Evidence map›Paper›PMID 33073583›Full record

SynthesisHand (New York, N.Y.)2022

Outcome Metrics in the Treatment of Carpal Tunnel Syndrome: A Systematic Review.

Kevin Mertz, Sarah E Lindsay, Arden Morris, Robin N Kamal

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Hand (New York, N.Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

4 authors at 1 institution in 1 country.

Kevin MertzStanford University, CA, USA.
Sarah E LindsayStanford University, CA, USA.ORCID 0000-0002-4452-002X
Arden MorrisStanford University, CA, USA.
Robin N KamalStanford University, CA, USA.ORCID 0000-0002-3011-6712
Stanford University · US

Funding

Developing and Testing a Tool for Preference Elicitation in Carpal Tunnel SyndromeK23AR073307 · NIAMS · STANFORD UNIVERSITY · PI KAMAL, ROBIN N · 2018 to 2022
$866k
NIAMS NIH HHS K23 AR073307
6 · The paper itself

Abstract

backgroundThe purpose of this systematic review was to determine the metrics used to assess outcomes after treatment for carpal tunnel syndrome.

methodsWe performed a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines of level I and II randomized controlled trials of treatment for carpal tunnel syndrome. We searched the PubMed/MEDLINE electronic database for studies on treatment of carpal tunnel syndrome from January 2008 to January 2018. A total of 105 studies were included in the final analysis. The metrics used to assess outcomes in each studies were collected, compared, and described.

resultsNearly all the studies used a patient-reported outcome measure (PROM) to assess outcomes (94%). The most common PROMs used were the Boston Carpal Tunnel Questionnaire (60%) and the Visual Analog Scale for pain (51%). Electrophysiological testing and physical examination were also commonly used to assess outcomes (50% and 46%, respectively). Cost, sleep, and return to activities of daily living were assessed in a minority of studies (1%, 1%, and 5%, respectively).

conclusionsSuccessful treatment of carpal tunnel syndrome is commonly defined based on a PROM, highlighting recent efforts to measure outcomes from the patient's perspective. Other patient-centered metrics such as return to work and sleep quality, however, were rarely reported, whereas objective measures such as nerve conduction studies were prevalent. Further work is needed to determine patients' preferred method of measuring outcomes after treatment for carpal tunnel syndrome to inform goal-directed decision-making and treatment.

Indexed as

Carpal Tunnel SyndromeActivities of Daily LivingHumansPain MeasurementVisual Analog Scalecarpal tunnel releasecarpal tunnel syndromehand surgeryoutcomesquality

Identifiers

PMID33073583
PMCPMC9274895
OpenAlexW3092894702

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.