Evidence map›Paper›PMID 29272038›Full record

Observational studyMuscle & nerve2018

Quality of care and patient-reported outcomes in carpal tunnel syndrome: A prospective observational study.

Teryl K Nuckols, Craig Conlon, Michael Robbins, Michael Dworsky, Julie Lai, Carol P Roth, Barbara Levitan, Seth Seabury, Rachana Seelam, Douglas Benner and 1 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Muscle & nerve, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Observational
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Teryl K NuckolsRAND Corporation, 1776 Main Street Santa Monica, California, 90407, USA.ORCID 0000-0002-0416-1595
Craig ConlonEmployee Health, The Permanente Medical Group, Oakland, California, USA.
Michael RobbinsRAND Corporation, 1776 Main Street Santa Monica, California, 90407, USA.
Michael DworskyRAND Corporation, 1776 Main Street Santa Monica, California, 90407, USA.
Julie LaiRAND Corporation, 1776 Main Street Santa Monica, California, 90407, USA.
Carol P RothRAND Corporation, 1776 Main Street Santa Monica, California, 90407, USA.
Barbara LevitanRAND Corporation, 1776 Main Street Santa Monica, California, 90407, USA.
Seth SeaburyUniversity of Southern California, USC Schaeffer Center, Los Angeles, California, USA.
Rachana SeelamRAND Corporation, 1776 Main Street Santa Monica, California, 90407, USA.
Douglas BennerEK Health Inc, San Jose, California, USA.
Steven M AschRAND Corporation, 1776 Main Street Santa Monica, California, 90407, USA.

Funding

The Value of High Quality Medical Care for Work-Associated Carpal Tunnel SyndromeR01HS018982 · AHRQ · RAND CORPORATION · PI NUCKOLS, TERYL · 2010 to 2014
$2.5M
AHRQ HHS R01 HS018982
6 · The paper itself

Abstract

introductionHigher quality care for carpal tunnel syndrome (CTS) may be associated with better outcomes.

methodsThis prospective observational study recruited adults diagnosed with CTS from 30 occupational health centers, evaluated physicians' adherence to recommended care processes, and assessed results of the Boston Carpal Tunnel Questionnaire (BCTQ) and Short Form Health Survey version 2 (SF-12v2) at recruitment and at 18 months.

resultsAmong 343 individuals, receiving better care (80th vs. 20th percentile for adherence) was associated with greater improvements in BCTQ Symptom Severity scores (-0.18, 95% confidence interval [CI] -0.32 to -0.05), BCTQ Functional Status scores (-0.21, 95% CI -0.34 to -0.08), and SF12-v2 Physical Component scores (1.75, 95% CI 0.33-3.16). Symptoms improved more when physicians assessed and managed activity, patients underwent necessary surgery, and employers adjusted job tasks. DISCUSSION: Efforts should be made to ensure that patients with CTS receive essential care processes including necessary surgery and activity assessment and management. Muscle Nerve 57: 896-904, 2018.

Indexed as

Patient SatisfactionQuality of Health CareAdultAgedCarpal Tunnel SyndromeFemaleHealth SurveysHumansMaleMiddle AgedPatient Reported Outcome MeasuresProspective StudiesSurveys and Questionnairescarpal tunnel syndromefunctional statusoccupational diseasesoutcomesquality of care

Identifiers

PMID29272038
PMCPMC6721837

What OpenQuestion holds

Textmetadata
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.