Evidence map›Paper›PMID 26955179›Full record

ArticleIndian journal of orthopaedics

Comparison of postoperative pain after open and endoscopic carpal tunnel release: A randomized controlled study.

Mehmet Müfit Orak, Seyit Ali Gümüştaş, Tolga Onay, Serkan Uludağ, Güven Bulut, Ülkü Türk Börü

Open access · hybridAbstract read
In one paragraph

Article in Indian journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 15% of its field
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Carpal Tunnel Syndrome Surgery: What You Should Know.Plastic and reconstructive surgery. Global open · 2020
    Review
  11. Observational
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

6 authors at 5 institutions in 1 country.

Mehmet Müfit OrakDepartment of Orthopaedics and Traumatology, Fatih Sultan Mehmet Education and Research Hospital, İstanbul, Turkey.
Seyit Ali GümüştaşDepartment of Orthopaedics and Traumatology, Adıyaman University, Adıyaman Education and Research Hospital, Adiyaman, Turkey.
Tolga OnayDepartment of Orthopaedics and Traumatology, Marmara University Pendik Education and Research Hospital, İstanbul, Turkey.
Serkan UludağDepartment of Orthopaedics and Traumatology, American Hospital, İstanbul, Turkey.
Güven BulutDepartment of Orthopaedics and Traumatology, Kartal Lütfi Kırdar Education and Research Hospital, İstanbul, Turkey.
Ülkü Türk BörüDepartment of Neurology, Kartal Lütfi Kırdar Education and Research Hospital, İstanbul, Turkey.
Dr Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi · TRAdıyaman University · TRAmerikan Hastanesi · TRFatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi · TRMarmara University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResults of open and endoscopic carpal tunnel surgery were compared with many studies done previously. To the best of our knowledge, difference in pain after endoscopic carpal tunnel release (ECTR) and open carpal tunnel release (OCTR) has not been objectively documented in literature. The aim of the study was to compare the pain intensity in the early postoperative period in patients undergoing OCTR versus those undergoing ECTR. MATERIALS AND

methodsFifty patients diagnosed with carpal tunnel syndrome were randomized into two groups using "random number generator" software (Research Randomizer, version 3.0); endoscopic surgery group [(21 female, 1 male; mean age 49 years (range 31-64 years)] and open surgery group [(25 female, 3 male; mean age 45.1 years (range 29-68 years)] and received carpal tunnel release. Surgery was performed under regional intravenous anesthesia. The patients' pain level was assessed at the 1(st), 2(nd), 4(th), and 24(th) postoperative hours using a visual analog scale (VAS) score.

resultsMean age, gender and duration of symptoms were found similar for both groups. Boston functional scores were improved for both groups (P < 0.001, P < 0.001). Pain assessment at the postoperative 1(st), 2(nd), 4(th) and 24(th) hours revealed significantly low VAS scores in the endoscopic surgery group (P = 0.003, P < 0.001, P < 0.001, P < 0.001). Need for analgesic medication was significantly lower in the endoscopic surgery group (P < 0.001).

conclusionEndoscopic carpal tunnel surgery is an effective treatment method in carpal tunnel release vis-a-vis postoperative pain relief.

Indexed as

Carpal tunnel syndromecarpusendoscopicendoscopic surgeryendoscopyopen surgerypostoperative carepostoperative painsurgical procedureswristwrist joint

Identifiers

PMID26955179
PMCPMC4759877
OpenAlexW2228635427

What OpenQuestion holds

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LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.