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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...

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Autores principales: Peek, Jesse, Vos, Cornelis G., Ünlü, Çağdas, Schreve, Michiel A., van de Mortel, Rob H. W., de Vries, Jean-Paul P. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
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.
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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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