Article

OBJECTIVE: To achieve consensus on a multidisciplinary treatment guideline for
carpal tunnel syndrome (CTS). DESIGN: Delphi consensus strategy. SETTING:
Systematic reviews reporting on the effectiveness of surgical and nonsurgical
interventions were conducted and used as an evidence-based starting point for a
European Delphi consensus strategy. PARTICIPANTS: In total, 35 experts (hand
surgeons selected from the Federation of European Societies for Surgery of the
Hand, hand therapists selected from the European Federation of Societies for Hand
Therapy, physical medicine and rehabilitation physicians) participated in the
Delphi consensus strategy. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES:
Each Delphi round consisted of a questionnaire, analysis, and feedback report.
RESULTS: After 3 Delphi rounds, consensus was achieved on the description,
symptoms, and diagnosis of CTS. The experts agreed that patients with CTS should
always be instructed, and instructions combined with splinting, corticosteroid
injection, corticosteroid injections plus splinting, and surgery are suitable
treatments for CTS. Relevant details for the use of instructions, splinting,
corticosteroid injections, and surgery were described. Main factors for selecting
one of the aforementioned treatment options were identified as follows: severity
and duration of the disorder and previous treatments received. A relation between
the severity/duration and choice of therapy was found by the experts and reported
in the guideline. CONCLUSIONS: This multidisciplinary treatment guideline may
help physicians and allied health care professionals to provide patients with CTS
with the most effective and efficient treatment available.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.
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Langue : ANGLAIS