The effect of social deprivation on the incidence rate of carpal and cubital tunnel syndrome surgery
| Autor: | Chris Bainbridge, Anna Selby, Dimitrious Chasiouras, Nick A Johnson, Oliver Darwin |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Cubital Tunnel Syndrome 03 medical and health sciences Cubital tunnel syndrome 0302 clinical medicine Median nerve entrapment medicine Humans Carpal tunnel 030212 general & internal medicine Ulnar nerve entrapment Ulnar Nerve Cubital tunnel 030222 orthopedics Adult patients business.industry Incidence Decompression Surgical medicine.disease Carpal Tunnel Syndrome Surgery Social deprivation medicine.anatomical_structure England Female business |
| Zdroj: | Journal of Hand Surgery (European Volume). 46:265-269 |
| ISSN: | 2043-6289 1753-1934 |
| DOI: | 10.1177/1753193420939384 |
| Popis: | We sought to establish whether carpal and cubital tunnel syndrome requiring surgery is associated with deprivation in England. Data from 10,496 adult patients who were treated in our hand unit over a 20-year period were reviewed. The Index of Multiple Deprivation was used to measure deprivation from the patients’ postcode. The mean age at surgery in the most deprived three quintiles was significantly lower than in the least deprived two quintiles for carpal tunnel release (55 vs 59 years, respectively) and cubital tunnel release (52 vs 57 years, respectively). The incidence rate was significantly lower for the three least deprived quintiles when compared with the most deprived quintile for both conditions. The incidence rate ratio of the least deprived quintile compared with the most deprived quintile for carpal tunnel release was 0.70 for men and 0.76 for women. The incidence rate ratio of the least deprived quintile compared with the most deprived quintile for cubital tunnel release was 0.79 for men and 0.49 for women. Carpal tunnel and cubital tunnel syndrome requiring surgery is more common in deprived patients and occurs at an earlier age. Level of evidence: IV |
| Databáze: | OpenAIRE |
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