Long-Term Functional Outcomes and Quality of Life Following Carpal Tunnel Release Surgery

Yuval Krieger (), Mai Ofri, Gali Sagi, Hila Moshe-Noach, Pnina Raiden, Yaron Shoham, Amiram Sagi, Anat Reiner Benaim and Eldad Silberstein
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Yuval Krieger: Hand Unit, Plastic and Reconstructive Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva P.O. Box 151, Israel
Mai Ofri: Soroka Clinical Research Center, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva P.O. Box 151, Israel
Gali Sagi: Department of Public Health Epidemiology, Biostatistics and Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva P.O. Box 151, Israel
Hila Moshe-Noach: Department of Public Health Epidemiology, Biostatistics and Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva P.O. Box 151, Israel
Pnina Raiden: Department of Public Health Epidemiology, Biostatistics and Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva P.O. Box 151, Israel
Yaron Shoham: Hand Unit, Plastic and Reconstructive Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva P.O. Box 151, Israel
Amiram Sagi: Hand Unit, Plastic and Reconstructive Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva P.O. Box 151, Israel
Anat Reiner Benaim: Department of Public Health Epidemiology, Biostatistics and Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva P.O. Box 151, Israel
Eldad Silberstein: Hand Unit, Plastic and Reconstructive Surgery, Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva P.O. Box 151, Israel

IJERPH, 2024, vol. 21, issue 9, 1-6

Abstract: This study investigates the long-term efficacy of carpal tunnel release surgery (CTR) on patient outcomes. We aimed to assess symptom severity, functional limitations, and quality of life in a large cohort (n = 186) at least five years post-surgery via a retrospective cross-sectional design that evaluated participants using the validated Boston Carpal Tunnel Questionnaire (BCTQ) over a phone interview. The BCTQ measures symptom severity, functional limitations, and quality of life specific to carpal tunnel syndrome. Seventy-three percent (73.1%) of patients reported complete resolution of symptoms and functional limitations (BCTQ = 1) with an average follow-up of 11 years. No statistically significant decline in BCTQ scores was observed over time. Univariate analysis revealed a significant association between poorer outcomes and older age at surgery and current unemployment. Carpal tunnel release surgery demonstrates long-term effectiveness in relieving symptoms and improving function in most patients. These findings contribute to the understanding of CTR’s impact on patient well-being beyond short-term outcomes.

Keywords: carpal tunnel syndrome; carpal tunnel release surgery; long-term outcomes; BCTQ; quality of life; hand function; functional limitations (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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