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Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome
First rib resection for thoracic outlet syndrome (TOS) is clinically successful and safe in most patients. However, long-term functional outcomes are still insufficiently known. Long-term functional outcome was assessed using a validated questionnaire. A multicenter retrospective cohort study includ...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871990/ https://www.ncbi.nlm.nih.gov/pubmed/29329197 http://dx.doi.org/10.3390/diagnostics8010007 |
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author | Peek, Jesse Vos, Cornelis G. Ünlü, Çağdas Schreve, Michiel A. van de Mortel, Rob H. W. de Vries, Jean-Paul P. M. |
author_facet | Peek, Jesse Vos, Cornelis G. Ünlü, Çağdas Schreve, Michiel A. van de Mortel, Rob H. W. de Vries, Jean-Paul P. M. |
author_sort | Peek, Jesse |
collection | PubMed |
description | First rib resection for thoracic outlet syndrome (TOS) is clinically successful and safe in most patients. However, long-term functional outcomes are still insufficiently known. Long-term functional outcome was assessed using a validated questionnaire. A multicenter retrospective cohort study including all patients who underwent operations for TOS from January 2005 until December 2016. Clinical records were reviewed and the long-term functional outcome was assessed by the 11-item version of the Disability of the Arm, Shoulder, and Hand (QuickDASH) questionnaire. Sixty-two cases of TOS in 56 patients were analyzed: 36 neurogenic TOS, 13 arterial TOS, 7 venous TOS, and 6 combined TOS. There was no 30-day mortality. One reoperation because of bleeding was performed and five patients developed a pneumothorax. Survey response was 73% (n = 41) with a follow-up ranging from 1 to 11 years. Complete relief of symptoms was reported postoperatively in 27 patients (54%), symptoms improved in 90%, and the mean QuickDASH score was 22 (range, 0–86). Long-term functional outcome of surgical treatment of TOS was satisfactory, and surgery was beneficial in 90% of patients, with a low risk of severe morbidity. However, the mean QuickDASH scores remain higher compared with the general population, suggesting some sustained functional impairment despite clinical improvement of symptoms. |
format | Online Article Text |
id | pubmed-5871990 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-58719902018-03-29 Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome Peek, Jesse Vos, Cornelis G. Ünlü, Çağdas Schreve, Michiel A. van de Mortel, Rob H. W. de Vries, Jean-Paul P. M. Diagnostics (Basel) Article First rib resection for thoracic outlet syndrome (TOS) is clinically successful and safe in most patients. However, long-term functional outcomes are still insufficiently known. Long-term functional outcome was assessed using a validated questionnaire. A multicenter retrospective cohort study including all patients who underwent operations for TOS from January 2005 until December 2016. Clinical records were reviewed and the long-term functional outcome was assessed by the 11-item version of the Disability of the Arm, Shoulder, and Hand (QuickDASH) questionnaire. Sixty-two cases of TOS in 56 patients were analyzed: 36 neurogenic TOS, 13 arterial TOS, 7 venous TOS, and 6 combined TOS. There was no 30-day mortality. One reoperation because of bleeding was performed and five patients developed a pneumothorax. Survey response was 73% (n = 41) with a follow-up ranging from 1 to 11 years. Complete relief of symptoms was reported postoperatively in 27 patients (54%), symptoms improved in 90%, and the mean QuickDASH score was 22 (range, 0–86). Long-term functional outcome of surgical treatment of TOS was satisfactory, and surgery was beneficial in 90% of patients, with a low risk of severe morbidity. However, the mean QuickDASH scores remain higher compared with the general population, suggesting some sustained functional impairment despite clinical improvement of symptoms. MDPI 2018-01-12 /pmc/articles/PMC5871990/ /pubmed/29329197 http://dx.doi.org/10.3390/diagnostics8010007 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Peek, Jesse Vos, Cornelis G. Ünlü, Çağdas Schreve, Michiel A. van de Mortel, Rob H. W. de Vries, Jean-Paul P. M. Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome |
title | Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome |
title_full | Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome |
title_fullStr | Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome |
title_full_unstemmed | Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome |
title_short | Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome |
title_sort | long-term functional outcome of surgical treatment for thoracic outlet syndrome |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871990/ https://www.ncbi.nlm.nih.gov/pubmed/29329197 http://dx.doi.org/10.3390/diagnostics8010007 |
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