Comparison of efficiency and effectiveness between modified open carpal tunnel release and closed carpal tunnel release procedure
Date Issued
2006
Date
2006
Author(s)
Shao, Kou-Ning
DOI
en-US
Abstract
Background: Carpal tunnel syndrome (CTS) is one of the most common compression neuropathy problems in the upper extremity. The purpose of this study is to compare the efficiency and effectiveness and for modified open release and closed release techniques in a government owned hospital in Taiwan.
Methods: Medical records of 83 cases who received 87 carpal tunnel syndrome release operations by neurosurgeon from Jan. 2004 to May 2005 were reviewed to collect their demographic and operation data. Than questionnaires about the post operation satisfaction were collected by phone interview. Data were analyzed by SAS statistic software to investigate the difference of demographic and operation procedures, post-operative satisfaction between the two operation groups.
Results: There is no significant difference in demographic data and post operation satisfaction between the subjects of modified open and closed release procedures. However, there exist significant correlations in operation procedures with inpatient/outpatient surgery, with methods of anesthesia, and with average cost.
Conclusions: Both release procedures are effective and safe for the patients. But the modified open release procedure is more efficient than closed release procedure in terms of health care resource consumption in treating CTS. This should enlighten hospital management on more effectively utilizing its limited health care resources.
Subjects
腕隧道減壓手術
Carpal tunnel syndrome
closed carpal tunnel release
open carpal tunnel release
efficiency
patient satisfaction
Type
thesis
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