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Objective: To evaluate the quality of care provided to individuals with workers' compensation claims related to Carpal tunnel syndrome (CTS) and identify patient characteristics associated with receiving better care.

Methods: We recruited subjects with new claims for CTS from 30 occupational clinics affiliated with Kaiser Permanente Northern California. We applied 45 process-oriented quality measures to 477 subjects' medical records, and performed multivariate logistic regression to identify patient characteristics associated with quality.

Results: Overall, 81.6% of care adhered to recommended standards. Certain tasks related to assessing and managing activity were underused. Patients with classic/probable Katz diagrams, positive electrodiagnostic tests, and higher incomes received better care. However, age, sex, and race/ethnicity were not associated with quality.

Conclusions: Care processes for work-associated CTS frequently adhered to quality measures. Clinical factors were more strongly associated with quality than demographic and socioeconomic ones.

Titel:	Quality of Care for Work-Associated Carpal Tunnel Syndrome.
Autor/in / Beteiligte Person:	Nuckols, T ; Conlon, C ; Robbins, M ; Dworsky, M ; Lai, J ; Roth, CP ; Levitan, B ; Seabury, S ; Seelam, R ; Asch, SM
Link:	Full Text Finder (Volltext)
Zeitschrift:	Journal of occupational and environmental medicine, Jg. 59 (2017), Heft 1, S. 47-53
Veröffentlichung:	Hagerstown, MD : Lippincott Williams & Wilkins ; <i>Original Publication</i>: Baltimore, MD : Williams & Wilkins, c1995-, 2017
Medientyp:	academicJournal
ISSN:	1536-5948 (electronic)
DOI:	10.1097/JOM.0000000000000916
Schlagwort:	Adult California Carpal Tunnel Syndrome diagnosis Electrodiagnosis Female Health Care Surveys Humans Income Male Medical History Taking statistics & numerical data Medical Overuse statistics & numerical data Medical Records Middle Aged Occupational Diseases diagnosis Practice Guidelines as Topic Workers' Compensation Carpal Tunnel Syndrome therapy Guideline Adherence statistics & numerical data Occupational Diseases therapy Outcome and Process Assessment, Health Care Quality Indicators, Health Care
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [J Occup Environ Med] 2017 Jan; Vol. 59 (1), pp. 47-53. MeSH Terms: Outcome and Process Assessment, Health Care* ; Quality Indicators, Health Care* ; Carpal Tunnel Syndrome / therapy ; Guideline Adherence / statistics & numerical data ; Occupational Diseases / *therapy ; Adult ; California ; Carpal Tunnel Syndrome / diagnosis ; Electrodiagnosis ; Female ; Health Care Surveys ; Humans ; Income ; Male ; Medical History Taking / statistics & numerical data ; Medical Overuse / statistics & numerical data ; Medical Records ; Middle Aged ; Occupational Diseases / diagnosis ; Practice Guidelines as Topic ; Workers' Compensation References: Med Care. 1996 Mar;34(3):220-33. (PMID: 8628042) ; J Pain Palliat Care Pharmacother. 