地区贫困指数与腕管综合征的严重程度无关。

IF 1.8 Q2 ORTHOPEDICS HAND Pub Date : 2024-10-01 Epub Date: 2023-04-26 DOI:10.1177/15589447231167591
Nicholas F Aloi, Haris Rahman, John R Fowler
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引用次数: 0

摘要

背景:虽然生活在社会处境不利的社区与许多健康结果有关,但其对患者报告的结果评分和腕管综合征(CTS)诊断措施的影响尚未完全明了。本研究通过波士顿腕管问卷(BCTQ)、6 项腕管症状量表(CTS-6)和诊断测试方式,探讨了邻里社会经济贫困对 CTS 严重程度的影响:这是一项回顾性分析,对象是在一家医院手部门诊就诊、症状与 CTS 一致的患者。收集了正中神经超声横截面积(CSA)、CTS-6、BCTQ症状严重程度量表(SSS)和功能状态量表(FSS)以及地区贫困指数(ADI)全国百分位数。根据 ADI 全国百分位数将患者分为 4 个四分位组。根据正中神经CSA、CTS-6、SSS和FSS评分的平均值进行方差分析(ANOVA),以检验4个四分位组之间的统计差异。通过学生 t 检验将下四分位数与上 75% 的样本(第 26-100 百分位数)和上四分位数进行比较。统计显著性以 P < .05 为标准:方差分析显示,正中神经 CSA、CTS-6、SSS 或 FSS 在 4 个四分位数之间均无显著统计学差异。在将下四分位数与上 75% 的样本和上四分位数进行比较时,也未发现明显的统计学差异:结论:未发现社会贫困(ADI)与患者报告的结果、CTS-6评分或正中神经CSA之间存在关系。
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Area Deprivation Index Is Not Associated With the Severity of Carpal Tunnel Syndrome.

Background: While living in a socially disadvantaged neighborhood is linked with numerous health outcomes, its effect on patient-reported outcome scores and diagnostic measures in carpal tunnel syndrome (CTS) is not fully understood. This study examines the effect of neighborhood socioeconomic deprivation on CTS severity as measured by the Boston Carpal Tunnel Questionnaire (BCTQ), 6-item Carpal Tunnel Symptoms Scale (CTS-6), and diagnostic testing modalities.

Methods: This was a retrospective analysis of patients who presented to the hand clinic at a single hospital system with symptoms consistent with CTS. Ultrasound cross-sectional area (CSA) of the median nerve, CTS-6, Symptom Severity Scale (SSS) and Functional Status Scale (FSS) of the BCTQ, and the Area Deprivation Index (ADI) national rank percentile were collected. Patients were grouped into 4 quartiles based on their ADI national percentile. Analyses of variance (ANOVAs) were conducted to test for statistical differences between the 4 quartiles based on the average values of median nerve CSA, CTS-6, SSS, and FSS score. The bottom quartile was compared with the upper 75% of the sample (26th-100th percentile) and to the upper quartile via Student t test. Statistical significance was set at P < .05.

Results: Analyses of variance revealed no statistically significant differences between the 4 quartiles for either median nerve CSA, CTS-6, SSS, or FSS. When comparing the bottom quartile with the upper 75% of the sample and the upper quartile, no significant statistical differences were identified.

Conclusions: No relationships were found between social deprivation (ADI) and patient-reported outcomes, CTS-6 scores, or median nerve CSA.

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来源期刊
HAND
HAND Medicine-Surgery
CiteScore
3.30
自引率
0.00%
发文量
209
期刊介绍: HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.
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