TAILIEUCHUNG - báo cáo hóa học:" Is surgical intervention more effective than nonsurgical treatment for carpal tunnel syndrome? a systematic review"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Is surgical intervention more effective than nonsurgical treatment for carpal tunnel syndrome? a systematic review | Shi and MacDermid Journal of Orthopaedic Surgery and Research 2011 6 17 http content 6 1 17 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH REVIEW Open Access Is surgical intervention more effective than non-surgical treatment for carpal tunnel syndrome a systematic review Qiyun Shi1 2 and Joy C MacDermid2 3 Abstract Background Carpal tunnel syndrome is a common disorder in hand surgery practice. Both surgical and conservative interventions are utilized for the carpal tunnel syndrome. Although certain indications would specifically indicate the need for surgery there is a spectrum of patients for whom either treatment option might be selected. The purpose of this systematic review was to compare the efficacy of surgical treatment of carpal tunnel syndrome with conservative treatment Methods We included all controlled trials written in English attempting to compare any surgical interventions with any conservative therapies. We searched Cochrane Central Register of Controlled Trials The Cochrane Library Issue 1 2010 MEDLINE 1980 to June 2010 EMBASE 1980 to June 2010 PEDro searched in June 2010 international guidelines computer searches based on key words and reference lists of articles. Two reviewers performed study selection assessment of methodological quality and data extraction independently of each other. Weighted mean differences and 95 confidence intervals for patient self-reported functional and symptom questionnaires were calculated. Relative risk RR and 95 confidence intervals for electrophysiological studies and complication were also calculated. Results We assessed seven studies in this review including 5 RCTs and 2 controlled trials. The methodological quality of the trials ranged from moderate to high. The weighted mean difference demonstrated a larger treatment benefit for surgical intervention compared to non surgical intervention at six months for functional status 95 CI and symptom severity 95 CI . There

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