Lasting outcomes similar for carpal tunnel release surgeries

October 8, 2015

Lasting outcomes similar for carpal tunnel release surgeries
(HealthDay)—For patients with carpal tunnel syndrome (CTS), long-term outcomes are similar for open and endoscopic release surgery, according to a research letter published in the Oct. 6 issue of the Journal of the American Medical Association.

Isam Atroshi, M.D., Ph.D., from Lund University in Sweden, and colleagues conducted a randomized trial comparing open and endoscopic release among aged 25 to 60 years with CTS. Patients underwent extended follow-up with a questionnaire that included the validated Levine-Katz 11-item CTS symptom severity scale and eight-item functional status scale. Complete follow-up data for all outcome measures were provided by 124 patients between 11.3 and 15.7 years after .

The researchers found that symptom severity score improvement, which was similar in both groups at one year, was maintained at follow-up. In the open group, the symptom severity scores were 3.1, 1.4, and 1.4 at baseline, one year, and follow-up, respectively; in the endoscopic group, the corresponding scores were 3.2, 1.4, and 1.4. The adjusted mean between-group difference in change was −0.03 from baseline (P = 0.79) and −0.03 from one year (P = 0.76). Secondary outcomes did not differ between the groups.

"After a mean follow-up of 12.8 years after CTS surgery, there were no significant differences between open and endoscopic carpal tunnel ," the authors write. "The large symptom and functional improvements and high level of patient satisfaction achieved with surgery were durable."

Explore further: Overweight, obesity increase risk of carpal tunnel syndrome

More information: Full Text (subscription or payment may be required)

Related Stories

Overweight, obesity increase risk of carpal tunnel syndrome

September 28, 2015
(HealthDay)—Overweight and obesity are associated with increased risk of carpal tunnel syndrome (CTS), according to a meta-analysis published online Sept. 23 in Obesity Reviews.

Long-term satisfaction for open carpal tunnel release

June 27, 2013
(HealthDay)—Most patients who undergo open carpal tunnel release are pleased with the results and free of symptoms more than a decade later, according to a study published in the June 19 issue of The Journal of Bone & Joint ...

Study shows association between migraine and carpal tunnel syndrome

March 23, 2015
Patients with carpal tunnel syndrome are more than twice as likely to have migraine headaches, reports a study in Plastic and Reconstructive Surgery—Global Open, the official open-access medical journal of the American ...

Surgery improves quality of life for patients with chronic sinus infection, sleep dysfunction

September 10, 2015
Patients with chronic rhinosinusitis (sinus infection) and obstructive sleep apnea report a poor quality of life, which is substantially improved following endoscopic sinus surgery, according to a study published online by ...

Ultrasound can accurately diagnose carpal tunnel

September 30, 2014
(HealthDay)—Ultrasound can accurately confirm the diagnosis of carpal tunnel syndrome, according to a study published in the Sept. 3 issue of The Journal of Bone & Joint Surgery.

Patient satisfaction is good indicator of success after spinal surgery

July 24, 2015
Patient satisfaction ratings after surgery for spinal degenerative disease—especially in terms of reduced pain and disability—are a good indicator of the procedure's effectiveness, reports a study in the August issue ...

Recommended for you

Study finds that in treating obesity, one size does not fit all

November 13, 2018
Analyzing data from more than 2,400 obese patients who underwent bariatric weight-loss surgery, researchers identified at least four different patient subgroups that diverge significantly in eating behaviors and rate of diabetes, ...

Surgery patients use only 1/4 of prescribed opioids, and prescription size matters

November 7, 2018
Many surgeons write prescriptions for opioid pain medications four times larger than what their patients will actually use after common operations, a new study shows.

Minimally invasive surgery associated with worse survival for women with cervical cancer compared to open hysterectomy

October 31, 2018
When comparing standard-of-care surgical options for women with early-stage cervical cancer, two studies led by researchers at The University of Texas MD Anderson Cancer Center discovered that minimally invasive radical hysterectomy ...

Aspirin alone a good clot buster after knee surgery

October 22, 2018
When it comes to preventing blood clots after a knee replacement, good old aspirin may be just as effective as newer, more expensive drugs.

Amount of weight regain after bariatric surgery helps predict health risks

October 16, 2018
Measuring the percentage of weight regained following the maximum amount of weight lost after bariatric surgery can help predict a patient's risk of several serious health problems, according to a long-term, multicenter study ...

Technique to 'listen' to a patient's brain during tumour surgery

October 16, 2018
Surgeons could soon eavesdrop on a patient's brain activity during surgery to remove their brain tumour, helping improve the accuracy of the operation and reduce the risk of impairing brain function.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.