Evidence map›Paper›PMID 24252584›Full record

ArticleArchives of physical medicine and rehabilitation2014

Predictors of functional outcomes after simple decompression for ulnar neuropathy at the elbow: a multicenter study by the SUN study group.

Patricia B Burns, H Myra Kim, R Glenn Gaston, Steven C Haase, Warren C Hammert, Jeffrey N Lawton, Greg A Merrell, Paul F Nassab, Lynda J Yang, Kevin C Chung

Abstract readMulticenter Study
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Surgical Treatment of Cubital Tunnel in Pediatric Athletes.Journal of hand and microsurgery · 2018
    Article
  4. Observational
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Patricia B BurnsSection of Plastic Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, MI.
H Myra KimCenter for Statistical Consultation and Research, University of Michigan, Ann Arbor, MI.
R Glenn GastonOrthoCarolina Hand Center, Department of Orthopedic Surgery, Charlotte, NC.
Steven C HaaseSection of Plastic Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, MI.
Warren C HammertDepartment of Orthopedic Surgery, University of Rochester Medical Center, Rochester, NY.
Jeffrey N LawtonDepartment of Orthopaedic Surgery, University of Michigan Health System, Ann Arbor, MI.
Greg A MerrellIndiana Hand to Shoulder Center, Indianapolis, IN.
Paul F NassabDrisko Fee and Parkins Orthopedics, North Kansas City, MO.
Lynda J YangDepartment of Neurosurgery, University of Michigan Health System, Ann Arbor, MI.
Kevin C ChungSection of Plastic Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, MI. Electronic address: kecchung@med.umich.edu.

Funding

A Clinical Trial for the Surgical Treatment of Elderly Distal Radius FracturesR01AR062066 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2011 to 2016
$3.8M
An Outcome Study of Rheumatoid Hand ArthroplastyR01AR047328 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2003 to 2016
$3.1M
Evidence-Based Research in Hand SurgeryK24AR053120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2008 to 2018
$1.6M
NIAMS NIH HHS 2R01 AR047328-06NIAMS NIH HHS K24 AR053120NIAMS NIH HHS R01 AR047328NIAMS NIH HHS R01 AR062066
6 · The paper itself

Abstract

objectiveTo identify predictors of surgical outcome for ulnar neuropathy at the elbow (UNE).

designProspective cohort followed for 1 year.

settingClinics.

participantsPatients diagnosed with UNE (N=55).

interventionAll subjects had simple decompression surgery.

main outcome measuresThe primary outcome measure was patient-reported outcomes, such as overall hand function through the Michigan Hand Outcomes Questionnaire (MHQ). Predictors included age, duration of symptoms, disease severity, and motor conduction velocity across the elbow.

resultsMultiple regression models with change in the overall MHQ score as the dependent variable showed that at 3 months postoperative time, patients with <3 months duration of symptoms showed 12 points (95% confidence interval [CI], 0.9-23.5) greater improvement in MHQ scores than those with ≥3 months symptom duration. Less than 3 months of symptoms was again associated with 13 points (95% CI, 2.9-24) greater improvement in MHQ scores at 6 months postoperative, but it was no longer associated with better outcomes at 12 months. A worse baseline MHQ score was associated with significant improvement in MHQ scores at 3 months (coefficient, -0.38; 95% CI, -.67 to -.09), and baseline MHQ score was the only significant predictor of 12 month MHQ scores (coefficient, -.40; 95% CI, -.79 to -.01).

conclusionsSubjects with <3 months of symptoms and worse baseline MHQ scores showed significantly greater improvement in functional outcomes as reported by the MHQ. However, duration of symptoms was only predictive at 3 or 6 months because most patients recovered within 3 to 6 months after surgery.

Indexed as

Decompression, SurgicalPatient Outcome AssessmentSurveys and QuestionnairesAdultAgedAge FactorsElbowFemaleFollow-Up StudiesHand StrengthHumansLinear ModelsMaleMiddle AgedNeural ConductionProspective StudiesOutcome assessment (health care)Rehabilitation

Identifiers

PMID24252584
PMCPMC4141550

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.