AI Article Synopsis
- Cubital tunnel syndrome (CuTS) is caused by compression of the ulnar nerve at the elbow, leading to pain, weakness, and numbness in the hand and forearm; this study examines Quality of Life (QoL) after surgery for CuTS.
- The research included 62 patients, who completed various questionnaires to assess their outcomes; findings showed a median Bishop's score indicating excellent results in over half of the cases, while EQ-5D-5L results indicated good QoL for most patients.
- The conclusion highlights that surgical decompression effectively reduces symptoms and improves QoL, with factors like body mass index and symptom duration significantly influencing patient satisfaction post-surgery.*
Article Abstract
Objective: Cubital tunnel syndrome (CuTS) results from compression of the ulnar nerve at the elbow, resulting in pain, weakness, and numbness of the hand and forearm. This work describes the Quality of Life (QoL) and satisfaction after CuTS surgery and identifies the factors associated with those outcomes.
Methods: This cross-sectional study included patients surgically treated for CuTS from January 2011 to September 2021 at the Neurosurgery Clinic of the Clinic Center in Serbia. The questionnaires applied were the Short Form 36 (SF-36), EuroQol instrument (EQ-5D-5 L), Bishop's score and Patient-Rated Ulnar Nerve Evaluation (PRUNE).
Results: Sixty-two patients met the inclusion criteria. Bishop's score: The median score was 10 (7.75-11), 54.8% of the cases presented excellent results. PRUNE: The median score for symptoms was 19 (6-38.5); for functional, was 14 (0.75-38); and the total was 18.25 (5.87-34.12). SF-36: The subscale with the best result was social functioning (84.68 ± 22.79). The scale with the worst value was emotional well-being (49.35 ± 7.87). EQ-5D-5L: Over 50% patients did not present problems with mobility, self-care, activity, and anxiety. The average EQ-VAS was 72.77 ± 18.70; and 0.72 ± 0.21 of the EQ-index, revealing a good QoL. Models for QoL and satisfaction: Ten models showed statistical significance. The variables with major involvement were body mass index and time evolution of the symptoms.
Conclusion: Surgical decompression has proved to diminish the symptoms, improving QoL and satisfaction. Many fixed and changeable factors can affect the satisfaction levels after surgery.
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| http://dx.doi.org/10.1080/01616412.2022.2126163 | DOI Listing |
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