Changes in hand function and health state utility after cubital tunnel release using the United Kingdom Hand Registry-Reference-Cited by-同舟云学术

Changes in hand function and health state utility after cubital tunnel release using the United Kingdom Hand Registry

Published:2024-09-13 Issue: Volume: Page:
ISSN:1753-1934
Container-title:Journal of Hand Surgery (European Volume)
language:en
Short-container-title:J Hand Surg Eur Vol

Author:

Teunissen Joris S.¹²^ORCID,Griffiths Timothy T.³⁴,van der Heijden Brigitte E. P. A.¹⁵,Wade Ryckie G.³⁴,Lane Jennifer C. E.⁶,Hovius Steven E. R.¹,Bourke Grainne³⁴,Issa Fadi²,Rodrigues Jeremy N.⁷⁸,Harrison Conrad J.⁶

Affiliation:

1. Department of Plastic, Reconstructive and Hand Surgery, Radboud Institute of Health Research, Radboud University Medical Centre, Nijmegen, The Netherlands

2. Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK

3. Leeds Institute for Medical Research, University of Leeds, Leeds, UK

4. Department of Plastic, Reconstructive and Hand Surgery, Leeds Teaching Hospitals Trust, Leeds, UK

5. Department of Plastic, Reconstructive and Hand Surgery, Jeroen Bosch Hospital, ‘-Hertogenbosch, Netherlands

6. Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK

7. Clinical Trials Unit, Warwick Medical School, Warwick, UK

8. Department of Plastic, Reconstructive, and Hand Surgery, Stoke Mandeville Hospital, Aylesbury, UK

Abstract

This study aimed to analyse and contrast changes in health-related quality of life (HR-QoL) and hand symptoms in the first 6 months after surgical treatment for primary cubital tunnel syndrome. Data originated from the United Kingdom Hand Registry. HR-QoL was assessed using the generic EuroQol five-dimensional assessment tool (EQ-5D-5L) and hand symptoms using the Patient Evaluation Measure (PEM). In total, 281 patients were included in the statistical analysis. Cubital tunnel release resulted in clinically relevant relief of hand symptoms. However, no improvement in HR-QoL was detected by the EQ-5D-5L. As a result, current health economic models, such as those used by the National Institute for Health Care Excellence (NICE) in the UK, might conclude that cubital tunnel release is not cost-effective. This discrepancy requires exploration, and hand-specific preference-based measures might be needed for value-based healthcare in hand surgery. Level of evidence: III

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/17531934241275487

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