Surgical techniques and return to work following carpal tunnel release: a systematic review and meta-analysis

Sanati, Kaveh A., Mansouri, Massoud, Macdonald, Duncan, Ghafghazi, Shahab, MacDonald, Ewan and Yadegarfar, Ghasem 2011. Surgical techniques and return to work following carpal tunnel release: a systematic review and meta-analysis. Journal of Occupational Rehabilitation 21 (4) , pp. 474-481. 10.1007/s10926-011-9310-8

Full text not available from this repository.

Abstract

Introduction This systematic review was conducted to evaluate return to work (RTW) following minimally invasive carpal tunnel surgery versus open carpal tunnel release. This study also assesses how RTW as an outcome measure was examined in previous randomized controlled trials (RCTs). Methods The bibliographic databases Medline, AMED and CINAHL were systematically searched. We found 15 relevant RCTs. Meta-analysis was possible only for four studies. Results The result indicates that minimally invasive surgery offers earlier return to work compared to open carpal tunnel release (mean difference −7.2 days; 95% CI −10 to −4.4 days). There were remarkable inconsistencies in how return to work as an outcome measure was examined in different RCTs. Conclusions Calculating standardised mean difference in future RCTs would allow future reviews to be more inclusive of the evidence. The authors suggest more consistent approach for evaluating work-related features in future studies. We recommend that new fit note categories introduced by UK Department of Work and Pension (unfit for all work/return to modified work or work adaptations/return to normal work) would be used to identify different levels of return to work.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Schools > Medicine
Subjects:	R Medicine > R Medicine (General) R Medicine > RD Surgery
Uncontrolled Keywords:	Carpal tunnel syndrome – Meta-analysis – Minimally invasive surgery – Return to work – Systematic review
Publisher:	Springer
ISSN:	1053-0487
Last Modified:	04 Jun 2017 03:36
URI:	https://orca.cardiff.ac.uk/id/eprint/23569

Citation Data

Cited 20 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item