Evidence map›Paper›PMID 39166198›Full record

ArticleJournal of hand surgery global online2024

Endoscopic Versus Open Treatment of Carpal Tunnel Syndrome: Postoperative Complications in Patients With Diabetes Mellitus.

Arman Kishan, Sanjay Kubsad, Mark Haft, Henry M Fox, Sami H Tuffaha, Dawn M LaPorte, Duc M Nguyen

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of hand surgery global online, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07364604 (Very Early Outcomes in Endoscopic Versus Open Carpal Tunnel Release), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT07364604 completednot on this map

Very Early Outcomes in Endoscopic Versus Open Carpal Tunnel Release

Typeobservational_patient_registrySponsorStanford UniversityRan2022 to 2024Enrolled113ConditionsCarpal Tunnel Syndrome (CTS)ArmsCarpal Tunnel Release
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

7 authors.

Arman KishanDivision of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD.
Sanjay KubsadDivision of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD.
Mark HaftDivision of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD.
Henry M FoxDivision of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD.
Sami H TuffahaDepartment of Plastic and Reconstructive Surgery, The Johns Hopkins University, Baltimore, MD.
Dawn M LaPorteDivision of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD.
Duc M NguyenDivision of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Patients with type 2 diabetes mellitus (T2DM) often face higher postoperative complication rates. Limited data exist regarding outcomes in T2DM patients undergoing carpal tunnel release (CTR). This study compares complication rates between endoscopic CTR (ECTR) and open CTR (OCTR) in patients with T2DM. Methods: The TriNetX database was used to perform a retrospective cohort study of 67,225 patients with T2DM who underwent ECTR (n = 17,792) or OCTR (n = 49,433). Demographic data, medical comorbidities, and complication rates were analyzed. A 1:1 propensity score match was performed to calculate risk ratios and 95% confidence intervals of postoperative median nerve injury, 6-week wound dehiscence, and 6-week wound infection. Results: After matching, a significantly greater number of ECTR patients had liver disease ( Conclusions: In our analysis of T2DM patients undergoing CTR, ECTR yielded significantly lower rates of wound infection, wound dehiscence, and nerve injury within 6-weeks post-surgery, reducing the risk by 43%, 52%, and 58%, respectively. These findings suggest that ECTR may result in a lower complication rate in this patient population. Type of study/level of evidence: III.

Indexed as

Carpal tunnel releaseCTR postoperative complicationsDiabetesEndoscopic CTS releaseOpen CTS release

Identifiers

PMID39166198
PMCPMC11331215

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.