Evidence map›Paper›PMID 34001949›Full record

SynthesisScientific reports2021

Ultrasound-guided corticosteroid injection for patients with carpal tunnel syndrome: a systematic review and meta-analysis of randomized controlled trials.

Fu-An Yang, Ya-Chu Shih, Jia-Pei Hong, Chin-Wen Wu, Chun-De Liao, Hung-Chou Chen

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 6 pooled it
–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

17 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  5. Use of Iontophoresis with Corticosteroid in Carpal Tunnel Syndrome: Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2023
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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

6 authors.

Fu-An YangSchool of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Ya-Chu ShihSchool of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Jia-Pei HongDepartment of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, No. 291 Jhongjheng RoadNew Taipei City, Jhonghe District, 235, Taiwan.
Chin-Wen WuDepartment of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, No. 291 Jhongjheng RoadNew Taipei City, Jhonghe District, 235, Taiwan.
Chun-De LiaoDepartment of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, No. 291 Jhongjheng RoadNew Taipei City, Jhonghe District, 235, Taiwan.
Hung-Chou ChenDepartment of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, No. 291 Jhongjheng RoadNew Taipei City, Jhonghe District, 235, Taiwan. 10462@s.tmu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Carpal tunnel syndrome (CTS) refers to the symptoms and signs caused by the compression of the median nerve in the carpal tunnel. It can be treated by corticosteroid injection into the carpal tunnel. Two methods for injection have been employed, namely ultrasound-guided and landmark-guided injection. This systematic review and meta-analysis was conducted to compare these methods in terms of several outcomes. A search of the PubMed, Cochrane Library, and Embase databases was performed from the date of their inception to October 7, 2020 to identify randomized controlled trials (RCTs). Results for continuous variables are expressed as standardized mean differences (SMDs) with 95% confidence intervals (CIs). Analyses were performed using RevMan 5.3 software. The analysis included eight RCTs published between 2013 and 2019 with a total of 448 patients. Ultrasound-guided injection yielded more favorable results than landmark-guided injection for the Boston Carpal Tunnel Syndrome Questionnaire, Symptom Severity Scale [SMD =  - 0.43, 95% CI (- 0.68, - 0.19), P = 0.0005] and Boston Carpal Tunnel Syndrome Questionnaire, Functional Status Scale [SMD =  - 0.50, 95% CI (- 0.84, - 0.15), P = 0.005]. Ultrasound-guided corticosteroid injection is recommended for patients with CTS.

Indexed as

Anatomic LandmarksCarpal Tunnel SyndromeGlucocorticoidsHumansInjectionsMedian NerveRandomized Controlled Trials as TopicTreatment OutcomeUltrasonography, InterventionalWristGlucocorticoids

Identifiers

PMID34001949
PMCPMC8128919

What OpenQuestion holds

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Registered trials

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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.