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Outcome after carpal tunnel release: effects of learning curve.

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Title: Outcome after carpal tunnel release: effects of learning curve.
Authors: De Kleermaeker, Floriaan G. C. M. (AUTHOR), Meulstee, Jan (AUTHOR), Claes, Franka (AUTHOR), Bartels, Ronald H. M. A. (AUTHOR), Verhagen, Wim I. M. (AUTHOR)
Source: Neurological Sciences. Sep2019, Vol. 40 Issue 9, p1813-1819. 7p. 1 Diagram, 4 Charts.
Subjects: Carpal tunnel syndrome, Tunnels, Neurosurgery, Internship programs, Learning, Clinical competence, Health outcome assessment, Surgical decompression
Abstract: Introduction: In carpal tunnel release, it is yet unclear whether a learning curve exists among surgeons. The aim of our study was to investigate if outcome after carpal tunnel release is dependent on surgeon's experience and to get an impression of the learning curve for this procedure.Methods: A total of 188 CTS patients underwent carpal tunnel release. Patients completed the Boston Carpal Tunnel Questionnaire at baseline and 6-8 months postoperatively together with a six-point scale for perceived improvement.Results: Patients operated by an experienced resident or certified surgeon reported a favorable outcome more often than patients operated by an inexperienced resident (adjusted OR 3.23 and adjusted OR 3.16, respectively). In addition, a negative association was found between surgeon's years of experience and postoperative Symptom Severity Scale and Functional Status Scale scores.Discussion: Outcome after carpal tunnel release seems to be dependent on surgical experience, and there is a learning curve in residents. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Outcome after carpal tunnel release: effects of learning curve.
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  Data: <searchLink fieldCode="AR" term="%22De+Kleermaeker%2C+Floriaan+G%2E+C%2E+M%2E%22">De Kleermaeker, Floriaan G. C. M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Meulstee%2C+Jan%22">Meulstee, Jan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Claes%2C+Franka%22">Claes, Franka</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bartels%2C+Ronald+H%2E+M%2E+A%2E%22">Bartels, Ronald H. M. A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Verhagen%2C+Wim+I%2E+M%2E%22">Verhagen, Wim I. M.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Sep2019, Vol. 40 Issue 9, p1813-1819. 7p. 1 Diagram, 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Carpal+tunnel+syndrome%22">Carpal tunnel syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22Tunnels%22">Tunnels</searchLink><br /><searchLink fieldCode="DE" term="%22Neurosurgery%22">Neurosurgery</searchLink><br /><searchLink fieldCode="DE" term="%22Internship+programs%22">Internship programs</searchLink><br /><searchLink fieldCode="DE" term="%22Learning%22">Learning</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+competence%22">Clinical competence</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+decompression%22">Surgical decompression</searchLink>
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  Data: <bold>Introduction: </bold>In carpal tunnel release, it is yet unclear whether a learning curve exists among surgeons. The aim of our study was to investigate if outcome after carpal tunnel release is dependent on surgeon's experience and to get an impression of the learning curve for this procedure.<bold>Methods: </bold>A total of 188 CTS patients underwent carpal tunnel release. Patients completed the Boston Carpal Tunnel Questionnaire at baseline and 6-8 months postoperatively together with a six-point scale for perceived improvement.<bold>Results: </bold>Patients operated by an experienced resident or certified surgeon reported a favorable outcome more often than patients operated by an inexperienced resident (adjusted OR 3.23 and adjusted OR 3.16, respectively). In addition, a negative association was found between surgeon's years of experience and postoperative Symptom Severity Scale and Functional Status Scale scores.<bold>Discussion: </bold>Outcome after carpal tunnel release seems to be dependent on surgical experience, and there is a learning curve in residents. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10072-019-03908-1
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              Text: Sep2019
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