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2015 ; 40
(9
): 1824-31
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gab.com Text
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English Wikipedia
Surgical Treatment of Cubital Tunnel Syndrome: Trends and the Influence of
Patient and Surgeon Characteristics
#MMPMID26142079
Adkinson JM
; Zhong L
; Aliu O
; Chung KC
J Hand Surg Am
2015[Sep]; 40
(9
): 1824-31
PMID26142079
show ga
PURPOSE: To examine trends in and determinants of the use of different procedures
for treatment of cubital tunnel syndrome. METHODS: We performed a retrospective
cross-sectional analysis of the Healthcare Cost and Utilization Project Florida
State Ambulatory Surgery Database for 2005 to 2012. We selected all patients who
underwent in situ decompression, transposition, or other surgical treatments for
cubital tunnel syndrome. We tested trends in the use of these techniques and
performed a multivariable analysis to examine associations among patient
characteristics, surgeon case volume, and the use of different techniques.
RESULTS: Of the 26,164 patients who underwent surgery for cubital tunnel
syndrome, 80% underwent in situ decompression, 16% underwent transposition, and
4% underwent other surgical treatment. Over the study period, there was a
statistically significant increase in the use of in situ release and a decrease
in the use of transposition. Women and patients treated by surgeons with a higher
cubital tunnel surgery case volume underwent in situ release with a statistically
higher incidence than other techniques. CONCLUSIONS: In Florida, surgeon practice
reflected the widespread adoption of in situ release as the primary treatment for
cubital tunnel syndrome, and its relative incidence increased during the study
period. Patient demographics and surgeon-level factors influenced procedure
selection. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic III.
|Adult
[MESH]
|Aged
[MESH]
|Cross-Sectional Studies
[MESH]
|Cubital Tunnel Syndrome/*surgery
[MESH]
|Decompression, Surgical
[MESH]
|Female
[MESH]
|Florida/epidemiology
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Postoperative Complications/epidemiology
[MESH]
|Practice Patterns, Physicians'/*statistics & numerical data
[MESH]
free
free
free
