Changes in hand function and health state utility after cubital tunnel release using the United Kingdom Hand Registry

IF 2 2区医学 Q2 ORTHOPEDICS Journal of Hand Surgery-European Volume Pub Date : 2024-09-14 DOI:10.1177/17531934241275487

Joris S. Teunissen, Timothy T. Griffiths, Brigitte E. P. A. van der Heijden, Ryckie G. Wade, Jennifer C. E. Lane, Steven E. R. Hovius, Grainne Bourke, Fadi Issa, Jeremy N. Rodrigues, Conrad J. Harrison

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Abstract

This study aimed to analyse and contrast changes in health-related quality of life (HR-QoL) and hand symptoms in the first 6 months after surgical treatment for primary cubital tunnel syndrome. Data originated from the United Kingdom Hand Registry. HR-QoL was assessed using the generic EuroQol five-dimensional assessment tool (EQ-5D-5L) and hand symptoms using the Patient Evaluation Measure (PEM). In total, 281 patients were included in the statistical analysis. Cubital tunnel release resulted in clinically relevant relief of hand symptoms. However, no improvement in HR-QoL was detected by the EQ-5D-5L. As a result, current health economic models, such as those used by the National Institute for Health Care Excellence (NICE) in the UK, might conclude that cubital tunnel release is not cost-effective. This discrepancy requires exploration, and hand-specific preference-based measures might be needed for value-based healthcare in hand surgery.Level of evidence: III

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利用英国手部登记册了解肘隧道松解术后手部功能和健康状况效用的变化

本研究旨在分析和对比原发性肘隧道综合征手术治疗后头 6 个月中与健康相关的生活质量（HR-QoL）和手部症状的变化。数据来源于英国手部登记处。健康相关生活质量（HR-QoL）使用通用的EuroQol五维评估工具（EQ-5D-5L）进行评估，手部症状则使用患者评估量表（PEM）进行评估。共有281名患者被纳入统计分析。眶管松解术在临床上缓解了手部症状。但是，EQ-5D-5L 并未发现手部症状有任何改善。因此，目前的健康经济模型（如英国国家健康护理卓越研究所（NICE）使用的模型）可能会得出结论：肘管松解术不具有成本效益。需要对这一差异进行探讨，手部手术中的价值导向型医疗保健可能需要基于手部特异性偏好的测量方法：证据等级：III

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Hand Surgery-European Volume 医学-外科

CiteScore

3.10

自引率

16.70%

发文量

190

审稿时长

4-8 weeks

期刊介绍： The Journal of Hand Surgery (European Volume) is essential reading for everyone involved in restoring the function to the hand and upper limb. Dedicated to the needs of hand, plastic, reconstructive and orthopaedic surgeons, it publishes the best selection of current papers on hand surgery. The journal regularly highlights key developments in a range of original, authoritative and highly informative articles written by distinguished experts from around the world. Rapid coverage of the latest research, techniques, trends and ideas to make sure you stay up-to-date. Subjects covered include: joint replacement fracture and joint injuries microvascular surgery congenital hand problems You will also find editorials, book reviews, conference dates, case studies, detailed coverage of new techniques and full-length reviews articles.