AI Article Synopsis
- * Results showed significant relief in hand symptoms after the surgery, but no corresponding improvement in overall HR-QoL using the EQ-5D-5L assessment tool.
- * This lack of HR-QoL improvement raises questions about the cost-effectiveness of cubital tunnel release, suggesting that more specific measures might be necessary for better healthcare evaluation in hand surgery.
Article Abstract
This study aimed to analyse and contrast changes in health-related quality of life (HR-QoL) and hand symptoms in the first 6 months after surgical treatment for primary cubital tunnel syndrome. Data originated from the United Kingdom Hand Registry. HR-QoL was assessed using the generic EuroQol five-dimensional assessment tool (EQ-5D-5L) and hand symptoms using the Patient Evaluation Measure (PEM). In total, 281 patients were included in the statistical analysis. Cubital tunnel release resulted in clinically relevant relief of hand symptoms. However, no improvement in HR-QoL was detected by the EQ-5D-5L. As a result, current health economic models, such as those used by the National Institute for Health Care Excellence (NICE) in the UK, might conclude that cubital tunnel release is not cost-effective. This discrepancy requires exploration, and hand-specific preference-based measures might be needed for value-based healthcare in hand surgery. III.
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| http://dx.doi.org/10.1177/17531934241275487 | DOI Listing |
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