BACKGROUND Carpal tunnel syndrome is a common upper-limb nerve compression disease. Carpal tunnel syndrome can lead to several symptoms such as tingling or numbness, pain in the hand or wrist, and reduced grip strength. Based on demographic characteristics, patient reported outcome measures, and with special attention to pain catastrophizing, the purpose of this study was to identify risk factors for low patient-reported satisfaction following surgical treatment of idiopathic carpal tunnel syndrome. METHODS A total of 417 hands from 417 patients (64. 5% females) with a mean age of 58. 0 years were included in this 1-year prospective follow-up study. We collected preoperative data on disability using the Disability of the Arm, Shoulder and Hand questionnaire (DASH), quality of life using the EuroQol-5D (EQ-5D), pain catastrophizing using the Pain Catastrophizing Scale (PCS) and distal motor latency. Data on DASH score, EQ-5D, and patient satisfaction was collected 12 months postoperatively. Wilcoxon matched-pairs signed-rank test was used to test for difference in preoperative and postoperative DASH and EQ-5D score. Risk factors for low postoperative patient reported satisfaction was examined using stepwise multiple logistic regression analysis. RESULTS We found a general improvement in patients' DASH scores (12.29 [95% CI: 10.65-13.90], p < 0.001) and EQ-5D (0.14 [95% CI: 0.13-0.16], p < 0.001) from preoperative to 12 months postoperative. In the fully adjusted multiple regression analysis we found a statistically significant effect of preoperative PCS on patient reported satisfaction with OR = 1.05 (p = 0.022), for a one unit increase in preoperative PCS. There was no statistically significant predictive effect of preoperative EQ-5D (p = 0.869), DASH (p = 0.076), distal motor latency (p = 0.067), age (p = 0.505) or gender (p = 0.222). CONCLUSIONS Patients improved in both DASH and EQ-5D from preoperative to 12 months postoperative. Higher preoperative PCS seems to have a negative effect on postoperative patient reported satisfaction after carpal tunnel release.

中文翻译：

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较高的术前疼痛灾难性增加了腕管释放后患者报告的满意度低的风险：一项前瞻性研究。

背景技术腕管综合症是一种常见的上肢神经受压症。腕管综合症可导致多种症状，例如刺痛或麻木，手或腕部疼痛以及握力降低。根据人口统计学特征，患者报告的结局指标以及对疼痛的灾难性治疗的特别关注，本研究的目的是确定因特发性腕管综合症手术治疗后患者报告的满意度低的危险因素。方法这项为期1年的前瞻性随访研究包括来自417例患者（女性占64. 5％）的417只手，平均年龄58. 0岁。我们使用手臂，肩膀和手部残疾问卷（DASH）收集了有关残疾的术前数据，使用EuroQol-5D（EQ-5D）收集了生活质量，使用疼痛灾难量表（PCS）和远端运动潜伏期来进行疼痛灾难化。术后12个月收集DASH评分，EQ-5D和患者满意度的数据。使用Wilcoxon配对配对符号秩检验来检验术前和术后DASH和EQ-5D评分的差异。使用逐步多元logistic回归分析检查了术后患者满意度低的危险因素。结果我们发现，从术前到术前，患者的DASH得分（12.29 [95％CI：10.65-13.90]，p <0.001）和EQ-5D（0.14 [95％CI：0.13-0.16]，p <0.001）总体改善。术后12个月。在完全调整的多元回归分析中，我们发现术前PCS对患者报告的OR = 1.05（p = 0.022）的满意度具有统计学意义，术前PCS增加一个单位。术前EQ-5D（p = 0.869），DASH（p = 0.076），远端运动潜伏期（p = 0.067），年龄（p = 0.505）或性别（p = 0.222）没有统计学上的显着预测作用。结论从手术前到术后12个月，患者的DASH和EQ-5D均有改善。较高的术前PCS似乎对腕管释放后的术后患者满意程度有负面影响。