Monitoring clinical outcomes Carpal Tunnel Syndrome

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Monitoring clinical outcomesCarpal Tunnel
Syndrome

• Dr Matthew Wordsworth
• Honorary Secretary ASPC

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Audit

• All patients should have pre-treatment Levine
  scores.
• Standard 100
• All patients should have a three month
  post-treatment score.
• Standard 85
• All treated patients Levine scores should
  improve.
• Standard 100
• The average change in scores should be symptoms,
  -1.5 function -0.7

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• No patient should sustain iatrogenic nerve
  damage.
• Standard 100
• No patient should need hospital admission as a
  result of infection.
• Standard 100
• No patient should require revision surgery for
  failure to relieve symptoms.
• Standard 100

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Patient satisfaction

• Cured (all symptoms gone)
• Greatly improved (i.e.  much better)
• Slightly improved
• Unchanged
• Worse

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Complications

• Iatrogenic nerve damage
• Vascular injury
• Infection requiring hospital admission
• Revision surgery

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National audit for the treatment of Carpal Tunnel
Syndrome

• ASPC members