Projects per year
Abstract
Introduction: Studies of prognosis for surgery and corticosteroid injection for carpal tunnel syndrome have considered only a limited range of explanatory variables for outcome.
Methods: Data were prospectively collected on patient‐reported symptoms, physical and psychological functioning, comorbidity and quality of life at baseline and 6 monthly for up to 2 years. Outcomes were patient‐rated change over a 6‐month period and symptom‐severity score at 18 months.
Results: 754 patients with CTS completed baseline questionnaires and 626 (83%) completed follow‐up to 18 months. Multivariable modelling identified, independent of symptom severity at outset, higher health utility, fewer comorbidities and lower anxiety as significant predictors of better outcome from surgery. In patients treated by steroid injection, independent of symptom severity at outset, shorter duration of symptoms and having no prior injection were significant predictors of better outcome.
Discussion: These multivariable models of outcome may inform shared decision‐making about treatment for CTS.
Methods: Data were prospectively collected on patient‐reported symptoms, physical and psychological functioning, comorbidity and quality of life at baseline and 6 monthly for up to 2 years. Outcomes were patient‐rated change over a 6‐month period and symptom‐severity score at 18 months.
Results: 754 patients with CTS completed baseline questionnaires and 626 (83%) completed follow‐up to 18 months. Multivariable modelling identified, independent of symptom severity at outset, higher health utility, fewer comorbidities and lower anxiety as significant predictors of better outcome from surgery. In patients treated by steroid injection, independent of symptom severity at outset, shorter duration of symptoms and having no prior injection were significant predictors of better outcome.
Discussion: These multivariable models of outcome may inform shared decision‐making about treatment for CTS.
Original language | English |
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Pages (from-to) | 32-40 |
Number of pages | 9 |
Journal | Muscle & Nerve |
Volume | 60 |
Issue number | 1 |
Early online date | 28 Feb 2019 |
DOIs | |
Publication status | Published - Jul 2019 |
Profiles
-
Christina Jerosch-Herold
- School of Health Sciences - Emeritus Professor
- Rehabilitation - Member
Person: Honorary, Research Group Member
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Lee Shepstone
- Norwich Medical School - Professor of Medical Statistics
- Population Health - Director
- Norwich Epidemiology Centre - Member
- Epidemiology and Public Health - Member
- Health Services and Primary Care - Member
- Norwich Clinical Trials Unit - Member
Person: Research Group Member, Academic, Teaching & Research
Projects
- 1 Finished
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Improving the clinical management of carpal tunnel syndrome
Jerosch-Herold, C., Dziedzic, K., Shepstone, L. & Wilson, E.
National Institute for Health and Care Research
1/01/13 → 31/12/17
Project: Fellowship