{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:15:30Z","timestamp":1777533330125,"version":"3.51.4"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["5R01HS018982"],"award-info":[{"award-number":["5R01HS018982"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004459","name":"RAND Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004459","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005977","name":"Kaiser Permanente","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005977","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004459","name":"RAND Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004459","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005977","name":"Kaiser Permanente","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005977","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The quality of electrodiagnostic tests may influence treatment decisions, particularly regarding surgery, affecting health outcomes and health\u2010care expenditures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We evaluated test quality among 338 adults with workers\u2019 compensation claims for carpal tunnel syndrome. Using simulations, we examined how it influences the appropriateness of surgery. Using regression, we evaluated associations with symptoms and functional limitations (Boston Carpal Tunnel Questionnaire), overall health (12\u2010item Short Form Health Survey version 2), actual receipt of surgery, and expenditures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In simulations, suboptimal quality tests rendered surgery inappropriate for 99 of 309 patients (+32 percentage points). In regression analyses, patients with the highest quality tests had larger declines in symptoms (\u22120.50 point; 95% confidence interval [CI], \u22120.89 to \u22120.12) and functional impairment (\u22120.42 point; 95% CI, \u22120.78 to \u22120.06) than patients with the lowest quality tests. Test quality was not associated with overall health, actual receipt of surgery, or expenditures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Test quality is pivotal to determining surgical appropriateness and associated with meaningful differences in symptoms and function.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mus.26874","type":"journal-article","created":{"date-parts":[[2020,4,18]],"date-time":"2020-04-18T09:30:45Z","timestamp":1587202245000},"page":"60-69","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The quality of electrodiagnostic tests for carpal tunnel syndrome: Implications for surgery, outcomes, and expenditures"],"prefix":"10.1002","volume":"62","author":[{"given":"Kanaka D.","family":"Shetty","sequence":"first","affiliation":[{"name":"RAND Corporation  Santa Monica California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Robbins","sequence":"additional","affiliation":[{"name":"RAND Corporation  Santa Monica California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dixie","family":"Aragaki","sequence":"additional","affiliation":[{"name":"VA Greater Los Angeles Healthcare System  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aashna","family":"Basu","sequence":"additional","affiliation":[{"name":"VA Greater Los Angeles Healthcare System  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Conlon","sequence":"additional","affiliation":[{"name":"Employee Health, The Permanente Medical Group  Oakland California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Dworsky","sequence":"additional","affiliation":[{"name":"RAND Corporation  Santa Monica California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Benner","sequence":"additional","affiliation":[{"name":"EK Health, Inc  San Jose California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachana","family":"Seelam","sequence":"additional","affiliation":[{"name":"RAND Corporation  Santa Monica California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0416-1595","authenticated-orcid":false,"given":"Teryl K.","family":"Nuckols","sequence":"additional","affiliation":[{"name":"RAND Corporation  Santa Monica California"},{"name":"Division of General Internal Medicine Cedars\u2010Sinai Medical Center  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22048"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1558944719856105"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g6437"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20203"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v6.i10.365"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000159825.48072.16"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000174358.62299.1b"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(01)00005-1"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181da8685"},{"key":"e_1_2_10_11_1","volume-title":"Crossing the Quality Chasm: A New Health System for the 21st Century","author":"Institute of Medicine Committee on Quality of Health Care","year":"2001"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.21617"},{"key":"e_1_2_10_13_1","volume-title":"Desirable Attributes of a Quality Measure","author":"Agency for Healthcare Research and Quality. 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