TY - JOUR
T1 - A preliminary scoring system for assessing the outcome of carpal tunnel release
AU - Katz, Jeffrey N.
AU - Gelberman, Richard H.
AU - Wright, Elizabeth A.
AU - Abrahamsson, Sven Olof
AU - Lew, Robert A.
N1 - Funding Information:
From the Department of Orthopaedic Surgery, Massachusetts General Hospital. Department of Rheumatology and Immunology, and Robert B. Brigham Multipurpose Arthritis Center, Brigham, and Women’s Hospital, Harvard Medical School, Boston, MA. Supported in part by NIH grants AR36308 and AR39921 and an Arthritis Investigator Award (Dr. Katz) from the Arthritis Foundation. Received for publication June 9, 1993: accepted in revised form Oct. 29, 1993. No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. Reprint requests: Dr. Katz, Department of Rheumatology and Immunology, Brigham and Women’s Hospital, 75 Francis Street. Boston. MA 021 IS.
PY - 1994/7
Y1 - 1994/7
N2 - Multiple outcomes are assessed in most studies of carpal tunnel syndrome, yet there are no validated methods of synthesizing these distinct measures into a single global score. We report a global score in which outcomes were selected and weighted according to their independent association with patient satisfaction with the results of surgery. Preoperative and 3-month follow-up data were analyzed on 104 subjects in a randomized controlled trial of open vs endoscopic carpal tunnel release. Patient satisfaction with surgery and a variety of subjective and objective outcome parameters were measured. In multivariate analyses, independent correlates of dissatisfaction included persistent numbness and paresthesia, incisional pain at follow-up evaluation, and decrease in grip strength. A global score was calculated by rounding to the nearest integer the model coefficients for these three variables. The global score correlated with patient satisfaction with surgery and time until return to work or full activities in patients undergoing open carpal tunnel release.
AB - Multiple outcomes are assessed in most studies of carpal tunnel syndrome, yet there are no validated methods of synthesizing these distinct measures into a single global score. We report a global score in which outcomes were selected and weighted according to their independent association with patient satisfaction with the results of surgery. Preoperative and 3-month follow-up data were analyzed on 104 subjects in a randomized controlled trial of open vs endoscopic carpal tunnel release. Patient satisfaction with surgery and a variety of subjective and objective outcome parameters were measured. In multivariate analyses, independent correlates of dissatisfaction included persistent numbness and paresthesia, incisional pain at follow-up evaluation, and decrease in grip strength. A global score was calculated by rounding to the nearest integer the model coefficients for these three variables. The global score correlated with patient satisfaction with surgery and time until return to work or full activities in patients undergoing open carpal tunnel release.
UR - http://www.scopus.com/inward/record.url?scp=0028122433&partnerID=8YFLogxK
U2 - 10.1016/0363-5023(94)90252-6
DO - 10.1016/0363-5023(94)90252-6
M3 - Article
C2 - 7963303
AN - SCOPUS:0028122433
SN - 0363-5023
VL - 19
SP - 531
EP - 538
JO - Journal of Hand Surgery
JF - Journal of Hand Surgery
IS - 4
ER -