Evidence map›Paper›PMID 29649998›Full record

Trial reportBMC musculoskeletal disorders2018

Effectiveness of ultrasonography and nerve conduction studies in the diagnosing of carpal tunnel syndrome: clinical trial on accuracy.

Benedito Felipe Rabay Pimentel, Flávio Faloppa, Marcel Jun Sugawara Tamaoki, João Carlos Belloti

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02553811 (Accuracy of Ultrasonography and Electromyography in the Diagnosis of Carpal Tunnel Syndrome), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.8field-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.

NCT02553811 nacompletednot on this map

Accuracy of Ultrasonography and Electromyography in the Diagnosis of Carpal Tunnel Syndrome

TypeinterventionalSponsorFederal University of São PauloRan2015 to 2016Enrolled115ConditionsCarpal Tunnel Syndrome, Compression Neuropathy, Carpal Tunnel, Median Neuropathy, Carpal TunnelArmsaccuracy diagnostic
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 34 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

Benedito Felipe Rabay PimentelDivision of Hand Surgery and Upper Limb, Discipline of Orthopaedics and Traumatology, Paraiba Valley Regional Hospital and Taubaté University Hospital, University of Taubaté, 239 Francisco de Barros, Taubaté, São Paulo, zip code 12020-230, Brazil. befecil@gmail.com.
Flávio FaloppaDivision of Hand Surgery and Upper Limb, Department of Orthopedics and Traumatology, Federal University of São Paulo, Paulista School of Medicine, 786 Borges Lagoa, São Paulo, São Paulo, zip code 04038-030, Brazil.
Marcel Jun Sugawara TamaokiDivision of Hand Surgery and Upper Limb, Department of Orthopedics and Traumatology, Federal University of São Paulo, Paulista School of Medicine, 786 Borges Lagoa, São Paulo, São Paulo, zip code 04038-030, Brazil.
João Carlos BellotiDivision of Hand Surgery and Upper Limb, Department of Orthopedics and Traumatology, Federal University of São Paulo, Paulista School of Medicine, 786 Borges Lagoa, São Paulo, São Paulo, zip code 04038-030, Brazil.
Universidade Federal de São Paulo · BRUniversidade de Taubaté · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the effectiveness of two diagnostic tests routinely used for diagnosing carpal tunnel syndrome (CTS)-ultrasonography (US) and nerve conduction studies (NCS)-by comparing their accuracy based on surgical results, with the remission of paresthesia as the reference standard.

methodsWe enrolled 115 patients, all of the female gender with a high probability of a clinical diagnosis of CTS. All patients underwent US and NCS for a diagnosis and subsequent surgical treatment. As a primary outcome, the accuracy of the US and NCS diagnoses was measured by comparing their diagnoses compared with those determined by the surgical outcomes. Their accuracy was secondarily evaluated based on before and after scores of the Boston Carpal Tunnel Questionnaire (BCTQ).

resultsOverall, 104 patients (90.4%) were diagnosed with CTS by the surgical reference standard, 97 (84.3%) by NCS, and 90 (78.3%) by US. The concordance of NCS and surgical treatment (p < 0.001; kappa = 0.648) was superior to that of US and surgical treatment (p < 0.001; kappa = 0.423). The sensitivity and specificity of US and NCS were similar (p = 1.000 and p = 0.152, respectively: McNemar's test). The BCTQ scores were lower after surgery in patients diagnosed by both US and NCS (p < 0.001and p < 0.001, respectively: analysis of variance).

conclusionsUS and NCS effectively diagnosed CTS with good sensitivity but were not effective enough to rule out a suspicion of CTS.

trial registrationThis study was registered at September, 10 th, 2015, and the registration number was NCT02553811 .

Indexed as

AdultAgedCarpal Tunnel SyndromeDiagnostic Techniques, NeurologicalFemaleHumansLongitudinal StudiesMiddle AgedNeural ConductionProspective StudiesRecovery of FunctionUltrasonographyCarpal tunnel syndromeClinical diagnosisDiagnostic accuracyDiagnostic practicesElectrodiagnostic testingElectromyographNerve conduction studiesSurgical treatmentUltrasonographyUltrasound

Identifiers

PMID29649998
PMCPMC5898048
OpenAlexW2805145432

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.