Socioeconomic factors predicting outcome in surgically treated carpal tunnel syndrome: a national registry-based study

Abstract The study aimed to investigate socioeconomic factors in patients with carpal tunnel syndrome (CTS) and to evaluate their impact on outcome following open carpal tunnel release (OCTR). Data from the National Quality Register for Hand Surgery were combined with socioeconomic data (marital sta...

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Autores principales:	Malin Zimmerman, Evelina Hall, Katarina Steen Carlsson, Erika Nyman, Lars B. Dahlin
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6011300250e6435792ebde31d3e93c95
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spelling	oai:doaj.org-article:6011300250e6435792ebde31d3e93c952021-12-02T13:57:59ZSocioeconomic factors predicting outcome in surgically treated carpal tunnel syndrome: a national registry-based study10.1038/s41598-021-82012-x2045-2322https://doaj.org/article/6011300250e6435792ebde31d3e93c952021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82012-xhttps://doaj.org/toc/2045-2322Abstract The study aimed to investigate socioeconomic factors in patients with carpal tunnel syndrome (CTS) and to evaluate their impact on outcome following open carpal tunnel release (OCTR). Data from the National Quality Register for Hand Surgery were combined with socioeconomic data (marital status, education level, earnings, migrant status, occupation, sick leave, unemployment, and social assistance) from Statistics Sweden to evaluate OCTRs performed from 2010 to 2016 (total 10,746 OCTRs). Patients completed QuickDASH (short version of Disabilities of Arm, Shoulder and Hand) questionnaires preoperatively (n = 3597) and at three (n = 2824) and 12 months (n = 2037) postoperatively. The effect of socioeconomic factors on QuickDASH scores was analyzed with linear regression analysis. Socioeconomically deprived patients scored higher on the QuickDASH on all occasions than patients with higher socioeconomic status. Being widowed, having a low education level, low earnings, immigrant status, frequent sick leave and dependence on social assistance all increased the postoperative QuickDASH score at 12 months. The change in total score for QuickDASH between preoperative and 12 months postoperatively did not vary between the groups. We conclude that such factors as being widowed, having a lower education level, low earnings, immigrant status, frequent sick leave and social assistance dependence are associated with more symptoms both before and after OCTR for CTS, but these factors do not affect the relative improvement in QuickDASH.Malin ZimmermanEvelina HallKatarina Steen CarlssonErika NymanLars B. DahlinNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Malin Zimmerman Evelina Hall Katarina Steen Carlsson Erika Nyman Lars B. Dahlin Socioeconomic factors predicting outcome in surgically treated carpal tunnel syndrome: a national registry-based study
description	Abstract The study aimed to investigate socioeconomic factors in patients with carpal tunnel syndrome (CTS) and to evaluate their impact on outcome following open carpal tunnel release (OCTR). Data from the National Quality Register for Hand Surgery were combined with socioeconomic data (marital status, education level, earnings, migrant status, occupation, sick leave, unemployment, and social assistance) from Statistics Sweden to evaluate OCTRs performed from 2010 to 2016 (total 10,746 OCTRs). Patients completed QuickDASH (short version of Disabilities of Arm, Shoulder and Hand) questionnaires preoperatively (n = 3597) and at three (n = 2824) and 12 months (n = 2037) postoperatively. The effect of socioeconomic factors on QuickDASH scores was analyzed with linear regression analysis. Socioeconomically deprived patients scored higher on the QuickDASH on all occasions than patients with higher socioeconomic status. Being widowed, having a low education level, low earnings, immigrant status, frequent sick leave and dependence on social assistance all increased the postoperative QuickDASH score at 12 months. The change in total score for QuickDASH between preoperative and 12 months postoperatively did not vary between the groups. We conclude that such factors as being widowed, having a lower education level, low earnings, immigrant status, frequent sick leave and social assistance dependence are associated with more symptoms both before and after OCTR for CTS, but these factors do not affect the relative improvement in QuickDASH.
format	article
author	Malin Zimmerman Evelina Hall Katarina Steen Carlsson Erika Nyman Lars B. Dahlin
author_facet	Malin Zimmerman Evelina Hall Katarina Steen Carlsson Erika Nyman Lars B. Dahlin
author_sort	Malin Zimmerman
title	Socioeconomic factors predicting outcome in surgically treated carpal tunnel syndrome: a national registry-based study
title_short	Socioeconomic factors predicting outcome in surgically treated carpal tunnel syndrome: a national registry-based study
title_full	Socioeconomic factors predicting outcome in surgically treated carpal tunnel syndrome: a national registry-based study
title_fullStr	Socioeconomic factors predicting outcome in surgically treated carpal tunnel syndrome: a national registry-based study
title_full_unstemmed	Socioeconomic factors predicting outcome in surgically treated carpal tunnel syndrome: a national registry-based study
title_sort	socioeconomic factors predicting outcome in surgically treated carpal tunnel syndrome: a national registry-based study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/6011300250e6435792ebde31d3e93c95
work_keys_str_mv	AT malinzimmerman socioeconomicfactorspredictingoutcomeinsurgicallytreatedcarpaltunnelsyndromeanationalregistrybasedstudy AT evelinahall socioeconomicfactorspredictingoutcomeinsurgicallytreatedcarpaltunnelsyndromeanationalregistrybasedstudy AT katarinasteencarlsson socioeconomicfactorspredictingoutcomeinsurgicallytreatedcarpaltunnelsyndromeanationalregistrybasedstudy AT erikanyman socioeconomicfactorspredictingoutcomeinsurgicallytreatedcarpaltunnelsyndromeanationalregistrybasedstudy AT larsbdahlin socioeconomicfactorspredictingoutcomeinsurgicallytreatedcarpaltunnelsyndromeanationalregistrybasedstudy
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Socioeconomic factors predicting outcome in surgically treated carpal tunnel syndrome: a national registry-based study

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