Evidence map›Paper›PMID 32779515›Full record

ReviewThe journal of vascular access2021

Carpal tunnel syndrome in patients with arteriovenous fistula for haemodialysis: A narrative review of the current literature.

Yasmin Grant, Simon Freilich, Maxim D Horwitz, David Shemesh, Jeremy Crane

Open access · hybridAbstract readReview
In one paragraph

Review in The journal of vascular access, 2021. 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
1.1field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. 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

5 authors at 4 institutions in 2 countries.

Yasmin GrantDepartment of Transplant Surgery, Imperial College Renal and Transplant Centre, Hammersmith Hospital, London, UK.ORCID https://orcid.org/0000-0001-5921-823X
Simon FreilichDepartment of Clinical Neurophysiology, Luton and Dunstable University Hospital, NHS Foundation Trust, Luton, UK.
Maxim D HorwitzDepartment of Hand Surgery, Chelsea and Westminster Hospital NHS Trust, London, UK.
David ShemeshDepartment of Surgery and Haemodialysis Access Unit, Shaare Zedek Medical Centre, Jerusalem, Israel.
Jeremy CraneDepartment of Transplant Surgery, Imperial College Renal and Transplant Centre, Hammersmith Hospital, London, UK.
Hammersmith Hospital · GBChelsea and Westminster Hospital · GBLuton and Dunstable University Hospital NHS Foundation Trust · GBShaare Zedek Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ideal choice of vascular access in patients requiring haemodialysis is an arteriovenous fistula. However, an important often under-reported complication encountered at follow-up is symptoms of tingling or numbness in the hand. This may represent carpal tunnel syndrome, impairment of the median nerve as it traverses through the carpal tunnel at the wrist by focal compression of this nerve. Contributory factors in the presence of an arteriovenous fistula may include venous hypertension and varying steal syndrome phenomena provoking micro-ischaemia. Studies that investigated the evolution of carpal tunnel syndrome in haemodialysis patients with an arteriovenous fistula revealed that the frequency of carpal tunnel syndrome associated with an arteriovenous fistula on haemodialysis ranged from 10.4% to 42.6%. An association between duration of haemodialysis with arteriovenous fistula and carpal tunnel syndrome development was also observed. Surgical release of carpal tunnel provided complete relief of paraesthesia in all treated patients in the examined, demonstrating an alleviation of symptoms and improved function of hand and quality of life in patients with an arteriovenous fistula. However, the aetiology and risk factors for development of carpal tunnel syndrome remain unclear and further studies should attempt to elucidate the pathophysiology of this occurrence in the presence of arteriovenous fistulas.

Indexed as

Arteriovenous FistulaArteriovenous Shunt, SurgicalCarpal Tunnel SyndromeKidney Failure, ChronicHumansQuality of LifeRenal DialysisArteriovenous fistulacarpal tunnelcarpal tunnel syndromehaemodialysisvascular access

Identifiers

PMID32779515
PMCPMC8392763
OpenAlexW3048681326

What OpenQuestion holds

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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.