2008;22(4):306-11. (PMID: 21923316) ; Arch Surg. 2011 Dec;146(12):1433-40. (PMID: 22184308) ; Pain. 2005 Apr;114(3):462-472. (PMID: 15777871) ; Clin Exp Rheumatol. 2007 Nov-Dec;25(6 Suppl 47):142-6. (PMID: 18021520) ; J Clin Neuromuscul Dis. 2009 Sep;11(1):22-30. (PMID: 19730018) ; Scand J Work Environ Health. 1992 Dec;18(6):337-45. (PMID: 1485158) ; Arch Phys Med Rehabil. 2016 May;97(5):836-852.e1. (PMID: 26440776) ; Med Care. 1992 Jun;30(6):473-83. (PMID: 1593914) ; Rand Health Q. 2011 Sep 1;1(3):7. (PMID: 28083194) ; Am J Ind Med. 2012 Sep;55(9):816-32. (PMID: 22392804) ; Milbank Q. 2004;82(3):547-67, table of contents. (PMID: 15330976) ; Occup Med (Lond). 2007 Jan;57(1):57-66. (PMID: 17082517) ; Am J Ind Med. 2007 Mar;50(3):155-72. (PMID: 17216630) ; Perm J. 2016 Fall;20(4):15-220. (PMID: 27723446) ; J Occup Rehabil. 2011 Mar;21(1):100-19. (PMID: 20737200) ; Am J Ind Med. 2015 Mar;58(3):245-51. (PMID: 25331746) ; Health Serv Res. 2004 Aug;39(4 Pt 1):727-48. (PMID: 15230925) ; J Occup Environ Med. 2007 Nov;49(11):1249-56. (PMID: 17993929) ; Hand (N Y). 2011 Jun;6(2):119-31. (PMID: 21776197) ; Plast Reconstr Surg. 2010 Jul;126(1):169-179. (PMID: 20595866) ; Med Care. 1998 Apr;36(4):491-502. (PMID: 9544589) ; J Health Soc Policy. 2001;12(4):19-33. (PMID: 11140117) ; N Engl J Med. 2006 Mar 16;354(11):1147-56. (PMID: 16540615) ; Spine (Phila Pa 1976). 2015 Nov;40(21):1712-8. (PMID: 26274526) ; Muscle Nerve. 2010 Apr;41(4):444-52. (PMID: 20336661) ; Arthritis Rheum. 1989 Jan;32(1):37-44. (PMID: 2912463) ; J Natl Med Assoc. 2002 Aug;94(8):666-8. (PMID: 12152921) ; Neurology. 1998 Aug;51(2):390-3. (PMID: 9710008) ; J Eval Clin Pract. 2015 Oct;21(5):782-9. (PMID: 26083547) ; Am J Ind Med. 2013 Jun;56(6):615-24. (PMID: 22495886) ; Womens Health Issues. 2006 Mar-Apr;16(2):56-65. (PMID: 16638522) ; Am J Ind Med. 2008 Jun;51(6):393-8. (PMID: 18381597) ; Scand J Work Environ Health. 2013 Sep 1;39(5):495-505. (PMID: 23423472) ; J Bone Joint Surg Am. 1993 Nov;75(11):1585-92. (PMID: 8245050) ; N Engl J Med. 2010 Dec 23;363(26):2477-81. (PMID: 21142528) ; MedGenMed. 2006 Aug 09;8(3):33. (PMID: 17406167) ; N Engl J Med. 2003 Jun 26;348(26):2635-45. (PMID: 12826639) ; JAMA. 2000 Jun 21;283(23):3110-7. (PMID: 10865306) ; Am J Public Health. 1998 Oct;88(10):1447-51. (PMID: 9772842) ; Med Care. 2005 Mar;43(3 Suppl):I72-81. (PMID: 15746594) ; J Occup Environ Med. 2007 Aug;49(8):900-8. (PMID: 17693788) ; Arthritis Rheum. 2001 May;44(5):1184-93. (PMID: 11352253) ; Ann Intern Med. 2015 Sep 1;163(5):ITC1. (PMID: 26322711) ; Med Care. 2011 Dec;49(12):1105-11. (PMID: 22015667) ; Scott Med J. 2009 Feb;54(1):4-6. (PMID: 19291926) ; JAMA. 2000 Aug 23-30;284(8):984-92. (PMID: 10944644) ; J Occup Rehabil. 2008 Sep;18(3):233-48. (PMID: 18521726) Grant Information: R01 HS018982 United States HS AHRQ HHS Entry Date(s): Date Created: 20170104 Date Completed: 20180223 Latest Revision: 20231112 Update Code: 20231215 PubMed Central ID: PMC5382986

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Quality of Care for Work-Associated Carpal Tunnel Syndrome.