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The outcome movement in medicine has encouraged the development of patient-answered
questionnaires as measures of well-being. A disease-specific questionnaire for carpal
tunnel syndrome (CTS) was introduced by Levine et al. in 1993. We evaluated this questionnaire
in 156 consecutive new patients presenting with pain, numbness, or tingling of the
upper extremity. Of these, 114 correctly filled out the carpal tunnel outcome instrument.
In addition, these patients completed the self-administered hand diagram developed
by Katz and Stirrat for the diagnosis of CTS. The 114 patients were classified according
to their hand diagram as classic or probable CTS (n=47), possible CTS (n=31), and
unlikely CTS (n=36). The mean symptom severity score in patients classified as classic
or probable CTS was significantly higher than the mean score in patients classified
as possible or unlikely CTS (p<.01). The mean scores of items regarding sensory symptoms
were significantly higher in patients with classic or probable CTS compared to patients
with possible or unlikely CTS (p<.0001). The scores were similar for CTS and non-CTS
patients on the functional status subscale.
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Article info
Publication history
Accepted:
September 1,
1996
Received:
July 6,
1995
Footnotes
*No benefits in any form have been received or will be received from a commerical party related directly or indirectly to the subject of this article.
Identification
Copyright
© 1997 The American Society for Surgery of the Hand. All rights reserved. Published by Elsevier Inc.
