Health-related quality of life 5 years after carpal tunnel release among patients with diabetes: a prospective study with matched controls

BMC Endocrine Disorders

Ragnhild I Cederlund³  Jonas Björk²  Niels OB Thomsen¹ 

[1] Department of Clinical Sciences Malmö - Hand Surgery, Lund University and Skåne University Hospital, Malmö, Sweden;Competence Centre for Clinical Research, Lund University and Skåne University Hospital, Lund, Sweden;Department of Health Sciences, The Vårdal Institute, Lund University, Lund, Sweden

关键词: SF-36;    Sense of coherence;    Health-related quality of life;    Diabetes;    Carpal tunnel syndrome;   

Others  :  1084860
DOI  :  10.1186/1472-6823-14-85

 received in 2014-05-13, accepted in 2014-10-03,  发布年份 2014

【 摘 要 】

Background

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy encountered in diabetes. The short-term improvement after carpal tunnel release has previously been demonstrated not to differ between patients with and without diabetes, despite a marked impairment in health-related quality of life (HRQL) among the former. In this study, we compare HRQL 5 years after carpal tunnel release between these two groups of patients.

Methods

In a prospective series, 35 patients with diabetes and CTS were matched with 31 control patients with idiopathic CTS but no diabetes. At the 5-year follow-up patients completed the Medical Outcomes Short-Form 36 (SF-36) and Antonovsky’s sense of coherence (SOC) questionnaire. Differences in changes over time were compared between patients with and without diabetes using mixed model analysis.

Results

Although patients with diabetes reported a significant decrease in physical functioning (p =0.004) as compared to patients without diabetes, postoperative improvement was maintained in the physical domains, role physical and bodily pain. A more pronounced decline in the mental health domain, social function (p =0.03), was demonstrated among patients with diabetes. There was no evidence of any difference in SOC between the patient groups.

Conclusion

Patients with diabetes retained their improvement in physical domains sensitive to changes after carpal tunnel release in the long-term, despite a decline in other domains of both physical and mental HRQL. This differed from patients without diabetes. Differences in SOC could not explain the sharper decline in these domains among patients with diabetes.

【 授权许可】

   
2014 Thomsen et al.; licensee BioMed Central Ltd.

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