Multistate Comparison of Cost, Trends, and Complications in Open Versus Endoscopic Carpal Tunnel Release
| Autor: | Eitan Melamed, Emilie R C Williamson, Dennis Vasquez Montes |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Wrist Neurosurgical Procedures 03 medical and health sciences 0302 clinical medicine Postoperative Complications medicine Carpal tunnel release Humans Orthopedics and Sports Medicine 030212 general & internal medicine Carpal tunnel syndrome Surgery Articles 030222 orthopedics medicine.diagnostic_test business.industry Arthroscopy Endoscopy medicine.disease Carpal Tunnel Syndrome Surgery Endoscopic carpal tunnel release medicine.anatomical_structure Ambulatory Surgical Procedures Female business |
| Zdroj: | Hand (N Y) |
| ISSN: | 1558-9455 |
| Popis: | Background: Surgical carpal tunnel release is performed by either open carpal tunnel release (OCTR) or endoscopic carpal tunnel release (ECTR). The purpose of this study was to assess differences in intraoperative and postoperative complications, trends, and costs between OCTR and ECTR. Methods: State Ambulatory Surgery and Services Databases (SASD) files for California, Florida, and New Jersey were queried for patients who underwent OCTR and ECTR between 2000 and 2014. Patient demographics, comorbidities, intraoperative and postoperative complications, and cost were compared between OCTR and ECTR. The frequency of each procedure was used to formulate trends in OCTR and ECTR. Results: A total of 571 403 patients were included in this study. Sex was significantly different by a small percentage (OCTR = 64.8% female, ECTR = 65.4% female). A higher proportion of Hispanic patients underwent ECTR ( P < .001). The patients who underwent OCTR had a greater comorbidity burden in terms of diabetes and rheumatoid arthritis ( P < .001). None of the aforementioned complication rates were statistically significant between the 2 procedures. Endoscopic carpal tunnel release was significantly more costly by almost $2000. Open carpal tunnel release has remained stable over the years studied, whereas ECTR increased 3-fold. Conclusions: Our findings demonstrate no significant differences between OCTR and ECTR regarding intraoperative and postoperative complications and patient outcomes. Endoscopic carpal tunnel release was found to be significantly more costly. |
| Databáze: | OpenAIRE |
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