Carpal tunnel syndrome: using self-report measures of disease to predict treatment response.
Initial self-report assessments of symptom severity in patients with carpal tunnel syndrome was retrospectively examined. At initial evaluation, 86 patients completed a self-administered questionnaire previously shown to be reproducible, internally consistent, and responsive to clinical change. Within the next 2 years, 50 patients underwent carpal tunnel release; of the other 36 patients, 23 were managed adequately with conservative treatment alone, and 13 were lost to follow-up. Initial mean symptom severity scores were statistically significantly higher for the surgery group (P = .000012). Significantly higher symptom severity scores on self-administered questionnaires at initial evaluation from patients who eventually undergo carpal tunnel release may be of value in planning treatment.
Kaye
Jefferson J
JJ
Ochsner Clinic Foundation, New Orleans, LA 70121, USA. jkaye@ochsner.org
Reynolds
John M
JM
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D002349:Carpal Tunnel Syndrome / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D007270:Injections, Intra-Articular; D008297:Male; D008875:Middle Aged; D013165:Splints
D000305:Adrenal Cortex Hormones