A prospective study of prognostic factors for duration of sick leave after endoscopic carpal tunnel release

BACKGROUND: Endoscopic carpal tunnel release with a single portal technique has been shown to reduce sick leave compared to open carpal tunnel release, claiming to be a less invasive procedure and reducing scar tenderness leading to a more rapid return to work, and the purpose of this study was to i...

Descripción completa

Detalles Bibliográficos
Autores principales: Hansen, Torben Bæk, Dalsgaard, Jesper, Meldgaard, Anette, Larsen, Kristian
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2784750/
https://www.ncbi.nlm.nih.gov/pubmed/19930598
http://dx.doi.org/10.1186/1471-2474-10-144
_version_ 1782174776446418944
author Hansen, Torben Bæk
Dalsgaard, Jesper
Meldgaard, Anette
Larsen, Kristian
author_facet Hansen, Torben Bæk
Dalsgaard, Jesper
Meldgaard, Anette
Larsen, Kristian
author_sort Hansen, Torben Bæk
collection PubMed
description BACKGROUND: Endoscopic carpal tunnel release with a single portal technique has been shown to reduce sick leave compared to open carpal tunnel release, claiming to be a less invasive procedure and reducing scar tenderness leading to a more rapid return to work, and the purpose of this study was to identify prognostic factors for prolonged sick leave after endoscopic carpal tunnel release in a group of employed Danish patients. METHODS: The design was a prospective study including 75 employed patients with carpal tunnel syndrome operated with ECTR at two hospitals. The mean age was 46 years (SD 10.1), the male/female ratio was 0.42, and the mean preoperative duration of symptoms 10 months (range 6-12). Only 21 (28%) were unable to work preoperatively and mean sick leave was 4 weeks (range 1-4). At base-line and at the 3-month follow-up, a self-administered questionnaire was collected concerning physical, psychological, and social circumstances in relation to the hand problem. Data from a nerve conduction examination were collected at baseline and at the 3-month follow-up. Significant prognostic factors were identified through multiple logistic regression analysis. RESULTS: After the operation, the mean functional score was reduced from 2.3 to 1.4 (SD 0.8) and the mean symptom score from 2.9 to 1.5 (SD 0.7). The mean sick leave from work after the operation was 19.8 days (SD 14.3). Eighteen patients (24%) had more than 21 days of sick leave. Two patients (3%) were still unable to work after 3 months. Significant prognostic factors in the multivariate analysis for more than 21 days of postoperative sick leave were preoperative sick leave, blaming oneself for the hand problem and a preoperative distal motor latency. CONCLUSION: Preoperative sick leave, blaming oneself for the hand problem, and a preoperative distal nerve conduction motor latency were prognostic factors for postoperative work absence of more than 21 days. Other factors may be important (clinical, demographic, economic, and workplace) in explaining the great variance in the results of sick leave after carpal tunnel release between studies from different countries.
format Text
id pubmed-2784750
institution National Center for Biotechnology Information
language English
publishDate 2009
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-27847502009-11-28 A prospective study of prognostic factors for duration of sick leave after endoscopic carpal tunnel release Hansen, Torben Bæk Dalsgaard, Jesper Meldgaard, Anette Larsen, Kristian BMC Musculoskelet Disord Research article BACKGROUND: Endoscopic carpal tunnel release with a single portal technique has been shown to reduce sick leave compared to open carpal tunnel release, claiming to be a less invasive procedure and reducing scar tenderness leading to a more rapid return to work, and the purpose of this study was to identify prognostic factors for prolonged sick leave after endoscopic carpal tunnel release in a group of employed Danish patients. METHODS: The design was a prospective study including 75 employed patients with carpal tunnel syndrome operated with ECTR at two hospitals. The mean age was 46 years (SD 10.1), the male/female ratio was 0.42, and the mean preoperative duration of symptoms 10 months (range 6-12). Only 21 (28%) were unable to work preoperatively and mean sick leave was 4 weeks (range 1-4). At base-line and at the 3-month follow-up, a self-administered questionnaire was collected concerning physical, psychological, and social circumstances in relation to the hand problem. Data from a nerve conduction examination were collected at baseline and at the 3-month follow-up. Significant prognostic factors were identified through multiple logistic regression analysis. RESULTS: After the operation, the mean functional score was reduced from 2.3 to 1.4 (SD 0.8) and the mean symptom score from 2.9 to 1.5 (SD 0.7). The mean sick leave from work after the operation was 19.8 days (SD 14.3). Eighteen patients (24%) had more than 21 days of sick leave. Two patients (3%) were still unable to work after 3 months. Significant prognostic factors in the multivariate analysis for more than 21 days of postoperative sick leave were preoperative sick leave, blaming oneself for the hand problem and a preoperative distal motor latency. CONCLUSION: Preoperative sick leave, blaming oneself for the hand problem, and a preoperative distal nerve conduction motor latency were prognostic factors for postoperative work absence of more than 21 days. Other factors may be important (clinical, demographic, economic, and workplace) in explaining the great variance in the results of sick leave after carpal tunnel release between studies from different countries. BioMed Central 2009-11-22 /pmc/articles/PMC2784750/ /pubmed/19930598 http://dx.doi.org/10.1186/1471-2474-10-144 Text en Copyright ©2009 Hansen et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research article
Hansen, Torben Bæk
Dalsgaard, Jesper
Meldgaard, Anette
Larsen, Kristian
A prospective study of prognostic factors for duration of sick leave after endoscopic carpal tunnel release
title A prospective study of prognostic factors for duration of sick leave after endoscopic carpal tunnel release
title_full A prospective study of prognostic factors for duration of sick leave after endoscopic carpal tunnel release
title_fullStr A prospective study of prognostic factors for duration of sick leave after endoscopic carpal tunnel release
title_full_unstemmed A prospective study of prognostic factors for duration of sick leave after endoscopic carpal tunnel release
title_short A prospective study of prognostic factors for duration of sick leave after endoscopic carpal tunnel release
title_sort prospective study of prognostic factors for duration of sick leave after endoscopic carpal tunnel release
topic Research article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2784750/
https://www.ncbi.nlm.nih.gov/pubmed/19930598
http://dx.doi.org/10.1186/1471-2474-10-144
work_keys_str_mv AT hansentorbenbæk aprospectivestudyofprognosticfactorsfordurationofsickleaveafterendoscopiccarpaltunnelrelease
AT dalsgaardjesper aprospectivestudyofprognosticfactorsfordurationofsickleaveafterendoscopiccarpaltunnelrelease
AT meldgaardanette aprospectivestudyofprognosticfactorsfordurationofsickleaveafterendoscopiccarpaltunnelrelease
AT larsenkristian aprospectivestudyofprognosticfactorsfordurationofsickleaveafterendoscopiccarpaltunnelrelease
AT hansentorbenbæk prospectivestudyofprognosticfactorsfordurationofsickleaveafterendoscopiccarpaltunnelrelease
AT dalsgaardjesper prospectivestudyofprognosticfactorsfordurationofsickleaveafterendoscopiccarpaltunnelrelease
AT meldgaardanette prospectivestudyofprognosticfactorsfordurationofsickleaveafterendoscopiccarpaltunnelrelease
AT larsenkristian prospectivestudyofprognosticfactorsfordurationofsickleaveafterendoscopiccarpaltunnelrelease