Evidence map›Paper›PMID 30789447›Full record

Trial reportJournal of occupational and environmental medicine2019

Role of Biomechanical Factors in Resolution of Carpal Tunnel Syndrome Among a Population of Workers.

Amilcar Cardona, Matthew S Thiese, Jay Kapellusch, Andrew Merryweather, Eric Wood, Kurt T Hegmann

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of occupational and environmental medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Blocking CTGF/CCN2 reverses neural fibrosis and sensorimotor declines in a rat model of overuse-induced median mononeuropathy.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2020
    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

6 authors.

Amilcar CardonaRocky Mountain Center for Occupational and Environmental Health University of Utah (Dr Cardona, Dr Thiese, Dr Wood, and Dr Hegmann); College of Health Sciences University of Wisconsin-Milwaukee, Milwaukee, Wisconsin (Dr Kapellusch); Department of Mechanical Engineering University of Utah (Dr Merryweather), Salt Lake City, Utah.
Matthew S Thiese
Jay Kapellusch
Andrew Merryweather
Eric Wood
Kurt T Hegmann

Funding

University of Utah Education and Research CenterT42OH008414 · OH · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI HEGMANN, KURT · 2005 to 2025
$31.7M
Upper Limb Musculosketal Disorders: Quantifying RiskU01OH007917 · OH · UNIVERSITY OF WISCONSIN MILWAUKEE · PI GARG, ARUN · 2002 to 2008
$1.4M
ACL HHS T42OH008414NIOSH CDC HHS T42 OH008414NIOSH CDC HHS U01 OH007917
6 · The paper itself

Abstract

objectivesIdentify if Carpal tunnel syndrome (CTS) symptoms vary by measured biomechanical exposures.

methodsA nested prospective cohort within a large, multicenter, 8-year cohort study. The CTS case definition was tingling/numbness in 2+ median nerve-served digits plus a nerve conduction study consistent with CTS. Workers were assigned to: (1) low (strain index [SI] less than or equal to 6.1), and (2) high (SI more than 6.1) job groups.

resultsAmong 1201 workers, 106 had CTS. Those in the high SI group became and remained symptom-free for at least 3 months, faster than the low SI group, adjusted hazard ratio (HR) = 2.07 (95% confidence interval [CI] = 1.21 to 3.56, P = 0.008). Only surgical release trended towards resolving CTS. Light duty had no impact, and job change was associated with delayed symptoms resolution.

conclusionsHigh biomechanical exposures paradoxically predicted faster improvement in CTS and light duty did not result in symptom resolution.

Indexed as

AdultBiomechanical PhenomenaCarpal Tunnel SyndromeDisease ProgressionFemaleFollow-Up StudiesHumansMaleMiddle AgedOccupational DiseasesPrognosisProspective StudiesRisk Factors

Identifiers

PMID30789447
PMCPMC6449203

What OpenQuestion holds

Textmetadata
LicenceTDM
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.