subsequently made, the same tool can be subsequently used for progression tracking pre- and post-treatment. Level of Evidence This is a Level II study.

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Responsiveness of the PROMIS and its Concurrent Validity with Other Region- and Condition-specific PROMs in Patients Undergoing Carpal Tunnel Release

Bernstein

Houck

Mahmood

et al. 2019

Clin Orthop Relat Res

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Background The Patient-reported Outcome Measurement Information System (PROMIS) continues to be an important universal patient-reported outcomes measure (PROM) in orthopaedic surgery. However, there is concern about the performance of the PROMIS as a general health questionnaire in hand surgery compared with the performance of region-and condition-specific PROMs such as the Michigan Hand Questionnaire (MHQ) and the Boston Carpal Tunnel Questionnaire (BCTQ), respectively. To ensure that PROMIS domains capture patient-reported outcomes to the same degree as region-and condition-specific PROMs do, comparing PROM performance is necessary. Questions/purposes (1) Which PROMs demonstrate high responsiveness among patients undergoing carpal tunnel release (CTR)? (2) Which of the PROMIS domains (Physical Function [PF], Upper Extremity [UE], and Pain Interference [PI]) demonstrate concurrent validity with the HHQ and BCTQ domains? Methods In this prospective study, between November 2014 and October 2016, patients with carpal tunnel syndrome visiting a single surgeon who elected to undergo CTR completed the BCTQ, MHQ, and PROMIS UE, PF, and PI domains at each visit. A total of 101 patients agreed to participate. Of these, 31 patients (31%) did not return for a followup visit at least 6 weeks after CTR and were excluded, leaving a final sample of 70 patients (69%). We compared the PROMIS against region-and condition-specific PROMs in terms of responsiveness and concurrent validity. Responsiveness was determined using Cohen's d or the effect-size index (ESI). The larger the absolute value of the ESI, the greater the effect size. Using the ESI allows surgeons to better quantify the impact of CTR, with a medium ESI (that is, 0.5) representing a visible clinical change to a careful observer. Concurrent validity was determined using Spearman's correlation coefficient with correlation strengths categorized as excellent (> 0.7), excellent-good (0.61-0.70), good (0.4-0.6), and poor (< 0.4). Significance was set a priori at p < 0.05. One of the authors (DNB) reports receiving grants from Alpha Omega Alpha (less than USD 10,000), outside the submitted work. One of the authors (WCH) reports being the ASSH Hand-e, Editor, outside of the submitted work (10,000 to USD 100,000, USD). Two authors (JRH and BM) certify that they have no commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article. Each author certifies that his institution approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.

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Comparison of the Michigan Hand Outcomes Questionnaire, Boston Carpal Tunnel Questionnaire, and PROMIS Instruments in Carpal Tunnel Syndrome

Cited by 7 publications

References 5 publications

Clinical Results of Ultrasound‐Guided Carpal Tunnel Release Performed by a Primary Care Sports Medicine Physician

Clinical Results of Ultrasound‐Guided Carpal Tunnel Release Performed by a Primary Care Sports Medicine Physician

Can the Boston Carpal Tunnel Syndrome Questionnaire Be Used as a Screening Tool Among a Potentially High-Risk Population in Singapore?

Responsiveness of the PROMIS and its Concurrent Validity with Other Region- and Condition-specific PROMs in Patients Undergoing Carpal Tunnel Release

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