Factors Affecting Return to Work After Carpal Tunnel Syndrome Surgery in a Large French Cohort

Parot-Schinkel, Elsa; Roquelaure, Yves; Ha, Catherine; Leclerc, Annette; Chastang, Jean-François; Raimbeau, G.; Chaise, F.; Descatha, Alexis

doi:10.1016/j.apmr.2011.06.001

Cited by 42 publications

(46 citation statements)

References 30 publications

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“…These extensive days off work may be as much a reflection on a patient's mental willingness as their physical readiness, and independent of treatment modality. [71][72][73] A total of 1430 digits were evaluated -151 thumbs and 462 index, 391 middle, 270 ring, and 156 little fingers. Noticeable gaps and variability in outcome reporting exists (Table 9), especially of PROs, hampering the possibility to generate an inclusive overview of non-replantation treatments.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Outcomes after Revision Amputation for Treatment of Traumatic Finger Amputation

2015

Plastic and Reconstructive Surgery

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Section: Discussionmentioning

confidence: 99%

A Systematic Review of Outcomes after Revision Amputation for Treatment of Traumatic Finger Amputation

2015

Plastic and Reconstructive Surgery

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“…(202) were not found to be predictors of delayed RTW. (203,205) having associated surgeries, (205) and attending pre-operative physiotherapy or occupational therapy (203) were found to be prognostic for longer RTW durations ( Table 3. …”

Section: )(177)mentioning

confidence: 99%

“…(176,178,192,193,200,201) Four studies measured RTW at a cross-sectional time point following surgery. (203)(204)(205)207) One study measured work role functioning and participants returned to work at various time points. (192) One study analysed time to RTW in relation to work capacity i.e., modified duty or full duty.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…The included studies comprised of five prospective cohort studies, (176-178, 192, 193, 200, 201) three cross-sectional studies,(202-204) two retrospective cohort studies, (205,206) and one retrospective study nested within a larger prospective study. 3 Only 1000 most relevant titles and abstracts were scanned…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…(176-178, 192, 201, 203, 204, 206, 207) Four studies were conducted in European countries including Belgium,(202) France,(205) Denmark, (193) and Sweden. (200) Data was collected from a variety of sources including: mailed questionnaires; (176,178,192,205) telephone interviews; (204) face to face facilitated interview/completion of questionnaires;(177) patient completed questionnaires and clinical evaluation; (193,201) administrative data from an insurer database; (206) or a combination of mailed questionnaires and administrative data sources and/or medical file audit. (202,203,207) Various work-related outcomes were studied.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

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Factors influencing return-to-work following upper extremity surgery

Peters¹

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The upper extremities are necessary to independently perform everyday activities, engage with the environment and others and, importantly, work. Unfortunately, upper extremity (UE) conditions, resulting in pain and impairments, are common. Although returning to work is usually straightforward, for some it can be difficult and prolonged, impacting significantly on the worker, key stakeholders and society.This thesis utilized mixed methodology to explore factors influencing RTW following surgery for traumatic and non-traumatic UE conditions. Specifically, the overall aims were to: 1) identify gaps in the literature; 2) generate a list of factors influencing RTW; 3) explore stakeholders perspectives of barriers and the strategies to facilitate RTW; 4) determine the assessment tools used by health care providers (HCPs) to evaluate RTW barriers; 5) clarify a definition for delayed RTW; and 6) explore injured workers' lived experiences to understand the context surrounding the factors and processes that may influence RTW.A scoping review identified gaps in the literature (Aim 1), generating the remaining thesis aims. A systematic review of prognostic studies for RTW following a common UE surgery, carpal tunnel release, was then conducted (Aim 2). This review revealed an inconsistent and low level of evidence for any studied prognostic factor for RTW or work disability.A three-round Delphi study determined expert opinion on the barriers and facilitators for RTW following surgery for non-traumatic UE conditions (Aim 2). Thirty-one experts completed all rounds. Strong consensus was achieved for these barriers: mood disorder; symptoms at more than one site; heavy UE work exertions; lack of flexible RTW arrangements; lack of supervisor support; and high pain catastrophising. Strong consensus was achieved for these facilitators: high motivation to RTW; high RTW and recovery selfefficacy; availability of modified duties; flexible RTW arrangements; positive coping skills; limited heavy UE work exertions; no catastrophic thinking; no fear avoidance to RTW, pain or activity; return to meaningful work duties; supportive RTW policies; supportive supervisor; and high job satisfaction.A cross-sectional study of 1011 RTW stakeholders (HCPs, employers, insurers and lawyers) was conducted. This study contained four sub-studies. In the first sub-study, a list ii of factors that stakeholders perceived influence RTW was generated (Aim 2). Highest agreement was found for: RTW self-efficacy; post-operative psychological status; supportive employer or supervisor; employer's willingness to accommodate job modifications; worker's recovery expectations; mood disorder diagnosis; post-operative pain level; and whether the job can be modified. Disagreements between stakeholder groups existed for a third of the factors. Further analysis of the 787 HCPs was conducted in sub-study two (Aim 2). This revealed that HCPs rated difficulty coping with the pain as the main RTW barrier. Few differences between the disciplines existed.In sub-study th...

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Effectiveness of manual therapy versus surgery in pain processing due to carpal tunnel syndrome: A randomized clinical trial

Fernández‐de‐las‐Peñas

Cleland

Palacios‐Ceña

et al. 2017

European Journal of Pain

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Background: People with carpal tunnel syndrome (CTS) exhibit widespread pressure pain and thermal pain hypersensitivity as a manifestation of central sensitization. The aim of our study was to compare the effectiveness of manual therapy versus surgery for improving pain and nociceptive gain processing in people with CTS. Methods: The trial was conducted at a local regional Hospital in Madrid, Spain from August 2014 to February 2015. In this randomized parallel-group, blinded, clinical trial, 100 women with CTS were randomly allocated to either manual therapy (n = 50), who received three sessions (once/week) of manual therapies including desensitization manoeuvres of the central nervous system, or surgical intervention (n = 50) group. Outcomes including pressure pain thresholds (PPT), thermal pain thresholds (HPT or CPT), and pain intensity which were assessed at baseline, and 3, 6, 9 and 12 months after the intervention by an assessor unaware of group assignment. Analysis was by intention to treat with mixed ANCOVAs adjusted for baseline scores. Results: At 12 months, 95 women completed the follow-up. Patients receiving manual therapy exhibited higher increases in PPT over the carpal tunnel at 3, 6 and 9 months (all, p < 0.01) and higher decrease of pain intensity at 3 month follow-up (p < 0.001) than those receiving surgery. No significant differences were observed between groups for the remaining outcomes. Conclusions: Manual therapy and surgery have similar effects on decreasing widespread pressure pain sensitivity and pain intensity in women with CTS. Neither manual therapy nor surgery resulted in changes in thermal pain sensitivity. Significance: The current study found that manual therapy and surgery exhibited similar effects on decreasing widespread pressure pain sensitivity and pain intensity in women with carpal tunnel syndrome at medium-and long-term follow-ups investigating changes in nociceptive gain processing after treatment in carpal tunnel syndrome.

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Factors Affecting Return to Work After Carpal Tunnel Syndrome Surgery in a Large French Cohort

Cited by 42 publications

References 30 publications

A Systematic Review of Outcomes after Revision Amputation for Treatment of Traumatic Finger Amputation

A Systematic Review of Outcomes after Revision Amputation for Treatment of Traumatic Finger Amputation

Factors influencing return-to-work following upper extremity surgery

Effectiveness of manual therapy versus surgery in pain processing due to carpal tunnel syndrome: A randomized clinical trial

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