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The relationship of mental health status to functional outcome and satisfaction after carpal tunnel release.

Authors
  • Maempel, Julian F1
  • Jenkins, Paul J2
  • McEachan, Jane E3
  • 1 Dandenong Hospital, Dandenong, VIC, Australia. , (Australia)
  • 2 Glasgow Royal Infirmary, Glasgow, UK.
  • 3 Queen Margaret Hospital, Dunfermline, UK.
Type
Published Article
Journal
The Journal of hand surgery, European volume
Publication Date
Feb 01, 2020
Volume
45
Issue
2
Pages
147–152
Identifiers
DOI: 10.1177/1753193419866400
PMID: 31403874
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

We studied whether mental health status is significantly correlated to patient reported functional outcomes and satisfaction after carpal tunnel release. Over a 7-year period, 809 patients completed Short Form-12 (SF-12) questionnaires which allowed calculation of the SF-12 mental component summary 1 year postoperatively, 780 (96%) completed a satisfaction questionnaire and 777 (96%) completed a QuickDisabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Median QuickDASH score was 55 preoperatively (interquartile range [IQR] 28) and 14 postoperatively (IQR 32). A total of 674 patients were satisfied. Patients with mental disability had worse QuickDASH scores (median 34, IQR 41) and a higher incidence of dissatisfaction (52/245, 21%) than those without mental disability (n = 9, IQR 20, 10%, both p < 0.001). Regression analyses indicated scores in the SF-12 mental component summary were significantly related to postoperative QuickDASH score (p < 0.001) and satisfaction (p = 0.02). We concluded that patients with mental disability report poorer outcomes and lower satisfaction rates; however, the majority still exhibit significant improvements and are satisfied. Level of evidence: II.

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