Effect of age and body mass Index on surgical treatment outcomes in patients with carpal tunnel syndrome

dc.authorid0000-0002-9325-1292
dc.authorid0000-0001-9861-274X
dc.contributor.authorGüneş, Muzaffer
dc.contributor.authorÖzeren, Ersin
dc.date.accessioned2021-05-03T06:56:48Z
dc.date.available2021-05-03T06:56:48Z
dc.date.issued2021
dc.departmentTıp Fakültesi
dc.descriptionGüneş, Muzaffer ( Aksaray, Yazar )
dc.description.abstractAIM: To investigate the effect of age, diabetes mellitus, and body mass index (BMI) on the outcomes of carpal tunnel syndrome (CTS) surgery in patients with moderate CTS according to neurophysiological classification. MATERIAL and METHODS: Postsurgical outcomes were evaluated via a nerve conduction study (NCS) six to nine months after the surgery. Patients were divided into two groups according to neurophysiological classification based on the findings of postsurgical NCS: patients with mild CTS (partial recovery) or normal NCS (complete recovery) were classified as surgical success, and patients with moderate to more severe CTS were defined as surgical failure. RESULTS: Forty-seven patients who underwent surgery for moderate CTS were included in the study. The mean age of the patients with surgical success (47.3 +/- 10.9 years) was significantly lower than that of patients with surgical failure (54.3 +/- 12.6 years; p=0.048). The mean BMI of the patients with surgical success (31.3 +/- 4.03 kg/m(2)) was significantly lower than that of patients with surgical failure (36.75 +/- 5.5 kg/m(2); p<0.001). Multivariate logistic regression analysis demonstrated that higher BMI (p=0.003) and older age (p=0.031) were independent prognostic factors for surgical failure. In addition, there was a statistically significant and strong correlation between postoperative CTS severity and BMI (rho=0.606, p<0.001). CONCLUSION: Advanced age and high BMI negatively affect the success of surgical treatment in patients with CTS. Ensuring weight loss before surgery in CTS patients who have high BMI may increase the probability of treatment success.
dc.identifier.doi10.5137/1019-5149.JTN.29704-20.2
dc.identifier.endpage87en_US
dc.identifier.issue1en_US
dc.identifier.pmid33216336
dc.identifier.scopusqualityQ3
dc.identifier.startpage83en_US
dc.identifier.urihttps:/dx.doi.org/10.5137/1019-5149.JTN.29704-20.2
dc.identifier.urihttps://hdl.handle.net/20.500.12451/7919
dc.identifier.volume31en_US
dc.identifier.wosWOS:000610243400013
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Neurosurgical Society
dc.relation.ispartofTurkish Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCarpal Tunnel Syndrome
dc.subjectNerve Conduction Studies
dc.subjectSurgical Treatment Outcomes
dc.subjectBody Mass Index
dc.subjectDiabetes Mellitus
dc.titleEffect of age and body mass Index on surgical treatment outcomes in patients with carpal tunnel syndrome
dc.typeArticle

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