TY - JOUR
T1 - Outcome assessment for carpal tunnel surgery
T2 - The relative responsiveness of generic, arthritis-specific, disease-specific, and physical examination measures
AU - Amadio, P. C.
AU - Silverstein, M. D.
AU - Ilstrup, D. M.
AU - Schleck, C. D.
AU - Jensen, L. M.
N1 - Funding Information:
From the Divisions of Hand Surgery and General Internal Medicine and the Section of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, MN. Supported by a grant from the American Society for Surgery of the Hand. Received for publication June 7, 1995; accepted in revised form Oct. 26, 1995. 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: Peter C. Amadio, MD, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
PY - 1996
Y1 - 1996
N2 - Clinical evaluation of outcome after treatment of carpal tunnel syndrome has not been standardized. To assess the value of various clinical and questionnaire measures for the assessment of outcome after carpal tunnel surgery, we surveyed 22 patients 1 day before and 3 months after carpal tunnel release with the following measures: the Medical Outcomes Study 36- item short form health survey, the Arthritis Impact Measurement Scale, the Brigham and Women's Hospital carpal tunnel questionnaire, wrist range of motion, power pinch, grip strength, pressure sensibility, and dexterity. Significant changes, all in the direction of improved health status postoperatively, were noted in the following scales or measures: the Arthritis Impact Measurement Scale pain, satisfaction, health perception, arthritis impact, and symptom scales; the Brigham and Women's Hospital symptom and function scales; the short form health survey's physical role, emotional role, and bodily pain scales; and the measurement of dexterity. In this study, standardized questionnaires were more sensitive to the clinical change produced by carpal tunnel surgery than many commonly performed physical measures of outcome. The condition-specific questionnaire was more sensitive to change than were more generic questionnaires.
AB - Clinical evaluation of outcome after treatment of carpal tunnel syndrome has not been standardized. To assess the value of various clinical and questionnaire measures for the assessment of outcome after carpal tunnel surgery, we surveyed 22 patients 1 day before and 3 months after carpal tunnel release with the following measures: the Medical Outcomes Study 36- item short form health survey, the Arthritis Impact Measurement Scale, the Brigham and Women's Hospital carpal tunnel questionnaire, wrist range of motion, power pinch, grip strength, pressure sensibility, and dexterity. Significant changes, all in the direction of improved health status postoperatively, were noted in the following scales or measures: the Arthritis Impact Measurement Scale pain, satisfaction, health perception, arthritis impact, and symptom scales; the Brigham and Women's Hospital symptom and function scales; the short form health survey's physical role, emotional role, and bodily pain scales; and the measurement of dexterity. In this study, standardized questionnaires were more sensitive to the clinical change produced by carpal tunnel surgery than many commonly performed physical measures of outcome. The condition-specific questionnaire was more sensitive to change than were more generic questionnaires.
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U2 - 10.1016/S0363-5023(96)80340-6
DO - 10.1016/S0363-5023(96)80340-6
M3 - Article
C2 - 8724457
AN - SCOPUS:0029990724
SN - 0363-5023
VL - 21
SP - 338
EP - 346
JO - Journal of Hand Surgery
JF - Journal of Hand Surgery
IS - 3
ER -