Teunissen, J.S., Griffiths, T.T., van der Heijden, B.E.P.A. et al. (55 more authors) (2025) Changes in hand function and health state utility after cubital tunnel release using the United Kingdom Hand Registry. Journal of Hand Surgery (European Volume), 50 (3). pp. 344-351. ISSN 1753-1934
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.
Level of evidence: III
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2024. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
Keywords: | Patient-reported outcome measures, cubital tunnel syndrome, surgical procedures, quality of life, patient evaluation measure, outcome measurement |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 06 May 2025 10:00 |
Last Modified: | 06 May 2025 10:00 |
Published Version: | https://journals.sagepub.com/doi/10.1177/175319342... |
Status: | Published |
Publisher: | SAGE Publications |
Identification Number: | 10.1177/17531934241275487 |
Related URLs: | |
Sustainable Development Goals: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:226197 |