This article is more than 5 years old. Information may no longer be current.
Study compares PROMIS instruments to other measures for carpal tunnel release
Click Here to Manage Email Alerts
SAN FRANCISCO — Patient-reported outcomes measurements system upper extremity instruments proved to be an appropriate and efficient outcome measurement among patients undergoing carpal tunnel release compared with the Michigan Hand Outcomes Questionnaire and the Boston Carpal Tunnel Questionnaire, according to results presented here.
Bilal Mahmood, MD, and colleagues collected patient-reported outcomes measurements system (PROMIS), Michigan Hand Outcomes Questionnaire (MHQ) and Boston Carpal Tunnel Questionnaire (CTQ) scores among 101 patients undergoing carpal tunnel release preoperatively and postoperatively at 1 week, 6 weeks and 3 months.
Results showed that although no change was shown in the MHQ total score between the preoperative visit and 1-week postoperative visit, there was gradual improvement after this period.
“Meanwhile, the CTQ functional status score, where a higher value denotes worse functional status, you see a decline in function initially at the 1-week postoperative visit followed by continued improvement,” Bilal said in his presentation at the American Society for Surgery of the Hand Annual Meeting.
Bilal noted the PROMIS physical function score showed no change between the preoperative visit and 1-week postoperative visit, but a modest and statistically significant improvement at 6 weeks and 3 months. While PROMIS upper extremity scores had a decline in function after the 1-week postoperative visit, he noted improvements through 3 months.
“Looking at our results for MHQ pain score and CTQ symptom severity score, both show continued improvement including at the 1-week postoperative visit,” Bilal said.
In contrast, he noted no change in the PROMIS pain interference score between the preoperative visit and 1-week postoperative visit, but continued improvement through 3 months postoperatively.
Bilal added there was a statistically significant difference in the administration time of the measures, with administration times of 1 minute, 8 minutes and 3 minutes to administer PROMIS instruments, MHQ and CTQ, respectively. – by Casey Tingle
Reference:
Mahmood B, et al. Paper #2. Presented at: American Society for Surgery of the Hand Annual Meeting; Sept. 7-9, 2017; San Francisco.
Disclosure: Mahmood reports that he has no relevant financial disclosures.