ArticleAnnals of the Royal College of Surgeons of England2009
A one-stop carpal tunnel clinic.
Article in Annals of the Royal College of Surgeons of England, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to reduce waiting times for elective procedures.The Cochrane database of systematic reviews · 2015Pooled it
- Carpal tunnel decompression in primary care: what is the infection risk and is it safe and effective?Annals of the Royal College of Surgeons of England · 2019Article
- Is one-stop surgery for carpal tunnel syndrome safe? A retrospective long-term follow-up study in a neurosurgical unit in Copenhagen.BMJ open · 2017Article
- Improving waiting times in the orthopaedic outpatient clinic.BMJ open quality · 2017Article
- One-Stop Clinic Utilization in Plastic Surgery: Our Local Experience and the Results of a UK-Wide National Survey.Plastic surgery international · 2015Article
- Validation of a one-stop carpal tunnel clinic including nerve conduction studies and hand therapy.Annals of the Royal College of Surgeons of England · 2011Article
- Willingness to pay for one-stop anesthesia in pediatric day surgery.Italian journal of pediatrics · 2011Article
- Application of frequent itemsets mining to analyze patterns of one-stop visits in Taiwan.PloS one · 2011Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionBy December 2008, 90% of referrals requiring hospital admission will need to be seen and treated within the 18-week patient pathway. Previously, patients within our trust with suspected carpal tunnel syndrome had to wait 3 months to see a specialist in clinic and, once assessed, would have to wait up to a further 6 months for an open carpal tunnel decompression under local anaesthetic (OCTD/LA). We set up a one-stop clinic, where patients would have their out-patient consultation and surgery on the same day. We evaluated the clinic in order to assess whether it led to reduced waiting times whilst maintaining good clinical outcome and patient satisfaction. PATIENTS AND
methodsPatients were selected on the basis of the standard referral letter alone. Those selected were then assessed by a single surgeon in the clinic. The patients deemed appropriate underwent an OCTD/LA and were discharged the same day. Patients were followed up with a patient satisfaction and Boston questionnaire.
resultsForty-six patients underwent 63 OCTD/LA, waiting an average of 2.2 months (9 weeks) from referral. There was high patient satisfaction and improvement in symptoms following treatment in the clinic.
conclusionsWe believe a one-stop carpal tunnel clinic can be an efficient and cost-effective way of treating this common condition.
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Registered trials
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