ArticleThe Journal of hand surgery2021
The Association Between Electrodiagnostic Severity and Treatment Recommendations for Carpal Tunnel Syndrome.
Article in The Journal of hand surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 21 citations in OpenAlex.
- Effectiveness of Endoscopic versus Open Carpal Tunnel Release on Severe Carpal Tunnel Syndrome.Journal of wrist surgery · 2026Article
- Among Patients Seeking Care for Carpal Tunnel Syndrome, Variation in Symptom Intensity Is Associated More With Variation in Mindsets Than Variation in Compressive Median Neuropathy Severity.Hand (New York, N.Y.) · 2026Article
- Positive sensory symptoms, in surgically managed patients with carpal tunnel syndrome: A long term follow‑up.Experimental and therapeutic medicine · 2024Article
- Vasculitis presenting as carpal tunnel syndrome: a case report.Journal of medical case reports · 2023Article
- The top 50 most cited articles in carpal tunnel syndrome research: A bibliometrics study.Medicine · 2022Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
purposeOur study aimed to evaluate the relationship between electrodiagnostic study (EDS) severity and utilization of treatments for carpal tunnel syndrome (CTS) as well as the duration of time between EDS and carpal tunnel release (CTR).
methodsWe conducted a retrospective medical chart review at a single tertiary hand center to evaluate CTS-related care that patients received after EDS. We recorded patient age, sex, race/ethnicity, insurance type, CTS-related surgical and nonsurgical healthcare utilization after EDS testing, and number of days between EDS and CTR.
resultsAmong all patients with an eventual diagnosis of CTS who received EDS (n = 210), nearly half had normal or mild severity (23%, n = 48; and 28%, n = 58, respectively) and the other half had moderate or severe EDS findings (26%, n = 55; and 23%, n = 49, respectively). Patients with severe findings had the highest rate of receiving surgery (53%) compared with patients with mild and moderate findings (33% vs 46%, respectively). Among the patients who received CTR (n = 73), patients with severe EDS findings had the shortest time to CTR (59.5 days; interquartile range [IQR], 30-81), compared with mild severity (170 days; IQR, 87-415) and moderate severity (77 day; IQR, 42-292). Moderate and severe EDS findings were associated with significantly higher odds of receiving CTR in adjusted analyses (odds ratio, 2.48, 95% confidence interval, 1.04-5.93 and odds ratio 3.79, 95% confidence interval, 1.51-9.50, respectively) compared with patients with mild EDS findings. However, the odds of receiving steroid injection and hand therapy/orthosis were not significantly different based on severity.
conclusionsElectrodiagnostic study severity had a direct relationship to the probability of receiving surgery but did not correlate with use of nonsurgical treatment. The study findings signal a need to evaluate the value of nonsurgical treatments in patients with severe EDS findings. TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic II.
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