Evidence map›Paper›PMID 32133653›Full record

ArticleMuscle & nerve2020

Quality of electrodiagnostic testing for carpal tunnel syndrome: adherence to quality measures.

Dixie Aragaki, Aashna Basu, Craig Conlon, Kanaka D Shetty Md Ms, Michael Robbins, Douglas Benner, Teryl K Nuckols

Abstract readMulticenter Study
In one paragraph

Article in Muscle & nerve, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Dixie AragakiVA Greater Los Angeles Healthcare System, Los Angeles, California, USA.
Aashna BasuVA Greater Los Angeles Healthcare System, Los Angeles, California, USA.
Craig ConlonEmployee Health, The Permanente Medical Group, Oakland, California, USA.
Kanaka D Shetty Md MsRAND Corporation, Santa Monica, California, USA.
Michael RobbinsRAND Corporation, Santa Monica, California, USA.
Douglas BennerEK Health, Inc, San Jose, California, USA.
Teryl K NuckolsRAND Corporation, Santa Monica, California, USA.ORCID 0000-0002-0416-1595

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

introductionResearch has shown that quality of health-care services is often suboptimal. Little is known about the quality of electrodiagnostic testing.

methodsWe prospectively recruited 477 adults with workers' compensation claims for carpal tunnel syndrome (CTS) from 30 occupational health clinics and evaluated whether electrodiagnostic testing adhered to five process-oriented quality measures.

resultsAmong patients who had surgery for CTS, nearly all underwent recommended preoperative electrodiagnostic testing (measure #1, 170 of 174, 97.7%). Most electrodiagnostic tests included essential components (measure #2, 295 of 379, 77.8%). However, few reports documented skin temperature (measure #3, 93 of 379, 24.5%) and criteria were seldom met for interpreting test findings as consistent with CTS (measure #4, 41 of 284, 14.4%) or "severe" CTS (measure #5, 8 of 46, 17.4%). DISCUSSION: Most patients underwent testing before surgery, but test quality was often suboptimal. This work lays the groundwork for future efforts to monitor and improve the quality of electrodiagnostic testing for CTS.

Indexed as

AdultCarpal Tunnel SyndromeCohort StudiesElectrodiagnosisFemaleHumansMaleMiddle AgedNeural ConductionProspective StudiesQuality Indicators, Health CareSurveys and Questionnairescarpal tunnel syndromeelectrodiagnosisoccupational diseasesquality measuresquality of care

Identifiers

PMID32133653
PMCPMC12810160

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.