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Meta-synthesis of Carpal Tunnel Syndrome Treatment Options: Developing Consolidated Clinical Treatment Recommendations to Improve Practice
Archives of Physical Medicine and Rehabilitation ( IF 3.6 ) Pub Date : 2021-04-29 , DOI: 10.1016/j.apmr.2021.03.034
Nancy A Baker 1 , Julianna Dole 2 , Shawn C Roll 2
Affiliation  

Carpal tunnel syndrome (CTS) treatment contains ambiguities across and within disciplines. This meta-synthesis of professional guidelines consolidates clinical treatment recommendations for CTS treatment and classifies them by strength of evidence. We conducted a search of Google, Google Scholar, and PubMed for published clinical treatment recommendations for CTS. A systematic hand search was completed to identify additional professional organizations with published recommendations. We extracted any mentioned treatment from all sources but developed our final consolidated clinical treatment recommendations only from select rigorous guidelines based on the Institute of Medicine (IOM) criteria for trustworthy guidelines. We translated rating systems of the primary guidelines into a universal rating system to classify recommendations for consolidated clinical treatment recommendations. Our search yielded 30 sources that mentioned a total of 55 CTS treatments. Six of the sources met the IOM inclusion criteria. These primary guidelines provided recommendations for 46 of the 55 treatments, which were consolidated into 12 broad treatment categories. Surgery, positioning, and steroids were strongly supported. Conservative treatments provided by rehabilitation professionals were conditionally supported. Pharmaceuticals, supplements, and alternative treatments were not generally supported. CTS is a complex condition with a wide variety of treatments provided by a multitude of disciplines. Our consolidated clinical treatment recommendations offer a comprehensive outline of available treatments for CTS and contributes to the process of developing best practices for its treatment.



中文翻译:

腕管综合征治疗方案的综合综合:制定综合临床治疗建议以改进实践

腕管综合征 (CTS) 治疗包含跨学科和学科内的歧义。这种专业指南的元综合整合了 CTS 治疗的临床治疗建议,并按证据强度对其进行了分类。我们在 Google、Google Scholar 和 PubMed 中搜索已发布的 CTS 临床治疗建议。完成了系统的手动搜索,以识别具有已发布建议的其他专业组织。我们从所有来源中提取了任何提到的治疗方法,但仅根据医学研究所 (IOM) 值得信赖的指南标准,从精选的严格指南中制定了我们最终的综合临床治疗建议。我们将主要指南的评级系统转化为通用评级系统,以对合并临床治疗建议的建议进行分类。我们的搜索产生了 30 个来源,其中提到了总共 55 个 CTS 治疗。其中六个来源符合国际移民组织的纳入标准。这些主要指南为 55 种治疗中的 46 种提供了建议,这些治疗被合并为 12 个广泛的治疗类别。强烈支持手术、体位和类固醇。康复专业人员提供的保守治疗得到了有条件的支持。一般不支持药物、补充剂和替代疗法。CTS 是一种复杂的疾病,由多个学科提供多种治疗方法。

更新日期:2021-04-29
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