Τίτλος:
Association of psychometric indices and normal electrodiagnostic studies in referral for suspected carpal tunnel syndrome
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background/Aim: The aim of this study was to investigate psychometric indices and their association with electrodiagnostic studies (EDX). Patients and Methods: A total of 100 patients referred for EDX testing of the upper limbs were prospectively enrolled. Demographic data, laboratory test results, referral physician specialty, main symptom, WHODAS 2.0-12 item version, Hospital Anxiety and Depression Scale (HADS), Boston Carpal Tunnel Questionnaire (BCTQ) and a Numeric Rating Scale (NRS) indicating the extent of their discomfort were collected. Results: Normal EDX results were elicited from 56% of patients. Only the presence of numbness in the right hand, pain in the left hand and older age were significantly associated with an abnormal EDX result. The more depressed and anxious the patients were, the more they scored on psychometric scales. Conclusion: The large prevalence of normal EDX studies raises the issue of unnecessary referrals. A proportion of patients are referred only according to their reported symptoms. Psychological factors affect the way a person expresses physical discomfort, leading to unnecessary EDX referrals and inevitably with normal results. © 2021 International Institute of Anticancer Research. All rights reserved.
Συγγραφείς:
Papadopoulou, M.
Tsivgoulis, G.
Chatzi, I.
Palaiodimou, L.
Bregianni, M.
Voumvourakis, K.
Michopoulos, I.
Περιοδικό:
In vivo (Athens, Greece)
Εκδότης:
International Institute of Anticancer Research
Λέξεις-κλειδιά:
cyanocobalamin; folic acid; hemoglobin A1c; thyrotropin; vitamin D, adult; Article; body mass; boston carpal tunnel questionnaire; Carpal Tunnel Questionnaire; carpal tunnel syndrome; demography; disability; disease association; electrodiagnosis; employment; female; hand function; hand pain; hand paresthesia; Hospital Anxiety and Depression Scale; human; laboratory test; major clinical study; male; middle aged; muscle weakness; numeric rating scale; patient referral; prospective study; psychological aspect; psychometry; symptom; aged; anxiety; carpal tunnel syndrome; hand; patient referral; psychometry, Aged; Anxiety; Carpal Tunnel Syndrome; Hand; Humans; Psychometrics; Referral and Consultation
DOI:
10.21873/invivo.12439