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The aims of this pilot were to develop a clinical triage and screening protocol to inform the stratification of patients for suitable treatment options and to reduce waiting time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross sectional study with follow up was conducted, patients on the wait list at time of commencement of the pilot and subsequent referrals over a 1\u2010year period were recruited. Triage consisted of tests of sensibility, self\u2010rating measures, provocative tests and detailed patient to inform the subsequent treatment stratification, conservative, injection, surgery, or further investigation. Nonparametric analyses were used to test relationships between the test scores and to complete subgroup comparisons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010nine patients were triaged over the pilot period, 62 (70%) had a positive Phalen's at triage. Following triage 48 (54%) patients were stratified for conservative management, injection (<jats:italic>n<\/jats:italic>\u00a0=\u00a023, 26%) and surgery\/differential diagnosis (<jats:italic>n<\/jats:italic>\u00a0=\u00a018, 20%). Statistically significant differences in BCTQ (SSS and FSS) and Q\u2010DASH scores were noted across the three outcome groups, with lower scores among those commenced on conservative management. BCTQ (SSS) scores were aligned with the Semmes Weinstein Monofilaments sensibility thresholds. Wait times showed a marked decrease from 10 to 2\u00a0months over the period of the pilot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Findings highlight the positive impact of occupational therapy led triage and treat approach in the reduction of wait time for assessment and treatment for patients with CTS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1733","type":"journal-article","created":{"date-parts":[[2023,2,10]],"date-time":"2023-02-10T07:32:27Z","timestamp":1676014347000},"page":"633-643","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Advanced practice occupational therapy led triage and treatment clinic for patients with carpal tunnel syndrome in an Irish public hospital"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1037-7752","authenticated-orcid":false,"given":"Michelle","family":"O\u2019Donnell","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy St\u00a0James's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Eadie","sequence":"additional","affiliation":[{"name":"FRCSI (Plast) Eccles Clinic  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jemima","family":"Dorairaj","sequence":"additional","affiliation":[{"name":"South Infirmary\u2010Victoria University Hospital  Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadhg","family":"Stapleton","sequence":"additional","affiliation":[{"name":"Discipline of Occupational Therapy Trinity College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.17712\/nsj.2017.3.20160638"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010010\u20101150\u2010z"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.5604\/15093492.1005085"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2016.10.004"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193415621273"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0894\u20101130(12)80292\u20104"},{"issue":"5","key":"e_1_2_12_8_1","first-page":"254","article-title":"Outcomes in carpal tunnel syndrome: Symptom severity, conservative management and progression to surgery","volume":"28","author":"Boyd K. 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