Direct and indirect utilities of patients with mild to moderate versus severe carpal tunnel syndrome

Wang, Annie M Q; Retrouvey, Helene; Krahn, Murray; McCabe, Steven J.; Baltzer, Heather

doi:10.1177/1753193420922791

Cited by 3 publications

(4 citation statements)

References 27 publications

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“…The most common criticism was that the VAS does not incorporate a risk or trade-off and therefore does not measure utilities or lacks the conceptual richness when capturing preferences [ 17 , 23 , 25 , 26 , 41 – 45 ]. TTO was seen as likely to discriminate better between health states than a VAS [ 27 , 46 ]. The VAS and SG were reported to have similar difficulty levels in usage [ 47 ].…”

Section: Resultsmentioning

confidence: 99%

Use of the visual analogue scale for health state valuation: a scoping review

et al. 2023

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Objectives The visual analogue scale (VAS) has been used in the context of health and healthcare for various purposes, for example, to measure pain and to provide a single-index measure of health-related quality of life (HRQoL). This scoping review aims to describe how the VAS has been used for health state valuation in the published literature. Methods The search was carried out in Medline, Web of Science and PsycInfo. The findings of the included articles were tabulated and presented descriptively using frequencies and proportions. Results The database search yielded 4856 unique articles, out of these, 308 were included. In 83% of the articles, the main purpose for using a VAS was to value health states. The two most common perspectives when valuing health states with a VAS were hypothetical (44%) and own health (34%). Some (n = 14) articles used the VAS in the context of economic evaluations, including calculating quality-adjusted life years (QALYs). A large variation in the design of the VAS was found, including the description of the lower and upper anchors. Advantages and disadvantages with using a VAS were mentioned in 14% of the included articles. Conclusion The VAS has been a common method for valuing health states, both as a stand-alone method and in combination with other valuation methods. Despite its widespread use, the design of the VAS has been inconsistent which makes comparison of results across studies challenging. Further research on the role of using the VAS in economic evaluations is warranted.

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Section: Resultsmentioning

confidence: 99%

Use of the visual analogue scale for health state valuation: a scoping review

et al. 2023

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“…Wang et al . 6 conducted a retrospective cohort study in 29 patients diagnosed with CTS and compared HSUVs obtained through the SF-6D, the EQ-5D-5L, VAS, and CSG. Patients were stratified into mild/moderate and severe cohorts based on responses to the Boston Carpal Tunnel Questionnaire.…”

Section: Discussionmentioning

confidence: 99%

“…Wang et al . 6 chose median nerve transection as the anchor state in their CSG. When valuing their current health state using CSG, participants with mild/moderate CTS had a median utility of 0.97 (i.q.r.…”

Section: Discussionmentioning

confidence: 99%

“…Utility values are used by agencies, such as NICE, to determine the cost-effectiveness of interventions, populate decision analytic models, and ultimately inform resource allocation. Utilities can vary between populations and by derivation method, meaning a range of utility values can exist for a single health state 6 . For example, patients with high functional demand, such as concert pianists, may assign greater significance to changes in hand function associated with carpal tunnel syndrome (CTS) compared with elderly patients with low functional demand.…”

Section: Introductionmentioning

confidence: 99%

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Health-related quality of life in patients with conditions affecting the hand: meta-analysis

Geoghegan,

Carolina,

French

et al. 2024

British Journal of Surgery

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Background Health state utility values provide the quality component of quality-adjusted life years and are essential for health economic analyses, such as the National Institute for Health and Care Excellence Technology Appraisal. The aims of this systematic review were to: catalogue utility values for health states experienced by patients with hand conditions; provide pooled utility estimates for common hand conditions; and determine how utilities have been estimated. Methods A PRISMA-compliant systematic review and meta-analysis was conducted (registered in PROSPERO, the international prospective register of systematic reviews (CRD42021226098)). Five databases were searched from inception until April 2023 (Embase, MEDLINE, PsycINFO, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the Cochrane Central Register of Controlled Trials (CENTRAL)). All studies that reported primary utility values for hand health states in adult patients were eligible for inclusion. Pooled utility estimates were determined across conditions and intervention status using random-effects meta-analysis. Results A total of 10 254 articles were identified; 57 studies met the full inclusion criteria and reported 363 distinct health state utility values. Health state utility values were estimated using a range of methods; the most common measure was the EQ-5D. Pooled utility estimates for carpal tunnel syndrome and hand osteoarthritis before surgical intervention were 0.69 (95% c.i. 0.66 to 0.73) and 0.63 (95% c.i. 0.60 to 0.67) respectively. Conclusion Pooled utility estimates for patients with untreated carpal tunnel syndrome and hand osteoarthritis are 11% and 18% lower than age-matched population norms respectively. Hand conditions have a significant detrimental impact on health-related quality of life and this study provides catalogued utility values for use in future economic analyses to support the delivery of value-based hand surgery.

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Clinical efficacy of electroacupuncture-like magnetic therapy compared to conventional transcutaneous electrical nerve stimulation in individuals with carpal tunnel syndrome

Lo,

Chou,

Chung

et al. 2023

Sci Rep

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This study aimed to evaluate the clinical efficacy of an electroacupuncture-like magnetic therapy (ELMT) and conventional transcutaneous electrical nerve stimulation (TENS) in patients with carpal tunnel syndrome (CTS). A prospective randomized controlled trial in single-centre was conducted. Thirty-four CTS patients confirmed by electrodiagnostic study were randomized into TENS or ELMT group and completed a six-week treatment program. TENS or ELMT treatment was applied on acupuncture point PC-6 (Neiguan) and one selected hand acupoint. Therapeutic exercises were also included after the electrophysical modality. Their physical signs, motor and sensory performances, Boston Carpal Tunnel Questionnaire (BCTQ) scores, and results of electrodiagnostic study were evaluated. After treatments, both groups demonstrated significantly decreased BCTQ scores and positive rate of Tinel’s sign in the major symptomatic side, which indicated improvements in the symptom severity and physical functions. Significant increases in distal sensory amplitude and nerve conduction velocity of the median nerve were only found in the ELMT group. Our study found either conventional TENS or ELMT plus therapeutic exercises could improve the symptomatology and physical provocation sign of CTS. The ELMT has additional improvement in the nerve conduction in patients with CTS.

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Direct and indirect utilities of patients with mild to moderate versus severe carpal tunnel syndrome

Cited by 3 publications

References 27 publications

Use of the visual analogue scale for health state valuation: a scoping review

Use of the visual analogue scale for health state valuation: a scoping review

Health-related quality of life in patients with conditions affecting the hand: meta-analysis

Clinical efficacy of electroacupuncture-like magnetic therapy compared to conventional transcutaneous electrical nerve stimulation in individuals with carpal tunnel syndrome

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