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The Six-Item CTS Symptoms Scale and Palmar Pain Scale in Carpal Tunnel Syndrome

Atroshi, Isam, MD, PhD ; Lyrén, Per-Erik, PhD ; Ornstein, Ewald, MD, PhD ; Gummesson, Christina, PhD

The Journal of hand surgery (American ed.), 2011-05, Vol.36 (5), p.788-794 [Periódico revisado por pares]

New York, NY: Elsevier Inc

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Título:
The Six-Item CTS Symptoms Scale and Palmar Pain Scale in Carpal Tunnel Syndrome
Autor: Atroshi, Isam, MD, PhD ; Lyrén, Per-Erik, PhD ; Ornstein, Ewald, MD, PhD ; Gummesson, Christina, PhD
Assuntos: Adult ; Aged ; Biological and medical sciences ; carpal tunnel release ; Carpal tunnel syndrome ; Carpal Tunnel Syndrome - diagnosis ; Carpal Tunnel Syndrome - surgery ; Clinical Medicine ; Cohort Studies ; Confidence Intervals ; Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction ; CTS-6 symptoms scale ; Decompression, Surgical - methods ; Disability Evaluation ; Diseases of the osteoarticular system ; Female ; Follow-Up Studies ; Health Sciences ; Humans ; Hälsovetenskap ; Klinisk medicin ; Male ; Medical and Health Sciences ; Medical sciences ; Medicin och hälsovetenskap ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Orthopedics ; Ortopedi ; Pain - diagnosis ; Pain - etiology ; Pain Measurement - methods ; Pain Threshold ; patient-reported outcomes ; Physical Examination - methods ; Physiotherapy ; Postoperative Care - methods ; Preoperative Care - methods ; QuickDASH ; Recovery of Function ; Severity of Illness Index ; Sjukgymnastik ; Treatment Outcome
É parte de: The Journal of hand surgery (American ed.), 2011-05, Vol.36 (5), p.788-794
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Purpose To evaluate measurement properties of 2 brief outcome measures for carpal tunnel syndrome: the 6-item carpal tunnel symptoms scale (CTS-6) and the 2-item palmar pain scale (measuring severity of pain in the scar/palm and pain-related activity limitation). Our hypothesis was that the CTS-6 is responsive to change in symptoms after surgical treatment and the pain scale is a valid measure of surgery-related pain. Methods This study followed 447 consecutive patients with carpal tunnel syndrome undergoing open release; 308 completed the CTS-6 and the Disabilities of the Arm, Shoulder, and Hand–short form (QuickDASH) before surgery and the CTS-6, QuickDASH, palmar pain scale, and 2 items regarding global rating of change and treatment satisfaction once after surgery (range, 2–13 mo). The mean scores for the CTS-6 (range, 1–5) and QuickDASH and palmar pain scales (range, 0–100) were calculated (lower score is better). Responsiveness was assessed with the effect size (ES). We estimated the CTS-6 score change indicating minimal clinically important difference based on scores for patients with moderate self-rated improvement. Results The mean baseline CTS-6 score was 3.16, mean change after surgery was −1.54 (95% confidence interval [CI], −1.65 to −1.44), and ES was 2.0. The ES was large (2.5) in patients with the largest self-rated improvement and decreased with lower self-rated improvement. A score change of 0.9 indicated a minimal clinically important difference. The mean change in QuickDASH score was −25.4 (95% CI, −27.8 to −23.0), and ES was 1.25. The mean palmar pain score for patients with time since surgery of less than 3 months was 38.5, at 3 to 6 months was 35.4, and greater than 6 months was 19.5; the mean score was significantly higher among patients with lower satisfaction. Conclusions The CTS-6 is highly responsive to change in symptoms, and the palmar pain scale is a valid measure of surgery-related pain. These brief scales can be appropriate primary and secondary outcomes measures in clinical trials studying carpal tunnel syndrome. Type of study/level of evidence Diagnostic I.
Editor: New York, NY: Elsevier Inc
Idioma: Inglês

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The Six-Item CTS Symptoms Scale and Palmar Pain Scale in Carpal Tunnel Syndrome

Atroshi, Isam, MD, PhD ; Lyrén, Per-Erik, PhD ; Ornstein, Ewald, MD, PhD ; Gummesson, Christina, PhD

New York, NY: Elsevier Inc

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