Evidence map›Paper›PMID 32440410›Full record

ArticlePlastic and reconstructive surgery. Global open2020

Ulnar Nerve Entrapment in Diabetes: Patient-reported Outcome after Surgery in National Quality Registries.

Malin Zimmerman, Ilka Anker, Anna Karlsson, Marianne Arner, Ann-Marie Svensson, Katarina Eeg-Olofsson, Erika Nyman, Lars B Dahlin

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 19 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

8 authors at 6 institutions in 1 country.

Malin ZimmermanDepartment of Translational Medicine-Hand Surgery, Lund University, Skåne University Hospital, Malmö, Sweden.
Ilka AnkerDepartment of Translational Medicine-Hand Surgery, Lund University, Skåne University Hospital, Malmö, Sweden.
Anna KarlssonDepartment of Translational Medicine-Hand Surgery, Lund University, Skåne University Hospital, Malmö, Sweden.
Marianne ArnerHAKIR, National Registry for Hand Surgery, Department of Hand Surgery, South General Hospital, Stockholm, Sweden.
Ann-Marie SvenssonNational Diabetes Register, Centre of Registers, Gothenburg, Sweden.
Katarina Eeg-OlofssonDepartment of Medicine, Sahlgrenska University Hospital, University of Gothenburg, Gothenberg, Sweden.
Erika NymanDivision of Clinical Sciences, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Lars B DahlinDepartment of Translational Medicine-Hand Surgery, Lund University, Skåne University Hospital, Malmö, Sweden.
Lund University · SESkåne University Hospital · SECentre of Registers Vastra Gotaland · SELinköping University · SEStockholm South General Hospital · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUlnar nerve entrapment at the elbow (UNE) is overrepresented in patients with diabetes, but the outcome of surgery is unknown. We aimed to evaluate patient-reported outcome in patients with and without diabetes, and to assess potential sex differences and compare surgical treatment methods.

methodsData on patients operated for UNE (2010-2016, n = 1354) from the Swedish National Registry for Hand Surgery were linked to the Swedish National Diabetes Register. Symptoms were assessed preoperatively (n = 389), and 3 (n = 283), and at 12 months postoperatively (n = 267) by QuickDASH and HQ-8 (specific hand surgery questionnaire-8 questions). Only simple decompressions were included when comparing groups.

resultsMen with diabetes reported higher postoperative QuickDASH scores than men without diabetes. Women scored their disability higher than men on all time-points in QuickDASH, but showed larger improvement between preoperative and 12 months postoperative values. Patients operated with transposition scored 10.8 points higher on QuickDASH than patients who had simple decompression at 12 months (95% confidence interval 1.98-19.6).

conclusionsWomen with diabetes benefit from simple decompression for UNE to the same extent as women without diabetes. Men with diabetes risk not to benefit from simple decompression as much as women do. Ulnar nerve transposition had a higher risk of residual symptoms compared to simple decompression.

Identifiers

PMID32440410
PMCPMC7209826
OpenAlexW3017414972

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LicenceCC BY-NC-ND
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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.