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.2018.10.031

Cited by 17 publications

(10 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In both studies, the authors attributed the early functional decline after mOCTR to limitations of the palmar incision. 8,49 The early QDASH results in our study group were similar to those of Rojo-Manaute et al 8 for USCTR, and the early BCTQ results were superior to those of Mahmood et al 49 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: 86%

“…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. 49 Consequently, it would not be expected that additional follow-up would have substantially altered the results of this study. Fifth, we did not methodically collect information on the return to normal daily activities or work.…”

Section: Discussionmentioning

confidence: 89%

“…Similar values for USCTR in the same trial were 50.69, 23.69, and 15.58, respectively. Mahmood et al 49 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%

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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Joseph

Leiby

Beckman³

2019

J of Ultrasound Medicine

View full text Add to dashboard Cite

show abstract

“…9 They are being adopted into electronic medical records to track outcomes and are being used as a measure of patient status, function, and disability. 4,10 Health care payers, in addition, are now considering outcome data when evaluating cost-effectiveness and determining reimbursement rates. 11,12 In an attempt to provide a unified and complete health outcome system, the National Institutes of Health (NIH) created the Patient Reported Outcomes Measurement Information System (PROMIS) based on the biopsychosocial model, including instruments to measure physical, mental, and social health.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] This is second to carpal tunnel syndrome (CTS) with an estimated incidence of 3% to 5% in the general population. [4][5][6] Of the patients who develop CuTS, approximately 40% are ultimately treated surgically. 3 Assessment of outcomes after surgical treatment of CuTS has been difficult due to the differences in outcome reporting across published studies.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of PROMIS Outcomes for Surgical Treatment of Cubital Tunnel Syndrome With and Without Carpal Tunnel Syndrome

Phan

Hammert

2021

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background: Assessment of outcomes for cubital tunnel syndrome (CuTS) surgeries has been difficult due to heterogeneity in outcome reporting. Our objective was to evaluate the outcomes for 2 cohorts treated surgically for isolated CuTS and for combined CuTS and carpal tunnel syndrome (CTS) using Patient Reported Outcomes Measurement Information System (PROMIS). Methods: There were 29 patients in the isolated CuTS cohort and 30 patients in the combined CuTS and CTS cohort. PROMIS Physical Function (PF), Pain Interference (PI), Depression, and Upper Extremity (UE) were completed preoperatively and 1-week, 6-weeks, and 3-months postoperatively. Responsiveness was evaluated by standardized response means (SRM). Results: Significant improvements from the 1-week to 6-week postoperative period are shown in the isolated CuTS cohort for PROMIS PF ( P = .002), PI ( P = .0002), and UE ( P = .02), but scores plateau after 6-weeks postoperatively. A similar pattern for the same time points was seen for the combined CuTS and CTS group for PROMIS PF ( P = .001), PI ( P = .02), and UE ( P = .04), with a plateau of scores beyond 6 weeks postoperatively. PROMIS UE was more responsive (SRM range: 0.11-1.03) than the PF (SRM range: 0.02-0.52) and PI (SRM range: 0.11-0.40), which were both mildly responsive for both cohorts. Conclusions: PROMIS lacks the sensitivity to show improvement beyond 6-weeks postoperatively for both isolated CuTS and combined CuTS and CTS. Patients with combined nerve compressions follow similar trajectories in the postoperative period as those with isolated CuTS. Level of Evidence: Level IV.

show abstract

Comparison of clinical findings and electromyography results in patients with preliminary diagnosis of carpal tunnel syndrome

Toluk

2022

Journal of Electromyography and Kinesiology

View full text Add to dashboard Cite

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

Cited by 17 publications

References 19 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

Evaluation of PROMIS Outcomes for Surgical Treatment of Cubital Tunnel Syndrome With and Without Carpal Tunnel Syndrome

Comparison of clinical findings and electromyography results in patients with preliminary diagnosis of carpal tunnel syndrome

Contact Info

Product

Resources

About